Delmar Gardens of Lenexa

Name: Delmar Gardens of Lenexa
Address: 9701 MONROVIA STREET, Lenexa, KS, 66215, US
Telephone: 9134921130

9701 Monrovia Street, Lenexa, KS 66215 · Johnson County · 222 certified beds · avg 168 residents/day · certified since Jan 1, 1981

Part of chain: DELMAR GARDENS (12 facilities, chain avg rating 2.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.87

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 self-reported quality measures.

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 8, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Jun 8, 2026	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint
Mar 18, 2026	E · Potential for harm, repeated	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.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Mar 18, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Mar 18, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 18, 2026	D · Potential for harm, one-off	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.
Mar 27, 2024	E · Potential for harm, repeated	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.
Mar 27, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 27, 2024	D · Potential for harm, one-off	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.
Mar 27, 2024	D · Potential for harm, one-off	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.
Mar 27, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Mar 27, 2024	D · Potential for harm, one-off	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.
Mar 27, 2024	D · Potential for harm, one-off	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.
Oct 24, 2022	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 24, 2022	D · Potential for harm, one-off	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.
Oct 24, 2022	D · Potential for harm, one-off	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.
Oct 24, 2022	D · Potential for harm, one-off	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.
Oct 24, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 24, 2022	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

Year	Citations	Worst severity that year
2022	6	E
2024	7	E
2026	12	E

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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Kansas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.87	4.58	3.95	top 34% in Kansas; top 15% in the U.S.
Registered Nurse hours	0.53	0.81	0.69	bottom 21% in Kansas; bottom 42% in the U.S.
Weekend total nurse staffing	4.60	4.05	3.50	top 27% in Kansas; top 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.49	0.48	bottom 40% in Kansas; top 49% in the U.S.
Total nursing staff turnover (%)	0.0	48.1	45.8	—
RN turnover (%)	0.0	42.0	42.9	—

Hours are per resident per day, 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 3.90, RN 0.42, weekend 3.68. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Delmar Gardens Enterprises INC	Organization	5% or Greater Direct Ownership Interest	100%	03/11/2003
Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara	Organization	5% or Greater Indirect Ownership Interest	8%	03/11/2003
George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara	Organization	5% or Greater Indirect Ownership Interest	8%	03/11/2003
Goldberg-Nom LLC	Organization	5% or Greater Indirect Ownership Interest	25%	03/11/2003
Grossberg, Gabe	Individual	5% or Greater Indirect Ownership Interest	16%	03/11/2003
Grossberg, George	Individual	5% or Greater Indirect Ownership Interest	11%	03/11/2003
Non-Gst Family Trust Est U/W of Israel Goldberg Fbo Janice Bitanski	Organization	5% or Greater Indirect Ownership Interest	6%	04/10/2013
Non-Gst Family Trust Established U/W of Israel Goldberg Fbo Harry Zvi	Organization	5% or Greater Indirect Ownership Interest	6%	04/10/2013
Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman	Organization	5% or Greater Indirect Ownership Interest	6%	04/10/2013
Allen, Kathryn	Individual	W-2 Managing Employee	NOT APPLICABLE	01/04/2013
Delmar Gardens Management Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2005
Grossberg, Gabe	Individual	Corporate Officer	NOT APPLICABLE	03/11/2003
Marx, Kenneth	Individual	Corporate Officer	NOT APPLICABLE	06/11/2019
Oppenheimer, Howard	Individual	Corporate Officer	NOT APPLICABLE	03/11/2003
Rodgers, Lynn	Individual	W-2 Managing Employee	NOT APPLICABLE	01/05/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Lakeview Village	1.2 mi	Lenexa, KS	★★★★☆	3/5
Delmar Gardens of Overland Park	1.3 mi	Overland Park, KS	★★★☆☆	3/5
Westchester Village of Lenexa	1.8 mi	Lenexa, KS	★★★★☆	4/5
The Plaza Health Services at Santa Marta	2.4 mi	Olathe, KS	★★★★★	4/5
Garden Terrace at Overland Park	2.6 mi	Overland Park, KS	★☆☆☆☆	1/5	abuse
Shawnee Gardens Healthcare & Rehab Center	2.9 mi	Shawnee, KS	★☆☆☆☆	1/5	abuse
Stratford Commons Rehab & Health Care Center	3.2 mi	Overland Park, KS	★★★☆☆	3/5
Shawnee Post Acute Rehabilitation Center	3.5 mi	Overland Park, KS	★★☆☆☆	2/5
Swan Health at Overland Park	3.7 mi	Overland Park, KS	★☆☆☆☆	1/5
Aberdeen Village	4.3 mi	Olathe, KS	★★★★★	4/5
Villa St Francis Catholic Care Center INC	4.4 mi	Olathe, KS	★★★★★	3/5
Overland Park Post Acute	4.5 mi	Overland Park, KS	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Lenexa →

Facility data as of CMS processing date 2026-08-01. CCN 175122.

The Care File

Visit checklist — Delmar Gardens of Lenexa

9701 Monrovia Street, Lenexa, KS 66215 · 9134921130

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 175122 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)