Nursing homeActive
Village Shalom Inc
5500 West 123rd St, Overland Park, KS 66209913317260066 certified beds · 55 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
32
● 0● 30● 2
Penalties · 3 yrs
$16,153
1 fine · 1 action
Last survey
2025-06-04
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 2
Staffing 5
Quality 5
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 |
|---|---|---|---|---|
| 2025-06-04 | Standard | 0150 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Standard | 0102 | CMS-2567 (Care Compare) | — |
| 2023-08-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-02-07 | Standard | 040 | 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.
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 2025-07-15Record 175441-20250604-F550
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 2025-07-15Record 175441-20250604-F582
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 175441-20250604-F605
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 2025-07-15Record 175441-20250604-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 2025-07-15Record 175441-20250604-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 2025-07-15Record 175441-20250604-F686
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 2025-07-15Record 175441-20250604-F689
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 2025-07-15Record 175441-20250604-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 2025-07-15Record 175441-20250604-F757
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 175441-20250604-F760
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 175441-20250604-F761
F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 175441-20250604-F808
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 2025-07-15Record 175441-20250604-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 2025-07-15Record 175441-20250604-F880
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 DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 175441-20250604-F947
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-20Record 175441-20231019-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-20Record 175441-20231019-F689
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 2023-11-20Record 175441-20231019-F550
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 2023-11-20Record 175441-20231019-F565
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 175441-20231019-F609
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 2023-11-20Record 175441-20231019-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 2023-11-20Record 175441-20231019-F684
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 175441-20231019-F756
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 175441-20231019-F758
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 175441-20231019-F851
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 2023-11-20Record 175441-20231019-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 175441-20231019-F883
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 2023-08-29Record 175441-20230803-F684
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 2022-03-07Record 175441-20220207-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 2022-03-07Record 175441-20220207-F558
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 2022-03-07Record 175441-20220207-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-07Record 175441-20220207-F692
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-10-19 | Civil money penalty | $16,153 | CMS · Penalties |
| 2023-10-19 | Denial of payment for new admissions Payment denial for 6 days, from 2023-11-14 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.90
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day5.86
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours5.78
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover59%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover36%
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 | 1.8% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.0% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.0% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.1% | 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 | 18.8% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.8% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.0% | 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 |
|---|---|---|---|---|
| Abrahms, Simon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Varner Paredes, Jamie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Abrahms, Simon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Abrahms, Simon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Baker Tilly Advisory Group LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bettinger, Irene Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Campbell, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, Mark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Forvis Mazars LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Geduldig, Steven Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gershon, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Helzberg, Shirley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Klein, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Koffman, Bradley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Krantz, Rachel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Krashin, Jeremy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lee, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lipsman, Frank Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nexdine LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ruben, Steve Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schwartz, Neal Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stein, Stewart Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Varner Paredes, Jamie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Varner Paredes, Jamie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
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 |
|---|---|---|---|
| Brookdale Overland Park Overland Park | 0.6 mi | 2026-04-14 | 0170 |
| Ignite Medical Resort Overland Park LLC Overland Park | 1.1 mi | 2026-03-17 | 1152 |
| Advanced Health Care Of Overland Park Overland Park | 2.1 mi | 2026-02-26 | 0111 |
| Tallgrass Creek, Inc Overland Park | 2.1 mi | 2026-02-25 | 0101 |
| Overland Park Post Acute Overland Park | 2.5 mi | 2026-05-26 | 1282 |
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 |