C80

WESTCHESTER VILLAGE OF LENEXA

Grade C 80/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
4/5
Quality
1/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

34

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

8505 PFLUMM ROAD, LENEXA, KS 66215
9133072000

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.13h
LPN
0.46h
CNA
3.05h
Total
4.65h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SCENIC DEVELOPMENT LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2017

24%

SCENIC HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2019

76%

CADET INVESTMENT LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2017

10%

POKY-5R LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2022

12%

WSG LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2017

18%

ANDERSON, MARLENE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2022

5%

ANDERSON, WAYNE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2022

5%

HOWARD, STEVEN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2019

10%

PIVOTAL HEALTH CARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

SCENIC DEVELOPMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

ABBY, AMBER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

ANDERSON, JORDAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

GULLEDGE, SCOTT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

GULLEDGE, TRAVIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

MARTIN, CAROLINE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2023

WOOD, GILBERT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (22)

March 19, 2025Health8 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected May 2, 2025
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected May 2, 2025
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected May 2, 2025
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected May 2, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected May 2, 2025
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected May 2, 2025
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected May 2, 2025
0942FMinimal harm, Widespread

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Resident Rights Deficiencies

Corrected May 2, 2025
July 12, 2023Health7 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 20, 2023
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jul 20, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 20, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 20, 2023
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Jul 20, 2023
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jul 20, 2023
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jul 20, 2023
December 30, 2021Health7 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jan 30, 2022
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 30, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jan 30, 2022
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 30, 2022
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jan 30, 2022
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jan 30, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 30, 2022

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Frequently Asked Questions

What is the CareGrader rating for WESTCHESTER VILLAGE OF LENEXA?

WESTCHESTER VILLAGE OF LENEXA in LENEXA, Kansas has a CareGrader grade of C (Average), with a composite score of 79.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WESTCHESTER VILLAGE OF LENEXA?

WESTCHESTER VILLAGE OF LENEXA has an overall CMS star rating of 3 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WESTCHESTER VILLAGE OF LENEXA have?

WESTCHESTER VILLAGE OF LENEXA has 22 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does WESTCHESTER VILLAGE OF LENEXA have?

WESTCHESTER VILLAGE OF LENEXA has 34 certified beds with approximately 33 current residents (97% occupancy). The facility is located at 8505 PFLUMM ROAD, LENEXA, Kansas 66215. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.