Cycle 1
Health 2024-09-25 · Fire 2024-09-25
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Overland Park, KS
Advanced Health Care Of Overland Park
5-star overall rating with 3-star inspections with $13,397 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
4700 Indian Creek Parkway, Overland Park, KS
(913) 890-8400
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
37
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2014-06-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.40
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
3.50
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
5.49
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.99
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
5.34
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.97
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.32
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.19
CMS adjusted RN staffing hours
Adjusted total hours
4.68
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
517
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.40
Composite VBP score used to determine payment impact.
Payment multiplier
1.0215
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.30
Baseline 19.40% · Performance 18.98% · Measure score 5.30 · Achievement 5.30 · Improvement 1.29
Healthcare-associated infections
10
Baseline 3.71% · Performance 4.53% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
5.43
Baseline 72.97% · Performance 44.44% · Measure score 5.43 · Achievement 4.71 · Improvement 5.43
Adjusted total nurse staffing
6.63
Baseline 5.14 hours · Performance 4.96 hours · Measure score 6.63 · Achievement 6.63 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.67% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 581 · Observed rate 9.47% · Lower 95% interval 8% |
| Discharge to community | 72.9% |
50.57%
22.3 pts better
|
Better than the National Rate · Eligible stays 527 · Observed rate 68.69% · Lower 95% interval 68.4% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 53.78% |
95.27%
41.5 pts worse
|
Numerator 178 · Denominator 331 |
| Falls with major injury | 0.6% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 331 |
| Discharge self-care score | 52.76% |
53.69%
0.9 pts worse
|
Numerator 134 · Denominator 254 |
| Discharge mobility score | 48.43% |
50.94%
2.5 pts worse
|
Numerator 123 · Denominator 254 |
| Pressure ulcers or injuries, new or worsened | 1.21% |
2.29%
1.1 pts better
|
Numerator 4 · Denominator 331 · Adjusted rate 1.5% |
| Healthcare-associated infections requiring hospitalization | 4.53% |
7.12%
2.6 pts better
|
Better than the National Rate · Eligible stays 351 · Observed rate 2.85% · Lower 95% interval 2.65% |
| Staff COVID-19 vaccination coverage | 2.25% |
8.2%
5.9 pts worse
|
Numerator 2 · Denominator 89 |
| Staff flu vaccination coverage | 19.15% |
42%
22.9 pts worse
|
Numerator 27 · Denominator 141 |
| Discharge function score | 55.51% |
56.45%
0.9 pts worse
|
Numerator 141 · Denominator 254 |
| Transfer of health information to provider | 88.17% |
95.95%
7.8 pts worse
|
Numerator 164 · Denominator 186 |
| Transfer of health information to patient | 10% |
96.28%
86.3 pts worse
|
Numerator 14 · Denominator 140 |
| Resident COVID-19 vaccinations up to date | 6.88% |
25.2%
18.3 pts worse
|
Numerator 11 · Denominator 160 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.1% |
75.6%
9.5 pts better
|
81.7%
3.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 70.6% · Q2 93.6% · Q3 87.4% · Q4 88.2% · 4Q avg 85.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
11.7%
5.9 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.7% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.2%
1.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.6% · Q3 1.0% · Q4 0.5% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.3% |
73.5%
11.8 pts better
|
79.7%
5.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
23.0%
4 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 25.1% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-28 · Fire 2023-02-28
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
23 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Cycle 3
Health 2021-09-01 · Fire 2021-09-01
8 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-02
F · Potential for more than minimal harm
2024-09-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-02
E · Potential for more than minimal harm
2024-09-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-02
E · Potential for more than minimal harm
2024-09-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-02
F · Potential for more than minimal harm
2023-02-28
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
E9 · Emergency Preparedness Deficiencies
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K700 · Miscellaneous Deficiencies
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-02-28
K924 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that anesthesia apparatus are tested after any adjustment, modification or repair.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-02-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-02-28
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-02-28
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-06
F · Potential for more than minimal harm
2021-09-01
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-11-04
F · Potential for more than minimal harm
2021-09-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-04
E · Potential for more than minimal harm
2021-09-01
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-11-04
E · Potential for more than minimal harm
2021-09-01
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-04
E · Potential for more than minimal harm
2021-09-01
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-11-04
E · Potential for more than minimal harm
2021-09-01
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-11-04
E · Potential for more than minimal harm
2021-09-01
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-11-04
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-09-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-25
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-25
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-25
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-25
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-25
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-25
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-25
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-18
J · Immediate jeopardy
2023-12-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-11
F · Potential for more than minimal harm
2023-02-28
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-12
E · Potential for more than minimal harm
2023-02-28
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-12
D · Potential for more than minimal harm
2023-02-28
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-04-12
D · Potential for more than minimal harm
2023-02-28
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-12
E · Potential for more than minimal harm
2021-09-01
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-09-24
E · Potential for more than minimal harm
2021-09-01
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-09-24
E · Potential for more than minimal harm
2021-09-01
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-09-24
D · Potential for more than minimal harm
2021-09-01
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-09-24
D · Potential for more than minimal harm
2021-09-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-09-24
D · Potential for more than minimal harm
2021-09-01
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-09-24
D · Potential for more than minimal harm
2021-09-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-24
Penalties and ownership
What sits behind the stars
$13,397
2023-12-13
Fine
Fine · fine $13,397
Fine
Ownership
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Indirect Ownership Interest · Organization
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
Oxnam, Nathan
Corporate Officer · Individual
Pippitt, Bryan
Operational/Managerial Control · Individual
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Roger L. Mi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Stephen F.
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Overland Park Post Acute
Overland Park, KS
1-star overall rating with 1-star inspections with $59,683 in total fines with 23 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#2
Swan Health At Overland Park
Overland Park, KS
1-star overall rating with 1-star inspections with abuse icon flag with $72,472 in total fines with 16 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Brookdale Overland Park
Overland Park, KS
4-star overall rating with 4-star inspections with $7,446 in total fines with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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