Federal inspection record · CMS data as of October 1, 2026
Villa St Francis Catholic Care Center Inc
16600 W. 126th St, Olathe, KS · (913) 829-5201
- CMS high-performer trophy
- Certified beds
- 170
- Residents per day
- 143
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1978
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Villa St Francis Catholic Care Center Inc carries 14 inspection points. That is fewer than 97% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Rights5D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Nutrition and Dietary2E
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Administration1D
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-09-16
0 health deficiencies · 9 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-12-31
9 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-05-23
8 health deficiencies · 19 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 30 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
5 h 30 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 24% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better | 0.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 99.8% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 100.0% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 1.3% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts better | 1.6% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts better | 1.8% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.2 pts better | 20.2% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts better | 10.1% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.1 pts better | 13.4% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts better | 11.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.8 pts better | 0.0% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better | 16.4% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 2.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.3 pts better | 99.4% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better | 7.8% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.4 pts better | 98.8% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts worse | 22.7% | 22.3% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Allin, Jill | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Allin, Jill | Adp Of The SNF · Individual | 0% | 1 facilities |
| Anthony, Nicole | Corporate Officer · Individual | 0% | 1 facilities |
| Anthony, Nicole | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Anthony, Nicole | Adp Of The SNF · Individual | 0% | 1 facilities |
| Benning, Jd | Corporate Director · Individual | 0% | 1 facilities |
| Bibler, Mary | Corporate Director · Individual | 0% | 1 facilities |
| Bregant, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Heidrick, Bradley | Corporate Officer · Individual | 0% | 1 facilities |
| Heidrick, Bradley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Heidrick, Bradley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mckinzie, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Northeast Kansas Catholic Healthcare Services Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Northeast Kansas Catholic Healthcare Services Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Parise, Brett | Corporate Director · Individual | 0% | 2 facilities |
| Pennings, Gary | Corporate Director · Individual | 0% | 1 facilities |
| Scott, Jillian | Corporate Director · Individual | 0% | 1 facilities |
| Villa St. Francis Real Estate Holdings, Inc. | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Villa St. Francis Real Estate Holdings, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
42 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke15F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems9F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
- F
Ensure proper storage of liquid oxygen.
Miscellaneous7F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of portable space heaters.
Egress5F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
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.
- F
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.
- E
Install proper backup exit lighting.
Services3F
- D
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Construction3F
- F
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- E
Use approved construction type or materials.
- E
Use approved construction type or materials.
·
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