Starfile

Starfile / Kansas

ASPEN HEALTH AND WELLNESS

6501 W 75TH STREET, OVERLAND PARK, KS 66204 · CCN 175187

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
102
Avg residents/day
61.9
Phone
9133671906

Inspection history vs Kansas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityKansas avgNational avgvs state
12025-06-262010.19.5+9.9 worse
22023-10-19249.99.8+14.1 worse
32022-01-27137.29.3+5.8 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care7
Resident assessment and care planning2
Nursing and physician services1
Resident rights5
Pharmacy service2
Administration1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.7662.5%
RN staffing (reported)0.8161.5%
Total nurse staffing (adjusted)3.56

Fines & penalties

Total fines
$132,837
Number of fines
24
Number of penalties
24
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (57)3 actual harm

  1. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  2. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  3. DF0558Reasonably accommodate the needs and preferences of each resident.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  4. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  5. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  6. DF0637Assess the resident when there is a significant change in condition2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  7. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  8. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  9. EF0679Provide activities to meet all resident's needs.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  11. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  12. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  13. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  14. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  15. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  16. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  17. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  18. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  19. FF0880Provide and implement an infection prevention and control program.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  20. FF0881Implement a program that monitors antibiotic use.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  21. GF0692Provide enough food/fluids to maintain a resident's health.2025-01-13 · Health · corrected 2025-02-12

    Actual harm

  22. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-03 · Health · corrected 2024-07-29

    Actual harm

  23. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-03-12 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  24. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-03-12 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  25. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-29 · Health · corrected 2023-12-20

    Actual harm

  26. EF0584Honor 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.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  27. EF0585Honor 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.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  28. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  29. DF0625Notify 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.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  30. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  32. DF0692Provide enough food/fluids to maintain a resident's health.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  33. FF0730Observe each nurse aide's job performance and give regular training.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  34. CF0732Post nurse staffing information every day.2023-10-19 · Health · corrected 2023-11-28

    Potential for minimal harm

  35. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  36. DF0758Implement 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.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  37. EF0761Ensure 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.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  39. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  40. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  41. FF0880Provide and implement an infection prevention and control program.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  42. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  43. EF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  44. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  45. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-10-19 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-07 · Health · corrected 2023-09-05

    Potential for more than minimal harm

  47. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-19 · Health · corrected 2023-07-19

    Potential for more than minimal harm

  48. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-06-19 · Health · corrected 2023-07-19

    Potential for more than minimal harm

  49. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  50. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  51. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  52. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  53. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  54. DF0758Implement 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.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  55. EF0761Ensure 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.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  56. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

  57. DF0880Provide and implement an infection prevention and control program.2022-01-27 · Health · corrected 2022-03-02

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GATEWAY HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-03-22
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-03-22
HOLLIS, JACQUELINEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-19
JORGENSEN, DAVIDIndividualCORPORATE DIRECTOR2024-03-22
BURNAM, SOONIndividualCORPORATE OFFICER2024-03-22
FITCH, CRAIGIndividualCORPORATE OFFICER2024-03-22
LEWIS, CORWINIndividualCORPORATE OFFICER2024-03-22
SATO, AMIIndividualCORPORATE OFFICER2024-09-09

Other facilities in OVERLAND PARK

NameOverallBeds
TALLGRASS CREEK, INC★★★★★44
ADVANCED HEALTH CARE OF OVERLAND PARK★★★★★38
BROOKDALE OVERLAND PARK★★★★☆94
VILLAGE SHALOM INC★★★☆☆66
Stratford Commons Rehab & Health Care Center★★★☆☆60

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.