COLONIAL VILLAGE
12500 W 137TH ST, OVERLAND PARK, KS 66221 · CCN 175560
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 40
- Avg residents/day
- 35.8
- Phone
- 9137303700
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-31 | 10 | 10.1 | 9.5 | -0.1 better |
| 2 | 2023-06-08 | 14 | 9.9 | 9.8 | +4.1 worse |
| 3 | 2021-11-02 | 4 | 7.2 | 9.3 | -3.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.30 | 62.7% |
| RN staffing (reported) | 0.93 | 57.1% |
| Total nurse staffing (adjusted) | 4.82 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- PIVOTAL HEALTH CARE
- Facilities in chain
- 9
- Chain avg overall
- 4.00 / 5
Inspection citations (28)1 actual harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- 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.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-10-31 · Health · corrected 2024-11-21
Actual harm
- FF0730Observe each nurse aide's job performance and give regular training.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- 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.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- 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.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-31 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0688Provide 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.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- 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.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- 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.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-06-08 · Health · corrected 2023-06-30
Potential for minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-08 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-11-02 · Health · corrected 2021-11-30
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-11-02 · Health · corrected 2021-11-30
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-11-02 · Health · corrected 2021-11-30
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2021-11-02 · Health · corrected 2021-11-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PIVOTAL HEALTH CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| SCENIC DEVELOPMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| ANDERSON, JORDAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| CHIK, DAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 |
| GULLEDGE, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| GULLEDGE, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| MARTIN, CAROLINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-06 |
| WOOD, GILBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
Other facilities in OVERLAND PARK
| Name | Overall | Beds |
|---|---|---|
| ADVANCED HEALTH CARE OF OVERLAND PARK | ★★★★★ | 38 |
| TALLGRASS CREEK, INC | ★★★★★ | 44 |
| 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.