Inspection Reports for
Homestead of Overland Park Operations LLC
11701 NIEMAN ROAD, OVERLAND PARK, KS, 66210-4310
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
71% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Mar 31, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-03-06.
Findings
All deficiencies have been corrected as of the compliance date of 2025-03-24, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 36
Deficiencies: 4
Date: Mar 6, 2025
Visit Reason
The inspection was a licensure resurvey with attached complaint investigations for multiple complaint numbers conducted on 03/05/2025 and 03/06/2025.
Complaint Details
The inspection included attached complaint investigations for complaint numbers 193590, 191203, 189071, 188960, 183344, and 181507.
Findings
The facility was found deficient in delegation of nursing duties to certified medication aides, food preparation and temperature monitoring, infection control policies related to tuberculosis testing for new employees, and laundry facility management including odor control and workflow.
Deficiencies (4)
K.A.R. 26-41-204 (e) Delegation of Duties. The facility failed to ensure the licensed nurse delegated nursing procedures not included in the certified medication aide curriculum, specifically the dialing of insulin pens, to certified medication aides.
K.A.R. 26-41-206 (d) Food Preparation. The facility failed to ensure meals served to residents in the secured specialty unit were served at the proper temperature and failed to consistently obtain food temperatures prior to serving assisted living residents.
K.A.R. 26-41-207 (b) (5-6) (c) Infection Control Policies. The facility failed to comply with tuberculosis guidelines for two newly hired employees by lacking documentation of required two-step TB testing within seven days of employment.
K.A.R. 28-39-255 Laundry. The facility failed to store soiled laundry in a manner preventing odors and failed to arrange the laundry work area to provide a one-way flow from soiled to clean areas.
Report Facts
Census: 36
Residents in Assisted Living: 23
Residents in Secured Specialty Unit: 13
Food temperature: 116.2
Dates lacking food temperature documentation: 18
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 5, 2025
Visit Reason
The document is a plan of correction responding to findings from a licensure resurvey conducted on March 5 and 6, 2025, which included attached complaint investigations.
Findings
The plan of correction addresses citations from the licensure resurvey and multiple complaint numbers associated with the facility.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Aug 7, 2023
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected by the facility.
Findings
All previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.
Inspection Report
Re-Inspection
Census: 48
Deficiencies: 7
Date: Jul 11, 2023
Visit Reason
The inspection was a resurvey with complaints conducted on 07/11/23 and 07/12/23 at Homestead of Overland Park.
Complaint Details
The inspection was a resurvey with complaints #181184, #179481, #174286, #174100, #173800, #172528, #172539, #170795, #170509, #170361.
Findings
The facility was found deficient in multiple areas including failure to thoroughly investigate abuse allegations, improper delegation of medication administration, lack of dementia training for staff, incomplete incident documentation, insufficient staffing for emergency evacuations, failure to conduct emergency preparedness reviews and drills, and unsafe food storage practices.
Deficiencies (7)
KAR 26-41-101(f)(3) Operator/Licensed Nurse failed to ensure thorough investigation of potential abuse when bruising was noted on a resident's inner thigh and she presented to the emergency room with pelvic pain.
KAR 26-41-205(d)(4) Operator/Licensed Nurse failed to ensure licensed nurse delegated nursing procedures properly when medication aides dialed insulin pens without competency assessment.
KAR 26-41-103(c) Operator/Licensed Nurse failed to provide dementia and Alzheimer's training upon hire for 3 of 5 sampled employees.
KAR 26-41-105(f)(11) Operator/Licensed Nurse failed to document all incidents including date, time, action taken, and results when a male resident was found in another resident's bed.
KAR 26-41-104(a) Operator/Licensed Nurse failed to ensure sufficient staff on night shift to assist all residents requiring help in an emergency evacuation, placing residents in immediate jeopardy.
KAR 26-41-104(d)(3)(4) Operator/Licensed Nurse failed to ensure quarterly reviews of the emergency management plan with residents and staff and failed to conduct an annual emergency drill including evacuation.
KAR 26-41-206(e) Operator/Licensed Nurse failed to ensure all food was stored under safe and sanitary conditions; multiple food items in the refrigerator were not dated and fruit was not completely sealed.
Report Facts
Census: 48
Staff on night shift: 2
Residents on locked memory care unit: 16
Residents on assisted living unit: 32
Residents with impaired cognition: 27
Residents requiring two-person assistance: 1
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 11, 2023
Visit Reason
The document is a Plan of Correction submitted in response to a resurvey with complaints conducted on 07/11/23 and 07/12/23 at the facility.
Findings
The Plan of Correction addresses citations found during the resurvey which involved multiple complaints identified by their numbers.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 8, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-02-15.
Findings
All deficiencies have been corrected as of the compliance date of 2022-04-04, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 15, 2022
Visit Reason
The document is a plan of correction responding to findings from a licensure resurvey conducted on 2/9/2022, 2/10/2022, 2/14/2022, and 2/15/2022, which included attached complaints numbered 168352, 167470, 161506, and 161345.
Findings
The plan of correction addresses citations identified during the licensure resurvey and related complaint investigations conducted over multiple days in February 2022.
Inspection Report
Re-Inspection
Census: 35
Deficiencies: 1
Date: Feb 9, 2022
Visit Reason
The inspection was a licensure resurvey combined with complaint investigations for complaint numbers 168352, 167470, 161506, and 161345 conducted over multiple days in February 2022.
Complaint Details
The inspection included attached complaint investigations for complaint numbers 168352, 167470, 161506, and 161345.
Findings
The facility failed to ensure that licensed nurses and certified medication aides stored non-controlled medications and biologicals in locked medication carts as required, with multiple observations of medication carts unlocked and accessible without certified staff present.
Deficiencies (1)
K.A.R. 26-42-205 (h) (1) Medication Storage. Licensed nurses and medication aides failed to store non-controlled medications and biologicals in locked medication carts, allowing drawers to be opened freely without certified staff present.
Report Facts
Resident census: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Operator B and licensed nurse A were interviewed regarding medication cart locking issues, but full names were not provided. |
Inspection Report
Routine
Deficiencies: 0
Date: Aug 5, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted to assess the facility's compliance with infection control requirements during the pandemic.
Findings
The survey resulted in findings of no deficiency citations, indicating full compliance with infection control standards.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 20, 2018
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.
Findings
All previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.
Inspection Report
Re-Inspection
Census: 44
Deficiencies: 5
Date: Aug 30, 2018
Visit Reason
The inspection was a re-survey for licensure with attached complaints conducted on 8/29/18, 8/30/18, and 9/4/18 at an assisted living/residential care facility.
Findings
The facility failed to ensure negotiated service agreements were reviewed and revised as required, placed a resident in a memory care unit without appropriate functional capacity screening, failed to assess a resident's ability to self-administer medication safely, did not label over-the-counter medication packages with resident names, and failed to properly store medications in locked compartments.
Deficiencies (5)
KAR 26-41-202 (d)(1)(2) The administrator failed to review and revise the negotiated service agreement for resident #830 at least once every 365 days and following significant changes.
K.A.R. 26-41-203 (d)(4) The administrator failed to ensure resident #829's functional capacity screening indicated benefit from admission to the special care (memory) unit and placed the resident there despite no cognitive impairment.
KAR 26-41-205 (a)(1) The administrator failed to ensure resident #832 could safely and accurately self-administer medication without staff assistance due to lack of assessment.
KAR 26-41-205 (g)(3) The administrator failed to ensure licensed staff placed the full name of residents on packages of over-the-counter medications for 40 residents receiving medication management.
K.A.R 26-41-205(h)(1) The administrator failed to ensure licensed nurses or medication aides stored non-controlled medications and biologicals in locked medication rooms, cabinets, or carts for all residents, including residents #830 and #833.
Report Facts
Census: 44
Residents receiving medication management: 40
OTC medication bottles in locked residential care unit cart: 15
OTC medication bottles/boxes in unlocked assisted living unit carts: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed nurse #B | Confirmed resident medication administration changes and lack of self-administration assessment | |
| Certified staff #C | Administered insulin setup and medication to resident #832 | |
| Certified staff #D | Left medication unsecured in unlocked cabinet after application | |
| Facility administrator #A | Confirmed memory care unit admission criteria and medication storage observations |
Inspection Report
Follow-Up
Deficiencies: 2
Date: Sep 13, 2016
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
The report confirms that the previously identified deficiencies under regulation numbers 26-41-105(c) and 28-39-255 have been corrected as of the revisit date.
Deficiencies (2)
Regulation 26-41-105(c): Previously cited deficiency has been corrected as of 09/13/2016.
Regulation 28-39-255: Previously cited deficiency has been corrected as of 09/13/2016.
Inspection Report
Re-Inspection
Census: 31
Deficiencies: 3
Date: Aug 8, 2016
Visit Reason
Licensure re-survey conducted at the assisted living facility to assess compliance with health care services, resident records safeguards, and dietary area sanitation.
Findings
The facility failed to ensure licensed nurse coordination of necessary health care services for residents, safeguarding of resident records against unauthorized use, and sanitary conditions in the dietary area.
Deficiencies (3)
KAR 26-41-204(a) The facility failed to ensure a licensed nurse provides or coordinates necessary health care services in accordance with functional capacity screening and negotiated service agreements for residents #804, #807, and #808.
KAR 26-41-105(c)(5) The facility failed to safeguard resident records against unauthorized use as resident charts were accessible in an unlocked nurse office with no staff present.
KAR 28-39-255(d) The dietary area was not sanitary; trash cans lacked lids, oven was dirty with burnt debris, stove vents were greasy, and cleaning schedules were not followed.
Report Facts
Resident census: 31
Inspection Report
Re-Inspection
Deficiencies: 2
Date: Jul 23, 2014
Visit Reason
This visit was a follow-up to verify correction of previously reported deficiencies at the facility.
Findings
The report documents that previously identified deficiencies were corrected as of the revisit date. Specific regulation numbers 26-41-200 (b) and 26-41-206 (e) (1) were addressed and corrected.
Deficiencies (2)
Regulation 26-41-200 (b) deficiency was corrected as of 07/23/2014.
Regulation 26-41-206 (e) (1) deficiency was corrected as of 07/23/2014.
Inspection Report
Re-Inspection
Census: 28
Deficiencies: 2
Date: Jun 25, 2014
Visit Reason
The inspection was a resurvey conducted to verify compliance following previous deficiencies at the assisted living facility.
Findings
The facility failed to ensure that residents requiring physical restraints were not retained, as evidenced by one resident with unauthorized bed rails. Additionally, the facility failed to store food under safe and sanitary conditions, with multiple instances of unlabeled and undated food items in coolers and freezers.
Deficiencies (2)
KAR 26-41-200(b) Resident Criteria Restraints: The administrator failed to ensure that any resident whose clinical condition requires the use of physical restraints is not retained, as evidenced by resident #310 having bed rails used as restraints.
KAR 26-41-206(e)(1) Facility Food Storage: The administrator failed to ensure facility staff stored all food under safe and sanitary conditions, with multiple food items lacking labels or dates in coolers and freezers.
Report Facts
Census: 28
Sample size: 3
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC 1RDJ11
Visit Reason
This document is a Plan of Correction related to a prior inspection event for the facility identified as ASPEN with State ID N046068.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC 3LEF11
Visit Reason
This document serves as a plan of correction related to a prior deficiency report for the facility.
Findings
No specific findings or deficiencies are detailed in this document; it references a prior deficiency report without additional content.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC 3LEF12
Visit Reason
This document is a Plan of Correction related to a prior inspection event for the facility identified as ASPEN with State ID N046068 and Event ID 3LEF12.
Findings
No deficiency details or findings are included in this Plan of Correction document. It only references the related deficiency report with no records found.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC 5I7S11
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and related administrative information.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC H43H11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility 'the gables at overland park' dated 9/4/2018.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC H43H12
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC NHWH11
Visit Reason
This document is a Plan of Correction related to a prior inspection event for The Gables at Ov Park facility.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC NHWH12
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as NHWH12 for the facility with State ID N046068.
Findings
No deficiency details or findings are included in this document. It serves solely as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046068 POC PX0511
Visit Reason
This document is a Plan of Correction related to a prior inspection concerning COVID-19 operations at the facility.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a corrective action plan linked to a previous deficiency report.
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