Delmar Gardens of Overland Park

12100 W 109th Street, Overland Park, KS 66210 · (913) 469-4210
For profit - Limited Liability company · 120 certified beds

Delmar Gardens of Overland Park has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 4 citations (the Kansas average is 9.5). It was fined 4 times in the last three years, $23,261 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on January 28, 2026 found 4 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 28, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 28, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.January 28, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.January 28, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 34 citations.

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 30, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 13, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow resident to participate in the development and implementation of his or her person-centered plan of care.March 13, 2024 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.March 13, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to organize and participate in resident/family groups in the facility.March 13, 2024 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure residents have reasonable access to and privacy in their use of communication methods.March 13, 2024 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.March 13, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor 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.March 13, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.March 13, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 13, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.March 13, 2024 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Assess the resident when there is a significant change in conditionMarch 13, 2024 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.March 13, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMarch 13, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 13, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 13, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 13, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 13, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 13, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide 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.March 13, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 13, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe and appropriate respiratory care for a resident when needed.March 13, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.March 13, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 13, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.March 13, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.March 13, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement 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.March 13, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.March 13, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 13, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.March 13, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.March 13, 2024 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop and implement policies and procedures for flu and pneumonia vaccinations.March 13, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.March 13, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.March 13, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many

Fines and payment denials

• Fine of $6,369February 20, 2024
• Fine of $5,790February 12, 2024
• Fine of $5,698January 22, 2024
• Fine of $5,404December 26, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home