13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Olathe, KS
2-star overall rating with 1-star inspections with $53,279 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
21250 West 151st Street, Olathe, KS
(913) 390-0444
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
59
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
2016-01-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.68
Registered nurse staffing
LPN hours / resident day
0.91
Licensed practical nurse staffing
Aide hours / resident day
2.31
Nurse aide staffing
Weekend hours
3.34
Weekend nurse staffing
RN turnover
58%
Annual RN turnover
Total nurse turnover
72%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.2
1.2 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 |
| 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 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
95.5%
2.6 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
4.4%
0.3 pts better
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 34.0% |
5.6%
28.4 pts worse
|
11.4%
22.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 1.5% |
5.0%
3.5 pts better
|
5.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 40.1% |
23.2%
16.9 pts worse
|
19.6%
20.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.8% |
19.8%
3 pts better
|
16.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.1% |
18.4%
11.7 pts worse
|
16.3%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
18.8%
4.3 pts better
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.8%
1.3 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
3.1%
1.9 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.9% |
23.2%
12.7 pts worse
|
19.8%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.6%
0.4 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
75.6%
23.3 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
11.7%
3.7 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
2.2%
1.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.2% |
73.5%
18.7 pts better
|
79.7%
12.5 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.7% |
23.0%
9.3 pts better
|
23.9%
10.2 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
21 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-12
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 2023-10-13
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-10-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-13
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-13
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-02-28
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-02-28
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-02-28
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2022-02-28
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-28
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 2022-02-28
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2022-02-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-02-28
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-02-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-02-28
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-02-28
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-02-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-02-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-02-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-02-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-02-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-02-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-02-28
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-02-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-02-28
Inspection history
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-05-15
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-05-15
Health
Provide activities to meet all resident's needs.
Corrected 2025-05-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-15
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 2025-05-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-15
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 2025-05-15
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-15
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-05-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-07
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 2024-02-28
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-02-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-24
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-24
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-09-15
Health
Provide activities to meet all resident's needs.
Corrected 2023-09-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-15
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-15
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-09-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-15
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 2023-09-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-15
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 2023-09-15
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-09-15
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 2023-09-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-15
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-09-15
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-09-15
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-09-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-01-25
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-25
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-01-25
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-01-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-01-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-01-25
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 2022-01-25
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-01-25
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-01-25
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-01-25
Penalties and ownership
Fine · fine $17,345
Fine
Fine · fine $10,036
Fine
Fine · fine $10,036
Fine
Fine · fine $15,862
Fine
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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