Kansas › Johnson County › Overland Park
Colonial Village
12500 W 137th St, Overland Park, KS 66221
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 40 beds, Colonial Village serves Overland Park in Johnson County, Kansas and has taken Medicare and Medicaid residents since 2018.
CMS gives it 2 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (10, 14, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 70.0 per 100 beds, more than the state median of 44.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.4 hours per resident per day (1.0 RN), close to the Kansas median of 3.9; nursing staff turnover is 63.0%.
Compared with county, state and nation
| Measure | This facility | Johnson Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 32 | 24 | 28.7 |
| Citations per 100 beds | 70.0 | 41.7 | 44.4 | 26.8 |
| Total nurse hours per resident day | 4.4 | 4.1 | 3.9 | 3.9 |
| RN hours per resident day | 1.0 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 63.0% | 51.1% | 47.4% | 45.8% |
| Fines listed | $0 | $14,069 | $7,960 | — |
County and state figures are medians across facilities (35 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Oct 2024, 8 Jun 2023.
Severity mix: G ×1 D ×17 E ×6 F ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 31 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0625 | 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. | D | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0758 | Implement 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. | D | Standard survey | 21 Nov 2024 |
| 31 Oct 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 21 Nov 2024 |
| 8 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0761 | 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. | E | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0688 | 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. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0758 | Implement 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. | D | Standard survey | 30 Jun 2023 |
| 8 Jun 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 30 Jun 2023 |
| 2 Nov 2021 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Nov 2021 |
| 2 Nov 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 30 Nov 2021 |
| 2 Nov 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Nov 2021 |
| 2 Nov 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 30 Nov 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 63.0%, RNs 61.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.2% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.1% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.6% | 15.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Ccrc Of Overland Park Llc. Chain: Pivotal Health Care (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Scenic Development LLC | Direct ownership interest | NOT APPLICABLE | 12/01/2018 |
| Scenic Holdings LLC | Direct ownership interest | NOT APPLICABLE | 07/31/2022 |
| 3rk, LLC | Indirect ownership interest | NOT APPLICABLE | 01/01/2021 |
| 5 R Cattle, LLC | Indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| Cadet Investment LLC | Indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| Lmray, LLC | Indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| Poky - 5r LLC | Indirect ownership interest | NOT APPLICABLE | 07/31/2022 |
| Poky Feeders Inc | Indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| Wsg LLC | Indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| Pivotal Health Care LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2018 |
| Scenic Development LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2018 |
| Curana Health of Missouri-Kansas LLC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Pivotal Health Care LLC | Adp of the snf | NOT APPLICABLE | 07/17/2025 |
| Summit Care, LLC | Adp of the snf | NOT APPLICABLE | 12/01/2018 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Johnson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Village | Olathe | 60 | 5 | 4 | 5 | 15 | 25.0 | $8K | 20 May 2026 |
| Advanced Health Care of Overland Park | Overland Park | 38 | 5 | 3 | 5 | 23 | 60.5 | $13K | 26 Feb 2026 |
| Brookdale Rosehill | Shawnee | 92 | 5 | 3 | 5 | 36 | 39.1 | — | 10 Dec 2025 |
| Claridge Court | Prairie Village | 45 | 5 | 5 | 5 | 17 | 37.8 | $18K | 14 Jan 2026 |
| Evergreen Community of Johnson County | Olathe | 44 | 5 | 4 | 5 | 24 | 54.5 | $23K | 25 Feb 2026 |
| Hillside Village of De Soto Rehabilitation and Nur | De Soto | 49 | 5 | 4 | 3 | 18 | 36.7 | — | 7 Jan 2026 |
| Hoeger House | Olathe | 34 | 5 | 4 | 5 | 20 | 58.8 | — | 14 May 2025 |
| Nottingham Health and Rehabilitation | Olathe | 80 | 5 | 5 | 4 | 14 | 17.5 | — | 8 Apr 2026 |
All 35 facilities in Johnson County
Questions and answers
How many deficiencies has Colonial Village been cited for?
28 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Colonial Village been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Colonial Village compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Colonial Village?
It is part of the Pivotal Health Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Scenic Development LLC, Scenic Holdings LLC and 3rk, LLC. Individual owners and managers are not listed on this site.
When was Colonial Village last inspected?
The most recent survey or investigation in the CMS record is dated 31 Oct 2024; the most recent standard health survey was 31 Oct 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.