Evergreen Community of Johnson County
11875 S Sunset Drive, Suite 100, Olathe, KS 66061 · Johnson County · 44 certified beds · avg 77 residents/day · certified since Jan 1, 1996
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 1, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 31, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 3, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 29, 2023 (Past Non-Compliance)
All citations in the current public record (24)
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 |
|---|---|---|
| Feb 25, 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. |
| Feb 25, 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. |
| May 1, 2024 | ▲ G · Actual 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. · from a complaint |
| May 1, 2024 | 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. · from a complaint |
| May 1, 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 |
| May 1, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| May 1, 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 |
| May 1, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Oct 3, 2023 | ▲ G · Actual 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. · from a complaint |
| Sep 19, 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 19, 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 19, 2022 | 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. |
| Sep 19, 2022 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Sep 19, 2022 | 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. |
| Sep 19, 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. |
| Sep 19, 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. |
| Sep 19, 2022 | 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. |
| Sep 19, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 19, 2022 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 19, 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 19, 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 19, 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. |
| Sep 19, 2022 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 14 | 0 | E |
| 2023 | 1 | 1 | G ▲ |
| 2024 | 7 | 1 | G ▲ |
| 2026 | 2 | 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)
2 fines totaling $22,913, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2024 | Fine | $12,854 |
| May 1, 2024 | Payment Denial | 3 days from May 28, 2024 |
| Oct 3, 2023 | Fine | $10,059 |
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) | 5.73 | 4.58 | 3.95 | top 14% in Kansas; top 6% in the U.S. |
| Registered Nurse hours | 0.89 | 0.81 | 0.69 | top 33% in Kansas; top 22% in the U.S. |
| Weekend total nurse staffing | 5.10 | 4.05 | 3.50 | top 16% in Kansas; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.59 | 0.49 | 0.48 | top 27% in Kansas; top 24% in the U.S. |
| Total nursing staff turnover (%) | 45.3 | 48.1 | 45.8 | top 45% in Kansas; bottom 49% in the U.S. |
| RN turnover (%) | 28.6 | 42.0 | 42.9 | top 28% in Kansas; top 26% 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 5.26, RN 0.81, weekend 4.68. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Evergreen Living Innovations INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2003 |
| Amos, Patrick | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Daugherty, Dianne | Individual | Corporate Director | NOT APPLICABLE | 10/01/2018 |
| Daugherty, Dianne | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Dupriest, Jessica | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Dwyer, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Dwyer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Gallagher, Linda | Individual | Corporate Director | NOT APPLICABLE | 08/20/2020 |
| Gallagher, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Gash, Mark | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Gash, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Gash, Mary | Individual | Corporate Director | NOT APPLICABLE | 10/18/2018 |
| Gash, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Holland, Chris | Individual | Corporate Officer | NOT APPLICABLE | 08/19/2019 |
| Holland, Chris | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Osborn, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2011 |
| Parise, Brett | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Parise, Brett | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Plowman, Andrea | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Roberts, Charla | Individual | Corporate Officer | NOT APPLICABLE | 10/09/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "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 |
|---|---|---|---|---|---|
| The Healthcare Resort of Olathe | 2.9 mi | Olathe, KS | ★★☆☆☆ | 1/5 | |
| Azria Health Olathe | 3.1 mi | Olathe, KS | ★☆☆☆☆ | 1/5 | abuse |
| Good Samaritan-Olathe | 3.2 mi | Olathe, KS | ★★★☆☆ | 2/5 | |
| Hoeger House | 3.3 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Aberdeen Village | 4.8 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Villa St Francis Catholic Care Center INC | 5.2 mi | Olathe, KS | ★★★★★ | 3/5 | |
| Meadowbrook Rehabilitation Hospital | 6.2 mi | Gardner, KS | ★☆☆☆☆ | 1/5 | |
| Nottingham Health and Rehabilitation | 6.7 mi | Olathe, KS | ★★★★★ | 5/5 | |
| The Plaza Health Services at Santa Marta | 7.1 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Colonial Village | 7.4 mi | Overland Park, KS | ★★☆☆☆ | 2/5 | |
| Stratford Commons Rehab & Health Care Center | 8.0 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| Hillside Village of de Soto Rehabilitation and Nur | 8.4 mi | De Soto, KS | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 175355.