Starfile / Kansas

Delmar Gardens Of Overland Park

12100 W 109TH STREET, OVERLAND PARK, KS 66210 · CCN 175182

Inspection history vs Kansas & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$23,261

Number of fines

4

Number of penalties

4

Payment denials

0

Chain

Chain

DELMAR GARDENS

Facilities in chain

13

Chain avg overall

3.00 / 5

Inspection citations (53)1 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

2. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

3. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

4. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

5. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

6. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

7. 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.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

8. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

9. 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.2024-03-13 · Health · corrected 2024-04-26

   Potential for more than minimal harm

10. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

11. DF0637Assess the resident when there is a significant change in condition2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

12. DF0641Ensure each resident receives an accurate assessment.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

13. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

15. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

18. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

19. 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.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

20. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

21. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

22. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

23. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

24. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

25. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

26. 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.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

27. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

29. EF0880Provide and implement an infection prevention and control program.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

30. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

31. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

32. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

33. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-13 · Health · corrected 2024-04-26

    Potential for more than minimal harm

34. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

35. 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.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

36. DF0641Ensure each resident receives an accurate assessment.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

37. EF0675Honor each resident's preferences, choices, values and beliefs.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

38. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

39. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

40. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

41. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

42. 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.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

43. 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.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

44. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

45. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-04-15 · Health · corrected 2021-05-07

    Potential for more than minimal harm

47. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-04-15 · Health · corrected 2021-05-07

    Potential for more than minimal harm

48. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-15 · Health · corrected 2021-05-07

    Potential for more than minimal harm

49. GF0692Provide enough food/fluids to maintain a resident's health.2021-04-15 · Health · corrected 2021-05-07

    Actual harm

50. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2021-04-15 · Health · corrected 2021-05-07

    Potential for more than minimal harm

51. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-04-15 · Health · corrected 2021-05-07

    Potential for more than minimal harm

52. DF0761Ensure 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.2021-04-15 · Health · corrected 2021-05-07

    Potential for more than minimal harm

53. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-04-15 · Health · corrected 2021-05-07

    Potential for more than minimal harm

Ownership

Other facilities in OVERLAND PARK

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