Colonial Village
Nursing home in Overland Park, KS
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 12500 W 137th St, Overland Park, KS 66221
- Phone
- (913) 730-3700
- Listed under
- For-profit, No fines in 3 years, Part of a retirement community
- Medicare CCN
- 175560
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 40
- Average residents per day
- 35
- Ownership
- For-profit, corporation
- Legal business name
- Ccrc of Overland Park LLC
- Chain
- Pivotal Health Care (9 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Dec 12, 2018
- 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
Inspection record
Most recent standard health inspection: Oct 31, 2024. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 2, 2021 to Oct 31, 2024): 0 from complaint inspections, 1 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Oct 31, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| Oct 31, 2024 | 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 |
| Oct 31, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Oct 31, 2024 | 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 |
| Oct 31, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… | D |
| Oct 31, 2024 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| Oct 31, 2024 | Provide and implement an infection prevention and control program. | E |
| Oct 31, 2024 | Observe each nurse aide's job performance and give regular training. | F |
| Oct 31, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Oct 31, 2024 | Provide enough food/fluids to maintain a resident's health. | G |
| Jun 8, 2023 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |
| Jun 8, 2023 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 4.43 hours
- Registered nurse (RN) time per resident per day
- 1.00 hours
- Nurse aide time per resident per day
- 2.83 hours
- Total nurse staffing on weekends
- 4.02 hours
- Nursing staff turnover (yearly)
- 63%
- RN turnover (yearly)
- 62%
- Administrators who left in the past year
- 0
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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