Delmar Gardens of Overland ParkCMS ratings, inspections and fines
- Address
- 12100 W 109th Street, Overland Park, KS 66210
- CCN
- 175182
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Delmar Gardens
- Residents per day
- 100
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Delmar Gardens of Overland Park an overall rating of 3 of 5 stars. The last standard survey was on 28 Jan 2026. The latest survey cycle has 5 health citations. The median for nursing homes in Kansas is 8. CMS lists 4 fines with a total of $23,261 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Johnson County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 35 homes in the county, 296 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kansas median |
|---|---|---|---|
| Cycle 1 (latest) | 28 Jan 2026 | 5 | 8 |
| Cycle 2 | 13 Mar 2024 | 33 | 8 |
| Cycle 3 | No date | 12 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2026 | 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 | Complaint investigation | 30 Jul 2026 |
| 28 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Mar 2026 |
| 28 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Mar 2026 |
| 28 Jan 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 12 Mar 2026 |
| 28 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Mar 2026 |
Survey cycle 2: 33 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0585 | Honor 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. | E | Complaint investigation | 26 Apr 2024 |
| 13 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 | Complaint investigation | 26 Apr 2024 |
| 13 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 | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Apr 2024 |
| 13 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 | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 Apr 2024 |
| 13 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 | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 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 | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Complaint investigation | 26 Apr 2024 |
| 13 Mar 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 26 Apr 2024 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Sep 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0585 | Honor 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. | E | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0675 | Honor each resident's preferences, choices, values and beliefs. | E | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | 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 Oct 2022 |
| 15 Sep 2022 | 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 | 21 Oct 2022 |
| 15 Sep 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 21 Oct 2022 |
| 15 Sep 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Oct 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Feb 2024 | Fine | $6,369 | |
| 12 Feb 2024 | Fine | $5,790 | |
| 22 Jan 2024 | Fine | $5,698 | |
| 26 Dec 2023 | Fine | $5,404 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kansas median | Kansas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.43 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.49 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.52 | 0.65 | |
| Nurse aides | 2.41 | 2.70 | |
| All nurse staff, weekends | 3.08 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 38.0%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- 16.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.9% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.5% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.0% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.3% | 15.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Delmar Gardens of Overland Park Operating LLC
- Chain
- Delmar Gardens (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Delmar Gardens Enterprises Inc | 5% or greater direct ownership interest | 100% | 11 Mar 2003 |
| Goldberg-Nom LLC | 5% or greater indirect ownership interest | 25% | 11 Mar 2003 |
| Delmar Gardens Management Services Inc | Operational/managerial control | 1 Apr 2005 |
The site shows organisations only. It does not show the names of persons.
Other homes in Johnson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Delmar Gardens of Lenexa | Lenexa | 4 of 5 | 12 | $0 | 18 Mar 2026 | |
| The Plaza Health Services at Santa Marta | Olathe | 5 of 5 | 5 | $0 | 14 May 2026 | |
| Stratford Commons Rehab & Health Care Center | Overland Park | 3 of 5 | 9 | $16,149 | 17 Nov 2025 | |
| Lakeview Village | Lenexa | 4 of 5 | 8 | $27,841 | 22 Apr 2026 | |
| Westchester Village of Lenexa | Lenexa | 4 of 5 | 8 | $0 | 19 Mar 2025 | |
| Nottingham Health and Rehabilitation | Olathe | 5 of 5 | 3 | $0 | 8 Apr 2026 | |
| Colonial Village | Overland Park | 2 of 5 | 10 | $0 | 31 Oct 2024 | |
| Villa St Francis Catholic Care Center Inc | Olathe | 5 of 5 | 9 | $0 | 31 Dec 2024 | |
| Swan Health at Overland Park | Overland Park | 1 of 5 | 13 | $79,050 | 6 May 2025 | |
| Aberdeen Village | Olathe | 5 of 5 | 3 | $8,021 | 10 Feb 2026 | |
| Garden Terrace at Overland Park | Overland Park | 1 of 5 | 24 | $91,560 | 15 May 2025 | |
| Brookdale Overland Park | Overland Park | 4 of 5 | 4 | $0 | 22 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Delmar Gardens of Overland Park (CCN 175182). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/delmar-gardens-of-overland-park-overland-park-ks-175182/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Delmar Gardens of Overland Park last inspected?
- The latest inspection with a citation in the CMS record was on 30 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 13 Mar 2024.
- Who operates Delmar Gardens of Overland Park?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Delmar Gardens. The CMS ownership file names Delmar Gardens Management Services Inc for operational or managerial control. This site does not show the names of persons.
- Is Delmar Gardens of Overland Park a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kansas as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.