Kansas › Johnson County › Lenexa
Delmar Gardens of Lenexa
9701 Monrovia Street, Lenexa, KS 66215
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.
Delmar Gardens of Lenexa is a For-profit, limited liability company nursing home in Lenexa, Kansas, certified for 222 beds and caring for about 168 residents a day.
CMS gives it 4 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (12, 7, 6 by cycle, most recent first), none at the actual-harm level. That is 11.3 per 100 beds, fewer 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 3.9 hours per resident per day (0.4 RN), close to the Kansas median of 3.9.
Compared with county, state and nation
| Measure | This facility | Johnson Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 32 | 24 | 28.7 |
| Citations per 100 beds | 11.3 | 41.7 | 44.4 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.1 | 3.9 | 3.9 |
| RN hours per resident day | 0.4 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | — | 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: 18 Mar 2026, 27 Mar 2024.
Severity mix: D ×22 E ×3
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 |
|---|---|---|---|---|---|
| 8 Jun 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 26 Jun 2026 |
| 8 Jun 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 26 Jun 2026 |
| 18 Mar 2026 | 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 | 29 Apr 2026 |
| 18 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0693 | 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. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 29 Apr 2026 |
| 18 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Apr 2026 |
| 27 Mar 2024 | 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 | 3 May 2024 |
| 27 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 May 2024 |
| 27 Mar 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 | 3 May 2024 |
| 27 Mar 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 | 3 May 2024 |
| 27 Mar 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 May 2024 |
| 27 Mar 2024 | 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 | 3 May 2024 |
| 27 Mar 2024 | 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 | 3 May 2024 |
| 24 Oct 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 30 Nov 2022 |
| 24 Oct 2022 | 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 Nov 2022 |
| 24 Oct 2022 | 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 Nov 2022 |
| 24 Oct 2022 | 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 Nov 2022 |
| 24 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Nov 2022 |
| 24 Oct 2022 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 30 Nov 2022 |
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 —, RNs —; — 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 | 15.9% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.4% | 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, limited liability company. Legal business name: Delmar Gardens Of Lenexa Operating, Llc. Chain: Delmar Gardens (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Delmar Gardens Enterprises Inc | 5% or greater direct ownership interest | 100% | 03/11/2003 |
| Goldberg-Nom LLC | 5% or greater indirect ownership interest | 25% | 03/11/2003 |
| Delmar Gardens Management Services Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2005 |
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 Delmar Gardens of Lenexa been cited for?
25 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Delmar Gardens of Lenexa been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Delmar Gardens of Lenexa compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Delmar Gardens of Lenexa?
It is part of the Delmar Gardens chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Delmar Gardens Enterprises Inc, Goldberg-Nom LLC and Delmar Gardens Management Services Inc. Individual owners and managers are not listed on this site.
When was Delmar Gardens of Lenexa last inspected?
The most recent survey or investigation in the CMS record is dated 8 Jun 2026; the most recent standard health survey was 18 Mar 2026.
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.