16 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
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
6505 W 103rd Street, Overland Park, KS
(913) 649-5110
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
44
Certified beds
Average residents
33
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Swan Health
Operator or chain grouping
Approved since
1993-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
2 facilities
Chain averages 2 overall / 3 health / 1 staffing / 3 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
RN hours / resident day
0.88
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.62
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.85
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
2.51
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.51
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
0.05
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
2.09
CMS adjusted total nurse staffing hours
Case-mix index
3.18
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
100%
Annual nurse turnover · state 50% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 1 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 25.66% |
8.2%
17.5 pts better
|
Numerator 29 · Denominator 113 |
| Staff flu vaccination coverage | 73.33% |
42%
31.3 pts better
|
Numerator 66 · Denominator 90 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.8%
8.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.7% |
95.5%
3.8 pts worse
|
95.5%
3.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.4%
4.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
5.6%
5.6 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.0%
5 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.7% |
23.2%
10.5 pts worse
|
19.6%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 23.8% · Q3 32.0% · Q4 40.0% · 4Q avg 33.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
19.8%
11.5 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.9% |
18.8%
11.9 pts better
|
14.9%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 12.0% |
1.8%
10.2 pts worse
|
1.0%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 13.3% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
3.1%
3.1 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.3% |
23.2%
9.9 pts better
|
19.8%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.3% |
| Percentage of long-stay residents with pressure ulcers | 10.5% |
4.6%
5.9 pts worse
|
5.1%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 5.0% · Q3 13.6% · Q4 12.1% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
75.6%
19 pts better
|
81.7%
12.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 95.5% · 4Q avg 94.6% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
22 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Resident Rights (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-30
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2023-12-05
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-11-29
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-11-29
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-11-29
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-11-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-29
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-11-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-11-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-11-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-29
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 2023-11-29
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-04-09
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-04-09
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-04-09
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-04-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-04-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-09
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-04-09
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-04-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-04-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-09
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 2022-04-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-03-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-09
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-04-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-04-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-09
Inspection history
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-29
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-05-30
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-05-30
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-05-30
Health
Implement a program that monitors antibiotic use.
Corrected 2025-05-30
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 2025-05-30
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-05-30
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-05-30
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 2025-05-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-30
Health
Post nurse staffing information every day.
Corrected 2025-05-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-28
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-28
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-28
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-10-09
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-10-09
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 2023-10-09
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-10-09
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 2023-10-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-09
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-02
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-03-02
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-03-02
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 2022-03-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-02
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-03-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-02
Penalties and ownership
Fine · fine $55,003
Fine
Fine · fine $17,469
Fine
Payment Denial · denial start 2023-11-28 · 7 days
7 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Nearby options
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
Overland Park, KS
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
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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