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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.
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 57th 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 |
|---|---|---|
|
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.
| 3h 20m per day |
Lower than the Kansas average: 79.5%Ml-Op Goddard, LLC is administrated by Jean M. Altenor.
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.
| 152 | 100 | This facility has 52% more total deficiencies than a typical Kansas nursing home (152 vs. KS avg 100).↑ 52% worse |
|
Deficiencies per year
Average deficiencies per year since 2013.
| 11.7 | 7.7 | This facility has 52% more deficiencies per year than a typical Kansas nursing home (11.7 vs. KS avg 7.7).↑ 52% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 27, 2018, found no deficiencies and confirmed the facility was in compliance with all regulations surveyed. Prior inspections showed a pattern of deficiencies primarily related to resident care, including falls, wound care, and care plan revisions, as well as issues with medication management, infection control, and environmental sanitation. Several complaint investigations substantiated failures in reporting and investigating abuse or neglect, inadequate supervision, and deficiencies in food safety and emergency preparedness. Enforcement actions included denial of payment for new Medicare and Medicaid admissions at times, and one substantiated complaint involved immediate jeopardy due to failure to prevent resident elopement resulting in injury. The facility’s inspection history indicates improvement over time, with multiple revisit surveys confirming correction of prior deficiencies and the most recent survey showing full compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKansas average 4.5
Last Health inspection on Jan 2025
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.
9 of 26 citations resulted from standard inspections; 3 of 26 resulted from complaint investigations; and 14 of 26 came from combined inspections (standard and complaint).
11% worse than Kansas averageKansas average: 0.9
11% 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.
63% 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.
9.4 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.
9.5 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.
7.7 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
2,274 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 52 | 83 | 8,910 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 9 | 9 | 18 | 3,018 | 92 | 100% | 9.5 |
| Registered Nurse | 8 | 10 | 18 | 1,654 | 84 | 91% | 9.4 |
| Medication Aide/Technician | 7 | 3 | 10 | 1,264 | 91 | 99% | 7.4 |
| RN Director of Nursing | 2 | 0 | 2 | 769 | 66 | 72% | 7.1 |
| Administrator | 1 | 0 | 1 | 543 | 59 | 64% | 9.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 516 | 54 | 59% | 9.5 |
| Dental Services Staff | 1 | 0 | 1 | 437 | 54 | 59% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 423 | 56 | 61% | 7.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 305 | 67 | 73% | 4.5 |
| Dietitian | 1 | 0 | 1 | 270 | 56 | 61% | 4.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 178 | 66 | 72% | 2.7 |
| Qualified Social Worker | 0 | 3 | 3 | 63 | 35 | 38% | 1.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 36 | 30 | 33% | 1.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 35 | 20 | 22% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 6 | 7% | 5.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 19 | 9 | 10% | 2.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 4 | 1 | 1% | 4.3 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Includes penalties issued in 2023
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)
77% lower than Kansas averageKansas average: $44K
59% 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.
0
100% fewer payment denials than Kansas averageKansas average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 25, 2023 · $10K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 25, 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.
9.4
10% better than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.3
11% better than Kansas averageKansas average: 20.7
Percent of long-stay residents whose need for help with daily activities has increased
11.0%
42% better than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
17.9%
8% better than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
10% worse than Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
7% worse than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
5.7%
24% worse than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
2.9%
6% better than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
7.8%
52% worse than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
4.6%
10% better than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
8.4%
50% better than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Kansas averageKansas average: 95.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.1%
15% better than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
In line with Kansas averageKansas average: 73.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
84% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Residents meet regularly to discuss policies, care quality, and activities
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 Ml-Op Goddard, LLC 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 #119 / 144Payroll — State benchmarkedThis home is ranked 119th 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.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Goddard's city center to Ml-Op Goddard, LLC's address, calculated via Google Maps.
Add your location
Ml-Op Goddard, LLC is located in GODDARD, 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.
| Lexington Park Assisted Living |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Topeka (West Southwest 2) | 60 | 83.9% | +6% | 4.49 | -50% | -3% | $0 | 8 | 2.7 | - | 79 | A+ | 60 | Floyd Eaton | $10.9M | $4.3M | 39.7% | 175154 | ||||
| Lakeview 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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Lenexa | 184 | 105.3% | +32% | 7.23 | -23% | +56% | $13.4k | 18 | 4.5 | 2 | 112 | A+ | 54 | Lakeview Village, Inc. | $66.9M | $29.7M | 44.5% | 175242 | ||||
| Garden Terrace at Overland Park |
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. | Overland Park | 163 | 86.5% | +9% | 4.41 | -19% | -5% | $44.7k | 45 | 6.4 | 2 | 141 | - | 59 | Debra Biehl | $22.9M | $12.0M | 52.3% | 175158 | ||||
| Ml-Op Goddard, LLC |
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. | Goddard | 60 | 71.7% | -10% | 4.76 | +18% | +3% | $10.1k | 26 | 4.3 | 2 | 43 | - | 53 | Jean Altenor | $4.3M | $2.1M | 49% | 175294 | ||||
| Colonial Village Overland Park |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Overland Park | 82 | 84.1% | +6% | 4.73 | -36% | +2% | $4.9k | 28 | 9.3 | 1 | 34 | - | 45 | Dan Chik | $11.6M | $4.7M | 40.7% | 175560 |
The legal owner and operator of Ml-Op Goddard, LLC is Ml-Re Goddard, Llc.
Ml-Op Goddard, LLC has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KS state health department records, Ml-Op Goddard, LLC's license number is 175294.
Ml-Op Goddard, LLC's occupancy is 72%.
Jean M. Altenor is the administrator of Ml-Op Goddard, LLC.
Ml-Op Goddard, LLC has 60 beds.
Ml-Op Goddard, LLC is located at 501 EASY STREET.
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