Starfile

Starfile / Kansas

THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH

5401 W 143RD STREET, LEAWOOD, KS 66224 · CCN 175558

Ratings

Overall
★★★☆☆ 3
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
70
Avg residents/day
65.4
Phone
9132493600

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
12025-08-061410.19.5+3.9 worse
22023-11-16129.99.8+2.1 worse
32022-03-0797.29.3+1.8 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care4
Resident assessment and care planning1
Nursing and physician services1
Resident rights2
Nutrition and dietary1
Pharmacy service1
Administration2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9554.8%
RN staffing (reported)0.6738.5%
Total nurse staffing (adjusted)3.55

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

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

Inspection citations (35)

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  5. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  6. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  8. FF0730Observe each nurse aide's job performance and give regular training.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  9. 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.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  10. DF0775Keep complete, dated laboratory records in the resident's record.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  12. 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.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  13. EF0880Provide and implement an infection prevention and control program.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  14. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-06 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  15. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  16. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  17. 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.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  18. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  19. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  20. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  21. DF0692Provide enough food/fluids to maintain a resident's health.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  23. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  24. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  26. EF0880Provide and implement an infection prevention and control program.2023-11-16 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  27. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  29. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  30. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  31. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  33. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  34. DF0760Ensure that residents are free from significant medication errors.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

  35. FF0880Provide and implement an infection prevention and control program.2022-03-07 · Health · corrected 2022-04-08

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GATEWAY HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-01-22
BOHRER, TRACYIndividualOPERATIONAL/MANAGERIAL CONTROL2020-05-07
BURTON, SPENCERIndividualCORPORATE DIRECTOR2019-06-01
BURNAM, SOONIndividualCORPORATE OFFICER2015-02-04
FITCH, CRAIGIndividualCORPORATE OFFICER2020-01-01
LEWIS, CORWINIndividualCORPORATE OFFICER2022-04-21
BOHRER, TRACYIndividualW-2 MANAGING EMPLOYEE2020-05-07

Other facilities in LEAWOOD

NameOverallBeds

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