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Colonial Village
12500 W 137th St, Overland Park, KS 66221 (opens Google Maps) · Johnson County · (913) 730-3700· 40 certified beds · avg 35 residents/day · certified since Dec 12, 2018 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PIVOTAL HEALTH CARE (9 facilities, chain avg rating 3.9★)
2/5
Health inspection rating (on-site)
inspected Oct 31, 2024
1
Serious findings on record
most recent Oct 31, 2024
$0
Fines, last 3 years
5.34
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Oct 31, 2024 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ Actual harm, isolated · Oct 31, 2024 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 21, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
The facility did not observe each nurse aide's job performance or provide regular training as required. F-0730
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
View all 28 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 31, 2024 | ▲ G · Actual harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Oct 31, 2024 | F · Potential for more than minimal harm, widespread | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Oct 31, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849 |
| Jun 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jun 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jun 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jun 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jun 8, 2023 | C · Potential for minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Nov 2, 2021 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Nov 2, 2021 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 2, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Nov 2, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 10).
All citationsSerious citations (G–L)
2021
All citations: 4
Serious citations (G–L): 0
2023
All citations: 14
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | F |
| 2023 | 14 | 0 | E |
| 2024 | 10 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityKansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.34
Kansas average: 4.58
U.S. average: 3.95
Registered Nurse hours
This facility: 1.21
Kansas average: 0.81
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.85
Kansas average: 4.05
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.34 | 4.58 | 3.95 | top 22% in Kansas; top 9% in the U.S. |
| Registered Nurse hours | 1.21 | 0.81 | 0.69 | top 14% in Kansas; top 9% in the U.S. |
| Weekend total nurse staffing | 4.85 | 4.05 | 3.50 | top 20% in Kansas; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.81 | 0.49 | 0.48 | top 11% in Kansas; top 11% in the U.S. |
| Total nursing staff turnover (%) | 63.0 | 48.1 | 45.8 | bottom 16% in Kansas; bottom 12% in the U.S. |
| RN turnover (%) | 61.5 | 42.0 | 42.9 | bottom 21% in Kansas; bottom 20% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.43, RN 1.00, weekend 4.02.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.43 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Colonial Village. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 3RK, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2021 |
| 5 R Cattle, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Anderson, Jordan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2021 |
| Anderson, Marlene | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Anderson, Wayne | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Cadet Investment LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Gulledge, Scott | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Gulledge, Travis | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2021 |
| Howard, Steven | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Lmray, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Poky - 5r LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/31/2022 |
| Poky Feeders INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Scenic Development LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Scenic Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/31/2022 |
| Wood, Gilbert | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| WSG LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2018 |
| Abby, Amber | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/02/2026 |
| Abby, Amber | Individual | ADP of the SNF | NOT APPLICABLE | 05/02/2026 |
| Anderson, Jordan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Curana Health of Missouri-Kansas LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
Showing 20 of 31 parties CMS has on file for this facility; 11 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Pivotal Health Care — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Westchester Village of Lenexa — Lenexa, KS · overall 4/5
- Linden Woods Village — Gladstone, MO · overall 4/5
- Raintree Village — Lees Summit, MO · overall —/5
- Cedar Ridge Village — West Des Moines, IA · overall 3/5
- Kennybrook Village — Grimes, IA · overall 3/5
- Northridge Village — Ames, IA · overall 5/5
- Prairie Vista Village — Altoona, IA · overall 5/5
- Terrace Glen Village — Marion, IA · overall 5/5
Listed by state, then facility name — not a ranking.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 63% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 31 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 73 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Nottingham Health and Rehabilitation | 0.8 mi | Olathe, KS | ★★★★★ | 5/5 | |
| Stratford Commons Rehab & Health Care Center | 1.6 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| Villa St Francis Catholic Care Center INC | 2.7 mi | Olathe, KS | ★★★★★ | 3/5 | |
| The Plaza Health Services at Santa Marta | 2.7 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Delmar Gardens of Overland Park | 3.5 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| Tallgrass Creek, INC | 3.5 mi | Overland Park, KS | ★★★★★ | 5/5 | |
| Aberdeen Village | 3.7 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Brookdale Overland Park | 4.5 mi | Overland Park, KS | ★★★★☆ | 4/5 | |
| The Healthcare Resort of Leawood - Iron Horse HLTH | 4.7 mi | Leawood, KS | ★★☆☆☆ | 2/5 | |
| Azria Health Olathe | 4.7 mi | Olathe, KS | ★☆☆☆☆ | 1/5 | abuse |
| Ignite Medical Resort Overland Park LLC | 4.8 mi | Overland Park, KS | ★★☆☆☆ | 2/5 | |
| Delmar Gardens of Lenexa | 4.8 mi | Lenexa, KS | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Johnson, KS — 35 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Evergreen Community of Johnson County — Olathe, KS · overall 5/5
- Garden Terrace at Overland Park — Overland Park, KS · overall 1/5abuse
- Good Samaritan-Olathe — Olathe, KS · overall 3/5
- Hillside Village of de Soto Rehabilitation and Nur — De Soto, KS · overall 5/5
- Hoeger House — Olathe, KS · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 175560.