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.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-06 | 14 | 10.1 | 9.5 | +3.9 worse |
| 2 | 2023-11-16 | 12 | 9.9 | 9.8 | +2.1 worse |
| 3 | 2022-03-07 | 9 | 7.2 | 9.3 | +1.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.95 | 54.8% |
| RN staffing (reported) | 0.67 | 38.5% |
| 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)
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-06 · Health · corrected 2025-09-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0775Keep complete, dated laboratory records in the resident's record.2025-08-06 · Health · corrected 2025-09-15
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.2025-08-06 · Health · corrected 2025-09-15
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.2025-08-06 · Health · corrected 2025-09-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-06 · Health · corrected 2025-09-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2023-11-16 · Health · corrected 2023-12-15
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.2023-11-16 · Health · corrected 2023-12-15
Potential for more than minimal harm
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-11-16 · Health · corrected 2023-12-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2022-03-07 · Health · corrected 2022-04-08
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-03-07 · Health · corrected 2022-04-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-01-22 |
| BOHRER, TRACY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-05-07 |
| BURTON, SPENCER | Individual | CORPORATE DIRECTOR | — | 2019-06-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2015-02-04 |
| FITCH, CRAIG | Individual | CORPORATE OFFICER | — | 2020-01-01 |
| LEWIS, CORWIN | Individual | CORPORATE OFFICER | — | 2022-04-21 |
| BOHRER, TRACY | Individual | W-2 MANAGING EMPLOYEE | — | 2020-05-07 |
Other facilities in LEAWOOD
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.