Hillside Village of de Soto Rehabilitation and Nur

Name: Hillside Village of de Soto Rehabilitation and Nur
Address: 33600 WEST 85TH STREET, De Soto, KS, 66018, US
Telephone: 9135831266

33600 West 85th Street, De Soto, KS 66018 · Johnson County · 49 certified beds · avg 44 residents/day · certified since Nov 28, 2003

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.70

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: 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.

All citations in the current public record (18)

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
Jan 7, 2026	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.
Jan 7, 2026	E · Potential for harm, repeated	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 7, 2026	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.
Jan 7, 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.
Feb 20, 2024	F · Potential for harm, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required.
Feb 20, 2024	F · Potential for harm, facility-wide	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.
Feb 20, 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.
Feb 20, 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.
Feb 20, 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.
Aug 2, 2022	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.
Aug 2, 2022	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.
Aug 2, 2022	E · Potential for harm, repeated	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.
Aug 2, 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.
Aug 2, 2022	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.
Aug 2, 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.
Aug 2, 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.
Aug 2, 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 stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2022	8	F
2024	5	F
2026	5	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)	3.70	4.58	3.95	bottom 24% in Kansas; bottom 47% in the U.S.
Registered Nurse hours	0.58	0.81	0.69	bottom 29% in Kansas; bottom 49% in the U.S.
Weekend total nurse staffing	3.36	4.05	3.50	bottom 29% in Kansas; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.78	0.49	0.48	top 13% in Kansas; top 12% in the U.S.
Total nursing staff turnover (%)	45.2	48.1	45.8	top 44% in Kansas; bottom 49% in the U.S.
RN turnover (%)	25.0	42.0	42.9	top 24% in Kansas; top 20% 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 3.79, RN 0.60, weekend 3.45. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Gateway Healthcare LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/26/2024
Abbot Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2024
Burnam, Soon	Individual	Operational/Managerial Control	NOT APPLICABLE	02/26/2024
Dean, Ethan	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/13/2024
Dean, Ethan	Individual	Operational/Managerial Control	NOT APPLICABLE	08/13/2024
Dean, Ethan	Individual	ADP of the SNF	NOT APPLICABLE	04/09/2026
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2024
Jorgensen, David	Individual	Operational/Managerial Control	NOT APPLICABLE	02/26/2024
Keetch, Chad	Individual	Operational/Managerial Control	NOT APPLICABLE	02/26/2024
Lee, Jessica	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2024
Lee, Jessica	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Lee, Jessica	Individual	ADP of the SNF	NOT APPLICABLE	04/09/2026
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/09/2026
Standard Bearer Healthcare Op LP	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2024
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2024

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How does your quality committee work, and can you share an example of a problem it identified and fixed?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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
Medicalodges Eudora	7.2 mi	Eudora, KS	★☆☆☆☆	1/5
Bonner Springs Nursing & Rehab Center	8.1 mi	Bonner Springs, KS	★☆☆☆☆	1/5
Evergreen Community of Johnson County	8.4 mi	Olathe, KS	★★★★★	4/5
Kaw River Care and Rehab	10.3 mi	Edwardsville, KS	★☆☆☆☆	2/5
Parkway Operator LLC	10.3 mi	Edwardsville, KS	★★★☆☆	3/5
Edwardsville Care and Rehab	10.3 mi	Edwardsville, KS	★★☆☆☆	1/5	abuse
Tonganoxie Terrace	10.5 mi	Tonganoxie, KS	★☆☆☆☆	1/5
Aberdeen Village	10.8 mi	Olathe, KS	★★★★★	4/5
Azria Health Olathe	11.3 mi	Olathe, KS	★☆☆☆☆	1/5	abuse
The Healthcare Resort of Olathe	11.3 mi	Olathe, KS	★★☆☆☆	1/5
Meadowbrook Rehabilitation Hospital	11.5 mi	Gardner, KS	★☆☆☆☆	1/5
Good Samaritan-Olathe	11.6 mi	Olathe, KS	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in De Soto →

Facility data as of CMS processing date 2026-08-01. CCN 175472.

The Care File

Visit checklist — Hillside Village of de Soto Rehabilitation and Nur

33600 West 85th Street, De Soto, KS 66018 · 9135831266

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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 175472 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)