Nursing HomeInspections

Westchester Village of Lenexa

Nursing home in Lenexa, KS

Medicare & Medicaid certified4★ overall (CMS)

Call (913) 307-2000Send a messageMap ↗

Public-record details

Address
8505 Pflumm Road, Lenexa, KS 66215
Phone
(913) 307-2000
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years, Part of a retirement community
Medicare CCN
175536
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
34
Average residents per day
31
Ownership
For-profit, corporation
Legal business name
Ccrc of Lenexa LLC
Chain
Pivotal Health Care (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 27, 2013
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 175536. 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 19, 2025. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 30, 2021 to Mar 19, 2025): 8 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 19, 2025Honor 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 19, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2025Notify 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
Mar 19, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2025Provide 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
Mar 19, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2025Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights · complaint inspection		F
Potential for more than minimal harm, widespread
Jul 12, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 12, 2023Provide 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
Jul 12, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 12, 2023Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 22. 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
5.11 hours
Registered nurse (RN) time per resident per day
1.22 hours
Nurse aide time per resident per day
3.35 hours
Total nurse staffing on weekends
4.80 hours
Nursing staff turnover (yearly)
58%
RN turnover (yearly)
46%
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.

Other nursing homes in Lenexa

Delmar Gardens of Lenexa9701 Monrovia Street · Lenexa, KS 66215 · (913) 492-1130 · For-profit25 health citations in 3 inspection cycles · last standard inspection Mar 18, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)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)

All 3 in Lenexa →