Delmar Gardens Of Lenexa

Inspection history (23)

• March 18, 2026 · D

  Citation F0583

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0757

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0582

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 18, 2026 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

• March 27, 2024 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2024-03-27 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOV

• March 27, 2024 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2024-03-27 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOV

• March 27, 2024 · D

  Citation F0645

  Federal surveyors cited this nursing home on 2024-03-27 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOV

• March 27, 2024 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2024-03-27 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOV

• March 27, 2024 · D

  Citation F0688

  Federal surveyors cited this nursing home on 2024-03-27 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide 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. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOV

• March 27, 2024 · D

  Citation F0625

  Federal surveyors cited this nursing home on 2024-03-27 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify 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. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOV

• March 27, 2024 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2024-03-27 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-27.GOV

• October 24, 2022 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2022-10-24 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2022-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-10-24.GOV

• October 24, 2022 · D

  Citation F0745

  Federal surveyors cited this nursing home on 2022-10-24 under CMS tag F0745 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide medically-related social services to help each resident achieve the highest possible quality of life. The deficiency was recorded as corrected on 2022-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-10-24.GOV

• October 24, 2022 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2022-10-24 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2022-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-10-24.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.68 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Delmar Gardens Enterprises INC

   parent · PAC 5395706733