Delmar Gardens of Overland Park
12100 W 109th Street, Overland Park, KS 66210 · Johnson County · 120 certified beds · avg 100 residents/day · certified since Mar 20, 1989
Part of chain: DELMAR GARDENS (12 facilities, chain avg rating 2.8★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$23,261
Fines, last 3 years
3.83
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (50)
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 30, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| Jan 28, 2026 | F · Potential for harm, facility-wide | 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. |
| Jan 28, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 28, 2026 | D · Potential for harm, one-off | 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. |
| Jan 28, 2026 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Mar 13, 2024 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint |
| Mar 13, 2024 | F · Potential for harm, facility-wide | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint |
| Mar 13, 2024 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Mar 13, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Mar 13, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Mar 13, 2024 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint |
| Mar 13, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 13, 2024 | 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. · from a complaint |
| Mar 13, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Mar 13, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Mar 13, 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint |
| Mar 13, 2024 | 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint |
| Mar 13, 2024 | 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 |
| Mar 13, 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. · from a complaint |
| Mar 13, 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Mar 13, 2024 | 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. · from a complaint |
| Mar 13, 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 13, 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| Mar 13, 2024 | 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint |
| Sep 15, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Sep 15, 2022 | E · Potential for harm, repeated | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. |
| Sep 15, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 15, 2022 | E · Potential for harm, repeated | 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. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 15, 2022 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Sep 15, 2022 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (33 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 12 | 0 | E |
| 2024 | 33 | 0 | F |
| 2026 | 5 | 0 | F |
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)
4 fines totaling $23,261.
| Date | Type | Amount / length |
|---|---|---|
| Feb 20, 2024 | Fine | $6,369 |
| Feb 12, 2024 | Fine | $5,790 |
| Jan 22, 2024 | Fine | $5,698 |
| Dec 26, 2023 | Fine | $5,404 |
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) | 3.83 | 4.58 | 3.95 | bottom 29% in Kansas; top 47% in the U.S. |
| Registered Nurse hours | 0.55 | 0.81 | 0.69 | bottom 25% in Kansas; bottom 45% in the U.S. |
| Weekend total nurse staffing | 3.45 | 4.05 | 3.50 | bottom 31% in Kansas; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.49 | 0.48 | bottom 13% in Kansas; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 38.0 | 48.1 | 45.8 | top 25% in Kansas; top 31% in the U.S. |
| RN turnover (%) | 16.7 | 42.0 | 42.9 | top 13% in Kansas; top 9% in the U.S. |
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 3.43, RN 0.49, weekend 3.08. Staffing rating: 4/5.
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: 2/5 · short-stay residents: 3/5
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 |
| Conekin, Tammy | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/10/2023 |
| Delmar Gardens Management Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2005 |
| Grossberg, Gabe | Individual | Corporate Officer | NOT APPLICABLE | 03/11/2003 |
| Hill, Amanda | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/10/2021 |
| Marx, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 06/11/2019 |
| Oppenheimer, Howard | Individual | Corporate Officer | NOT APPLICABLE | 03/11/2003 |
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 care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "Who is your infection preventionist, and what training do they have?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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 |
|---|---|---|---|---|---|
| Delmar Gardens of Lenexa | 1.3 mi | Lenexa, KS | ★★★★☆ | 4/5 | |
| The Plaza Health Services at Santa Marta | 1.4 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Stratford Commons Rehab & Health Care Center | 1.9 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| Lakeview Village | 2.3 mi | Lenexa, KS | ★★★★☆ | 3/5 | |
| Westchester Village of Lenexa | 3.0 mi | Lenexa, KS | ★★★★☆ | 4/5 | |
| Nottingham Health and Rehabilitation | 3.5 mi | Olathe, KS | ★★★★★ | 5/5 | |
| Colonial Village | 3.5 mi | Overland Park, KS | ★★☆☆☆ | 2/5 | |
| Villa St Francis Catholic Care Center INC | 3.5 mi | Olathe, KS | ★★★★★ | 3/5 | |
| Swan Health at Overland Park | 3.6 mi | Overland Park, KS | ★☆☆☆☆ | 1/5 | |
| Aberdeen Village | 3.7 mi | Olathe, KS | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
All facilities in Overland Park →
Facility data as of CMS processing date 2026-08-01. CCN 175182.