Nursing HomeInspections

Delmar Gardens of Overland Park

Nursing home in Overland Park, KS

Medicare & Medicaid certified3★ overall (CMS)

Call (913) 469-4210Send a messageMap ↗

Public-record details

Address
12100 W 109th Street, Overland Park, KS 66210
Phone
(913) 469-4210
Listed under
For-profit
Medicare CCN
175182
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
100
Ownership
For-profit, limited Liability company
Legal business name
Delmar Gardens of Overland Park Operating LLC
Chain
Delmar Gardens (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 20, 1989
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 175182. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 28, 2026. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 15, 2022 to Jun 30, 2026): 34 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 30, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 28, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 28, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 28, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 28, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Mar 13, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 13, 2024Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 13, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 13, 2024Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 13, 2024Give 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
Mar 13, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 13, 2024Notify 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 50. 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 4 fines totalling $23,261 in the last three years.

Feb 20, 2024Fine: $6,369
Feb 12, 2024Fine: $5,790
Jan 22, 2024Fine: $5,698
Dec 26, 2023Fine: $5,404

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
3.43 hours
Registered nurse (RN) time per resident per day
0.49 hours
Nurse aide time per resident per day
2.41 hours
Total nurse staffing on weekends
3.08 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
17%
Administrators who left in the past year
1

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.

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