Lakeview Village
13840 W 91st Terrace, Lenexa, KS 66215 · Johnson County · 158 certified beds · avg 115 residents/day · certified since Mar 22, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 22, 2025 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 15, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Dec 19, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 5, 2023 (Past Non-Compliance)
All citations in the current public record (26)
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 |
|---|---|---|
| Apr 22, 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. |
| Apr 22, 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). |
| Apr 22, 2026 | 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. |
| Apr 22, 2026 | 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. |
| Apr 22, 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. |
| Apr 22, 2026 | 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. |
| Apr 22, 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. |
| Apr 22, 2026 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Apr 22, 2025 | ▲ J · Immediate jeopardy, 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 |
| Jun 5, 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. |
| Jun 5, 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. |
| Jun 5, 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. |
| Jun 5, 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. |
| Jun 5, 2024 | 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. |
| Jun 5, 2024 | 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. |
| Jun 5, 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. |
| Jun 5, 2024 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jun 5, 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. |
| Jun 5, 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. |
| Jun 5, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Dec 19, 2023 | ▲ J · Immediate jeopardy, 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 |
| Jan 12, 2023 | E · Potential for harm, repeated | 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. |
| Jan 12, 2023 | 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. |
| Jan 12, 2023 | 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 12, 2023 | 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. |
| Jan 12, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 1 | J ▲ |
| 2024 | 11 | 0 | F |
| 2025 | 1 | 1 | J ▲ |
| 2026 | 8 | 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 $27,841.
| Date | Type | Amount / length |
|---|---|---|
| Apr 22, 2025 | Fine | $14,444 |
| Dec 19, 2023 | Fine | $13,397 |
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) | 7.34 | 4.58 | 3.95 | top 2% in Kansas; top 1% in the U.S. |
| Registered Nurse hours | 1.33 | 0.81 | 0.69 | top 10% in Kansas; top 7% in the U.S. |
| Weekend total nurse staffing | 6.92 | 4.05 | 3.50 | top 1% in Kansas; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.49 | 0.48 | top 14% in Kansas; top 13% in the U.S. |
| Total nursing staff turnover (%) | 41.1 | 48.1 | 45.8 | top 33% in Kansas; top 39% in the U.S. |
| RN turnover (%) | 29.6 | 42.0 | 42.9 | top 32% in Kansas; top 29% 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 5.86, RN 1.07, weekend 5.53. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lakeview Village, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1996 |
| Bee Triplett, Jana | Individual | Corporate Director | NOT APPLICABLE | 11/01/2017 |
| Biesma, Jill | Individual | Corporate Director | NOT APPLICABLE | 12/19/2019 |
| City of Lenexa | Organization | ADP of the SNF | NOT APPLICABLE | 05/29/1991 |
| Clausen, Robert | Individual | Corporate Director | NOT APPLICABLE | 12/29/2008 |
| Curana Health of Missouri-Kansas LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2016 |
| Garcia, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2016 |
| Garcia, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2016 |
| Hermon, Pamela | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Karlin, Amy | Individual | Corporate Director | NOT APPLICABLE | 03/31/2022 |
| Kimbrough, Jay | Individual | Corporate Director | NOT APPLICABLE | 12/19/2018 |
| Shull, David | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| Stuke, Amanda | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Turley, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Turley, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2025 |
| Valasek, Brandon | Individual | Corporate Officer | NOT APPLICABLE | 08/04/2025 |
| Warman, George | Individual | Corporate Director | NOT APPLICABLE | 10/01/2005 |
| West, Robert | Individual | Corporate Director | NOT APPLICABLE | 06/01/2016 |
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?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "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 |
|---|---|---|---|---|---|
| Westchester Village of Lenexa | 0.8 mi | Lenexa, KS | ★★★★☆ | 4/5 | |
| Delmar Gardens of Lenexa | 1.2 mi | Lenexa, KS | ★★★★☆ | 4/5 | |
| Shawnee Gardens Healthcare & Rehab Center | 2.2 mi | Shawnee, KS | ★☆☆☆☆ | 1/5 | abuse |
| Delmar Gardens of Overland Park | 2.3 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| Garden Terrace at Overland Park | 2.6 mi | Overland Park, KS | ★☆☆☆☆ | 1/5 | abuse |
| The Plaza Health Services at Santa Marta | 3.0 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Shawnee Post Acute Rehabilitation Center | 3.7 mi | Overland Park, KS | ★★☆☆☆ | 2/5 | |
| Brookdale Rosehill | 4.2 mi | Shawnee, KS | ★★★★★ | 3/5 | |
| Stratford Commons Rehab & Health Care Center | 4.2 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| Aberdeen Village | 4.2 mi | Olathe, KS | ★★★★★ | 4/5 | |
| Merriam Gardens Healthcare & Rehabilitation Center | 4.5 mi | Merriam, KS | ★★☆☆☆ | 2/5 | |
| Sharon Lane Health and Rehabilitation | 4.7 mi | Shawnee, KS | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 175242.