Nursing HomeInspections

Delmar Gardens of Lenexa

Nursing home in Lenexa, KS

Medicare & Medicaid certified4★ overall (CMS)

Call (913) 492-1130Send a messageMap ↗

Public-record details

Address
9701 Monrovia Street, Lenexa, KS 66215
Phone
(913) 492-1130
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
175122
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
222
Average residents per day
168
Ownership
For-profit, limited Liability company
Legal business name
Delmar Gardens of Lenexa Operating, LLC
Chain
Delmar Gardens (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1981
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 175122. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 18, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 24, 2022 to Jun 8, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 8, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 8, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 18, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 18, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 18, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 18, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 18, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 18, 2026Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 18, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 18, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 18, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 18, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.90 hours
Registered nurse (RN) time per resident per day
0.42 hours
Nurse aide time per resident per day
2.68 hours
Total nurse staffing on weekends
3.68 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Lenexa

Lakeview Village13840 W 91st Terrace · Lenexa, KS 66215 · (913) 888-1900 · Nonprofit26 health citations in 3 inspection cycles · last standard inspection Apr 22, 2026 · $27,841 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)Westchester Village of Lenexa8505 Pflumm Road · Lenexa, KS 66215 · (913) 307-2000 · For-profit22 health citations in 3 inspection cycles · last standard inspection Mar 19, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)

All 3 in Lenexa →