Kansas › Johnson County › Lenexa
Westchester Village of Lenexa
8505 Pflumm Road, 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.
Westchester Village of Lenexa is a For-profit, corporation nursing home in Lenexa, Kansas, certified for 34 beds and caring for about 31 residents a day.
CMS gives it 4 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 4, staffing 4 and quality measures 2.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (8, 7, 7 by cycle, most recent first), none at the actual-harm level. That is 64.7 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 5.1 hours per resident per day (1.2 RN), above the Kansas median of 3.9; nursing staff turnover is 57.8%.
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 | 22 | 32 | 24 | 28.7 |
| Citations per 100 beds | 64.7 | 41.7 | 44.4 | 26.8 |
| Total nurse hours per resident day | 5.1 | 4.1 | 3.9 | 3.9 |
| RN hours per resident day | 1.2 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 57.8% | 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: 19 Mar 2025, 12 Jul 2023.
Severity mix: D ×20 E ×1 F ×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 |
|---|---|---|---|---|---|
| 19 Mar 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | 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 | 2 May 2025 |
| 19 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | 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 | 2 May 2025 |
| 19 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 2 May 2025 |
| 12 Jul 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 20 Jul 2023 |
| 12 Jul 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 | 20 Jul 2023 |
| 12 Jul 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Jul 2023 |
| 12 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jul 2023 |
| 12 Jul 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 20 Jul 2023 |
| 12 Jul 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 | 20 Jul 2023 |
| 12 Jul 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 20 Jul 2023 |
| 30 Dec 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Jan 2022 |
| 30 Dec 2021 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 30 Jan 2022 |
| 30 Dec 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Jan 2022 |
| 30 Dec 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Jan 2022 |
| 30 Dec 2021 | 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 | 30 Jan 2022 |
| 30 Dec 2021 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 30 Jan 2022 |
| 30 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jan 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 57.8%, RNs 45.5%; 1 administrator 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 | 22.6% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.0% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.3% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.9% | 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 Lenexa Llc. Chain: Pivotal Health Care (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Scenic Development LLC | Direct ownership interest | NOT APPLICABLE | 12/16/2017 |
| Scenic Holdings LLC | Direct ownership interest | NOT APPLICABLE | 12/31/2019 |
| 3rk, LLC | Indirect ownership interest | NOT APPLICABLE | 01/01/2021 |
| 5 R Cattle, LLC | Indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| Cadet Investment LLC | Indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| Lmray, LLC | Indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| Poky - 5r LLC | Indirect ownership interest | NOT APPLICABLE | 12/31/2019 |
| Poky Feeders Inc | Indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| Wsg LLC | Indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| Pivotal Health Care LLC | Operational/managerial control | NOT APPLICABLE | 12/16/2017 |
| Scenic Development LLC | Operational/managerial control | NOT APPLICABLE | 12/16/2017 |
| 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 | 04/28/2025 |
| Summit Care, LLC | Adp of the snf | NOT APPLICABLE | 12/16/2017 |
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 Westchester Village of Lenexa been cited for?
22 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 Westchester Village of Lenexa been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Westchester Village of Lenexa compare?
Reported total nurse staffing is 5.1 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Westchester Village of Lenexa?
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 Westchester Village of Lenexa last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2025; the most recent standard health survey was 19 Mar 2025.
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.