Elder Care Record

Kansas › Johnson County › Olathe

Evergreen Community of Johnson County

11875 S Sunset Drive, Suite 100, Olathe, KS 66061

CCN 175355 · Non-profit, corporation · 44 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Evergreen Community of Johnson County is a Non-profit, corporation nursing home in Olathe, Kansas, certified for 44 beds and caring for about 77 residents a day.

CMS gives it 5 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 4, staffing 5 and quality measures 2.

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (2, 7, 15 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 54.5 per 100 beds, about the same as the state median of 44.4.

CMS lists 3 penalties in the period covered: fines totalling $23K and 1 payment denial.

Reported nurse staffing is 5.3 hours per resident per day (0.8 RN), above the Kansas median of 3.9; nursing staff turnover is 45.3%.

24health deficiencies, 3 survey cycles2 at actual harm or worse
$23Kfines listed by CMS3 penalties in period
5.3nurse hours per resident per daystate median 3.9
174%occupancy (residents ÷ beds)77 residents a day

Compared with county, state and nation

MeasureThis facilityJohnson Co. medianKansas medianUS average
Overall star rating5333.0
Health citations, 3 cycles24322428.7
Citations per 100 beds54.541.744.426.8
Total nurse hours per resident day5.34.13.93.9
RN hours per resident day0.80.80.60.7
Nursing staff turnover45.3%51.1%47.4%45.8%
Fines listed$22,913$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

Cycle 1 (latest)2
Cycle 27
Cycle 315

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Feb 2026, 1 May 2024.

Severity mix: G ×2 D ×19 E ×1 F ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Mar 2026
25 Feb 2026F0693Ensure 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.DStandard survey30 Mar 2026
1 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation31 May 2024
1 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation31 May 2024
1 May 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation31 May 2024
1 May 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation31 May 2024
1 May 2024F0679Provide activities to meet all resident's needs.DComplaint investigation31 May 2024
1 May 2024F0758Implement 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.DComplaint investigation31 May 2024
1 May 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint investigation31 May 2024
3 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation29 Sep 2023
19 Sep 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey31 Oct 2022
19 Sep 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey31 Oct 2022
19 Sep 2022F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey31 Oct 2022
19 Sep 2022F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey31 Oct 2022
19 Sep 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey31 Oct 2022
19 Sep 2022F0688Provide 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.DStandard survey31 Oct 2022
19 Sep 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey31 Oct 2022
19 Sep 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey31 Oct 2022
19 Sep 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey31 Oct 2022
19 Sep 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey31 Oct 2022
19 Sep 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey31 Oct 2022
19 Sep 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey31 Oct 2022
19 Sep 2022F0758Implement 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.DStandard survey31 Oct 2022
19 Sep 2022F0880Provide and implement an infection prevention and control program.DStandard survey31 Oct 2022

Penalties

DateTypeAmountDetail
1 May 2024Payment denial—3 days
1 May 2024Fine$12,854
3 Oct 2023Fine$10,059

Staffing

Total nursing5.26 h
Nurse aides3.64 h
LPN0.8 h
RN0.81 h
Weekend total4.68 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 45.3%, RNs 28.6%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityKansas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.2%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.1%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.4%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.6%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay5.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.7%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.6%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: non-profit, corporation. Legal business name: Evergreen Living Innovations Inc.

OrganisationRole in the CMS recordInterestSince
Evergreen Living Innovations Inc5% or greater direct ownership interest100%01/01/2003

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Aberdeen VillageOlathe605451525.0$8K20 May 2026
Advanced Health Care of Overland ParkOverland Park385352360.5$13K26 Feb 2026
Brookdale RosehillShawnee925353639.1—10 Dec 2025
Claridge CourtPrairie Village455551737.8$18K14 Jan 2026
Hillside Village of De Soto Rehabilitation and NurDe Soto495431836.7—7 Jan 2026
Hoeger HouseOlathe345452058.8—14 May 2025
Nottingham Health and RehabilitationOlathe805541417.5—8 Apr 2026
Sharon Lane Health and RehabilitationShawnee785441620.5—17 Nov 2025

All 35 facilities in Johnson County

Questions and answers

How many deficiencies has Evergreen Community of Johnson County been cited for?

24 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.

Has Evergreen Community of Johnson County been fined?

Yes. CMS lists fines totalling $23K in the period covered, plus 1 payment denial.

How does staffing at Evergreen Community of Johnson County compare?

Reported total nurse staffing is 5.3 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Evergreen Community of Johnson County?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Evergreen Living Innovations Inc. Individual owners and managers are not listed on this site.

When was Evergreen Community of Johnson County last inspected?

The most recent survey or investigation in the CMS record is dated 25 Feb 2026; the most recent standard health survey was 25 Feb 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.