Nursing homeActive
Delmar Gardens Of Overland Park
12100 W 109th Street, Overland Park, KS 662109134694210120 certified beds · 100 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
50
● 0● 50● 0
Penalties · 3 yrs
$23,261
4 fines
Last survey
2026-06-30
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-01-28 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-03-13 | Standard | 0330 | CMS-2567 (Care Compare) | — |
| 2022-09-15 | Standard | 0120 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-30Record 175182-20260630-F690
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 175182-20260128-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 175182-20260128-F695
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 175182-20260128-F699
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 175182-20260128-F812
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F550
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F553
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F558
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F565
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F576
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F582
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F585
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F625
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F636
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F637
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F686
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F695
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F697
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F758
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F883
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity FStandard
Abuse & neglect
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F943
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 175182-20240313-F947
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F550
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F585
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F641
F675Honor each resident's preferences, choices, values and beliefs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F675
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F689
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F740
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F758
F761Ensure 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 locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 175182-20220915-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-02-20 | Civil money penalty | $6,369 | CMS · Penalties |
| 2024-02-12 | Civil money penalty | $5,790 | CMS · Penalties |
| 2024-01-22 | Civil money penalty | $5,698 | CMS · Penalties |
| 2023-12-26 | Civil money penalty | $5,404 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.49
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day3.43
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours3.08
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover38%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover17%
Facility
Kansas
National
Kansas 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.4% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.4% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.3% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.5% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 23.9% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.8% | 23.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Delmar Gardens Enterprises Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Gabe Grossberg And George Grossberg, Trustees Of The Henry And Barbara Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | — | — |
| George Grossberg And Gabe Grossberg, Trustees Of The Henry And Barbara Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | — | — |
| Goldberg-Nom LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | — | — |
| Grossberg, Gabe Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% | — | — |
| Grossberg, George Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | — | — |
| Non-Gst Family Trust Est U/W Of Israel Goldberg Fbo Janice Bitanski Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Non-Gst Family Trust Established U/W Of Israel Goldberg Fbo Harry Zvi Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Delmar Gardens Management Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Conekin, Tammy Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Grossberg, Gabe Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hill, Amanda Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Marx, Kenneth Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Oppenheimer, Howard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Delmar Gardens — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.
No county cost figures on file for Johnson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Delmar Gardens Of Lenexa Lenexa | 1.3 mi | 2026-06-08 | 0190 |
| The Plaza Health Services At Santa Marta Olathe | 1.4 mi | 2026-05-14 | 2161 |
| Stratford Commons Rehab & Health Care Center Overland Park | 1.9 mi | 2025-11-18 | 0251 |
| Lakeview Village Lenexa | 2.3 mi | 2026-04-22 | 1182 |
| Westchester Village Of Lenexa Lenexa | 3.0 mi | 2025-03-19 | 080 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |