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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Evergreen Community of Johnson County is an 84-bed nonprofit nursing facility at 11875 S. Sunset Drive in Olathe, Kansas. Owned and operated by Johnson County as a government-run resource under the leadership of Charla Roberts, the facility provides a care continuum including skilled nursing, assisted living memory care, and rehabilitation.
As a county-operated nursing facility, Evergreen functions as a publicly accountable care setting for residents who require clinical oversight but do not need continuous hospital-level nursing care. The facility currently carries a 3-out-of-5-star overall CMS rating, which reflects performance levels consistent with state benchmarks. Notably, based on the most recent 2026 focused health filings, the community maintains a citations-per-inspection rate of zero for current infection control surveys. Set in a highly walkable area of Olathe with a Walk Score of 76, the community provides local access to downtown amenities and government services.
The staffing model is a significant metric of the facility’s public mandate, with direct-care hours consistently exceeding Kansas averages. Total nursing hours reach 5 hours and 18 minutes per resident per day, which is 39% higher than the state average. Registered Nurse (RN) and Licensed Practical Nurse (LPN) coverage are each 47 minutes daily, while nurse aides provide 3 hours and 24 minutes of hands-on daily care, 27% above the state benchmark. Weekend total nursing coverage remains high at 4 hours and 14 minutes per resident day. Preventive care outcomes are also favorable, with emergency department visit rates trending 16% better than the Kansas state average.
The facility offers private and semi-private rooms featuring senior-friendly layouts and 24-hour emergency response systems. All-inclusive services cover restaurant-style dining with special dietary preparations, housekeeping, and personal laundry. Campus amenities include spacious common areas, outdoor courtyards with herb gardens and a fish pond, and walking paths for residents and visitors. Social life is supported by an active volunteer program and a daily activities calendar that includes recreational therapy and local community outings.
Those seeking a county-backed facility with high direct-care staffing levels and strong clinical management of emergency transitions may find this environment appropriate. Individuals evaluating the home should contact the administration directly to discuss current bed availability and schedule an in-person tour to assess the 2026 quality performance and neighborhood amenities firsthand.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 31st out of 141 homes in Kansas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 47m per day | ▲ 9% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 47m per day | ▲ 17% State avg: 40m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 24m per day | ▲ 27% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 20m per day | ▲ 21% State avg: 3h 35m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 35m per day | ▲ 17% State avg: 30m per day · National avg: 28m per day |
Higher than the Kansas average: 79.5%Evergreen Community of Johnson County is administrated by Charla Roberts.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 35 | 100 | This facility has 65% fewer total deficiencies than a typical Kansas nursing home (35 vs. KS avg 100).↓ 65% better |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 2.5 | 7.1 | This facility has 65% fewer deficiencies per year than a typical Kansas nursing home (2.5 vs. KS avg 7.1).↓ 65% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 8, 2013, included deficiencies related to care planning, medication administration, and failure to report allegations of abuse to the state agency. Earlier inspections showed similar issues with care plan development, medication management, resident privacy, and food safety, along with a substantiated complaint regarding inadequate pressure ulcer care. Complaint investigations mostly found allegations unsubstantiated except for the failure to report abuse allegations timely, which led to policy updates and staff education. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility showed some corrective actions over time, but recurring deficiencies in care planning and regulatory compliance suggest ongoing challenges.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKansas average 4.5
Last Health inspection on May 2024
Kansas average 26.9
Kansas average 6.07
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 30 citations resulted from standard inspections; 2 of 30 resulted from complaint investigations; and 7 of 30 came from combined inspections (standard and complaint).
100% better than Kansas averageKansas average: 0.9
233% worse than Kansas averageKansas average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
56% better than Kansas average
0% compared with Kansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,148 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 94 | 39 | 133 | 20,997 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 14 | 15 | 29 | 5,252 | 92 | 100% | 8.5 |
| Registered Nurse | 12 | 28 | 40 | 4,599 | 92 | 100% | 9.7 |
| Medication Aide/Technician | 11 | 1 | 12 | 2,768 | 92 | 100% | 10.4 |
| RN Director of Nursing | 2 | 0 | 2 | 932 | 64 | 70% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 670 | 70 | 76% | 7.5 |
| Dietitian | 2 | 0 | 2 | 473 | 65 | 71% | 3.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 465 | 62 | 67% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 450 | 60 | 65% | 7.5 |
| Administrator | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 412 | 55 | 60% | 7.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 298 | 65 | 71% | 4.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 233 | 62 | 67% | 3.8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 227 | 43 | 47% | 4.8 |
| Qualified Social Worker | 0 | 2 | 2 | 81 | 46 | 50% | 1.8 |
| Medical Director | 0 | 1 | 1 | 72 | 41 | 45% | 1.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 65 | 24 | 26% | 2.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 65 | 17 | 18% | 3.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
48% lower than Kansas averageKansas average: $44K
17% fewer fines than Kansas averageKansas average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
200% more payment denials than Kansas averageKansas average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.3
17% worse than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.9
30% worse than Kansas averageKansas average: 20.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
16% worse than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
26.0%
34% worse than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.6%
37% worse than Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
13% worse than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
2.0%
56% better than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
7.4%
135% worse than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
6.3%
23% worse than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
7.1%
38% worse than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
7.7%
54% better than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
In line with Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Kansas averageKansas average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.82
In line with Kansas averageKansas average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.81
16% better than Kansas averageKansas average: 2.16
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
54.2%
28% worse than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
120% worse than Kansas averageKansas average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
7% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Evergreen Community of Johnson County based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #18 / 144Payroll — State benchmarkedThis home is ranked 18th out of 144 homes in Kansas. Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
0.0 miles from city center
Estimated distance in miles from Olathe's city center to Evergreen Community of Johnson County's address, calculated via Google Maps.
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Evergreen Community of Johnson County is located in OLATHE, Kansas.
Here are the financial assistance programs available to residents in Kansas.
The information below is reported by the Kansas Department for Aging and Disability Services.
| Aberdeen Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Olathe (Aberdeen Village) | 60 | 91.6% | +15% | 5.27 | +6% | +14% | $8.0k | 22 | 5.5 | 1 | 51 | 45 | Patricia Cook | $15.7M | $7.4M | 47.1% | 175448 | ||||
| Evergreen Community of Johnson County |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Olathe (Downtown) | 84 | 129.8% | +63% | 5.36 | +60% | +16% | $33.0k | 30 | 6.0 | 3 | 109 | 76 | Evergreen Living Innovations Inc | $22.2M | $7.8M | 35.2% | 175355 | ||||
| Azria Health Olathe |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Olathe (Dennis Avenue Shops) | 115 | 79.4% | 0% | 3.84 | -10% | -17% | $22.6k | 29 | 9.7 | 1 | 94 | 52 | Azria Olathe Equity LLC | $10.4M | $6.6M | 63.4% | 175557 |
Evergreen Community of Johnson County is in the Downtown neighborhood of OLATHE.
The legal owner and operator of Evergreen Community of Johnson County is Johnson County.
Evergreen Community of Johnson County has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KS state health department records, Evergreen Community of Johnson County's license number is 175355.
Evergreen Community of Johnson County's occupancy is 100%.
Charla Roberts is the administrator of Evergreen Community of Johnson County.
Evergreen Community of Johnson County has 84 beds.
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