WESTCHESTER VILLAGE OF LENEXA
8505 PFLUMM ROAD, LENEXA, KS 66215 · CCN 175536
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 34
- Avg residents/day
- 33.5
- Phone
- 9133072000
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 | 2025-03-19 | 8 | 10.1 | 9.5 | -2.1 better |
| 2 | 2023-07-12 | 7 | 9.9 | 9.8 | -2.9 better |
| 3 | 2021-12-30 | 7 | 7.2 | 9.3 | -0.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident rights | 4 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.62 | 66.0% |
| RN staffing (reported) | 1.12 | 61.5% |
| Total nurse staffing (adjusted) | 4.65 | — |
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 (22)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-19 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-19 · Health · corrected 2025-05-02
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.2025-03-19 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-19 · Health · corrected 2025-05-02
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.2025-03-19 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-19 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-19 · Health · corrected 2025-05-02
Potential for more than minimal harm
- FF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-03-19 · Health · corrected 2025-05-02
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.2023-07-12 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-07-12 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-12 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-12 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-07-12 · Health · corrected 2023-07-20
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.2023-07-12 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-12 · Health · corrected 2023-07-20
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.2021-12-30 · Health · corrected 2022-01-30
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.2021-12-30 · Health · corrected 2022-01-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-12-30 · Health · corrected 2022-01-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-12-30 · Health · corrected 2022-01-30
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.2021-12-30 · Health · corrected 2022-01-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-12-30 · Health · corrected 2022-01-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2021-12-30 · Health · corrected 2022-01-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SCENIC HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 76% | 2019-12-31 |
| SCENIC DEVELOPMENT LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | 2017-12-16 |
| WSG LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | 2017-12-16 |
| POKY - 5R LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2022-07-31 |
| HOWARD, STEVEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2019-12-31 |
| CADET INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2017-12-16 |
| ANDERSON, MARLENE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2022-07-31 |
| ANDERSON, WAYNE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2022-07-31 |
| WOOD, GILBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-16 |
| PIVOTAL HEALTH CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-16 |
| SCENIC DEVELOPMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-16 |
| ABBY, AMBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-17 |
| ANDERSON, JORDAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| GULLEDGE, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-16 |
| GULLEDGE, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| MARTIN, CAROLINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-06 |
Other facilities in LENEXA
| Name | Overall | Beds |
|---|---|---|
| Delmar Gardens Of Lenexa | ★★★★☆ | 222 |
| LAKEVIEW VILLAGE | ★★★☆☆ | 158 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.