EVERGREEN COMMUNITY OF JOHNSON COUNTY
11875 S SUNSET DRIVE, SUITE 100, OLATHE, KS 66061 · CCN 175355
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 86
- Avg residents/day
- 76.5
- Phone
- 9134778227
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 | 2024-05-01 | 7 | 10.1 | 9.5 | -3.1 better |
| 2 | 2022-09-19 | 14 | 9.9 | 9.8 | +4.1 worse |
| 3 | 2021-04-29 | 8 | 7.2 | 9.3 | +0.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.96 | 50.0% |
| RN staffing (reported) | 0.79 | 55.0% |
| Total nurse staffing (adjusted) | 5.36 | — |
Fines & penalties
- Total fines
- $22,913
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Inspection citations (29)2 actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-01 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-05-01 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-05-01 · Health · corrected 2024-05-31
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-01 · Health · corrected 2024-05-31
Actual 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.2024-05-01 · Health · corrected 2024-05-31
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.2024-05-01 · Health · corrected 2024-05-31
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.2024-05-01 · Health · corrected 2024-05-31
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-03 · Health · corrected 2023-09-29
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-19 · Health · corrected 2022-10-31
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.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-19 · Health · corrected 2022-10-31
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.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-09-19 · Health · corrected 2022-10-31
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.2022-09-19 · Health · corrected 2022-10-31
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.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-09-19 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-04-29 · Health · corrected 2021-05-21
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.2021-04-29 · Health · corrected 2021-05-21
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-04-29 · Health · corrected 2021-05-21
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-04-29 · Health · corrected 2021-05-21
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-04-29 · Health · corrected 2021-05-21
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.2021-04-29 · Health · corrected 2021-05-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-04-29 · Health · corrected 2021-05-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EVERGREEN LIVING INNOVATIONS INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-01-01 |
| DAUGHERTY, DIANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| DWYER, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| GALLAGHER, LINDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| GASH, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| GASH, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| HOLLAND, CHRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| PARISE, BRETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| ROBERTS, CHARLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-09 |
| SWEARINGEN-LYLES, DEBRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| DAUGHERTY, DIANNE | Individual | CORPORATE DIRECTOR | — | 2018-10-01 |
| DWYER, MARK | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| GALLAGHER, LINDA | Individual | CORPORATE DIRECTOR | — | 2020-08-20 |
| GASH, MARK | Individual | CORPORATE DIRECTOR | — | 2018-04-01 |
| GASH, MARY | Individual | CORPORATE DIRECTOR | — | 2018-10-18 |
| PARISE, BRETT | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| SWEARINGEN-LYLES, DEBRA | Individual | CORPORATE DIRECTOR | — | 2024-04-23 |
| AMOS, PATRICK | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| DUPRIEST, JESSICA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HOLLAND, CHRIS | Individual | CORPORATE OFFICER | — | 2019-08-19 |
| OSBORN, CHRISTOPHER | Individual | CORPORATE OFFICER | — | 2011-05-01 |
| PLOWMAN, ANDREA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| ROBERTS, CHARLA | Individual | CORPORATE OFFICER | — | 2023-10-09 |
Other facilities in OLATHE
| Name | Overall | Beds |
|---|---|---|
| NOTTINGHAM HEALTH AND REHABILITATION | ★★★★★ | 80 |
| ABERDEEN VILLAGE | ★★★★★ | 60 |
| Hoeger House | ★★★★★ | 34 |
| VILLA ST FRANCIS CATHOLIC CARE CENTER INC | ★★★★★ | 170 |
| GOOD SAMARITAN SOCIETY - OLATHE | ★★★☆☆ | 128 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.