Tallgrass Creek, INC
13760 Metcalf Avenue, Overland Park, KS 66223 · Johnson County · 44 certified beds · avg 39 residents/day · certified since May 16, 2014
Part of chain: ERICKSON SENIOR LIVING (17 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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)
▲ Immediate jeopardy, one-off · Oct 16, 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: Oct 12, 2023 (Past Non-Compliance)
All citations in the current public record (17)
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 | 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. |
| Feb 25, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Feb 25, 2026 | 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. |
| May 8, 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 |
| May 8, 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 |
| May 8, 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 |
| May 8, 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 |
| May 8, 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 |
| May 8, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| May 8, 2024 | D · Potential for harm, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint |
| Oct 16, 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 |
| Oct 27, 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. |
| Oct 27, 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. |
| Oct 27, 2022 | 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. |
| Oct 27, 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 27, 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. |
| Oct 27, 2022 | D · Potential for harm, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | E |
| 2023 | 1 | 1 | J ▲ |
| 2024 | 7 | 0 | E |
| 2026 | 3 | 0 | 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)
1 fine totaling $7,446.
| Date | Type | Amount / length |
|---|---|---|
| Oct 16, 2023 | Fine | $7,446 |
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) | 5.35 | 4.58 | 3.95 | top 21% in Kansas; top 9% in the U.S. |
| Registered Nurse hours | 1.27 | 0.81 | 0.69 | top 12% in Kansas; top 8% in the U.S. |
| Weekend total nurse staffing | 4.72 | 4.05 | 3.50 | top 22% in Kansas; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.49 | 0.48 | top 33% in Kansas; top 28% in the U.S. |
| Total nursing staff turnover (%) | 43.1 | 48.1 | 45.8 | top 39% in Kansas; top 45% 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 4.87, RN 1.15, weekend 4.30. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| National Senior Communities, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/14/2021 |
| Belcher, Wendy | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/20/2023 |
| Belcher, Wendy | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2025 |
| Bison, Michael | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/22/2025 |
| Brown, Ian | Individual | Corporate Director | NOT APPLICABLE | 04/01/2023 |
| Brown, Patricia | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Butler, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Clupper, Katherine | Individual | Corporate Director | NOT APPLICABLE | 04/01/2024 |
| Colins, Mary | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Colins, Mary | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2019 |
| Embley, Mark | Individual | Corporate Officer | NOT APPLICABLE | 10/27/2021 |
| Embley, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/27/2021 |
| Embley, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 10/27/2021 |
| Erickson Senior Living LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/23/2020 |
| Erickson Senior Living LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2025 |
| Erstad, Eileen | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Erstad, Eileen | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2018 |
| Gantert, Neal | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2018 |
| Gantert, Neal | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Gantert, Neal | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2018 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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 Leawood - Iron Horse HLTH | 1.3 mi | Leawood, KS | ★★☆☆☆ | 2/5 | |
| Ignite Medical Resort Overland Park LLC | 1.4 mi | Overland Park, KS | ★★☆☆☆ | 2/5 | |
| Village Shalom INC | 2.1 mi | Overland Park, KS | ★★★★☆ | 2/5 | |
| Brookdale Overland Park | 2.2 mi | Overland Park, KS | ★★★★☆ | 4/5 | |
| Stratford Commons Rehab & Health Care Center | 3.5 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| Colonial Village | 3.5 mi | Overland Park, KS | ★★☆☆☆ | 2/5 | |
| Advanced Health Care of Overland Park | 4.2 mi | Overland Park, KS | ★★★★★ | 3/5 | |
| Nottingham Health and Rehabilitation | 4.3 mi | Olathe, KS | ★★★★★ | 5/5 | |
| Swan Health at Overland Park | 4.3 mi | Overland Park, KS | ★☆☆☆☆ | 1/5 | |
| Overland Park Post Acute | 4.5 mi | Overland Park, KS | ★☆☆☆☆ | 1/5 | |
| Delmar Gardens of Overland Park | 4.8 mi | Overland Park, KS | ★★★☆☆ | 3/5 | |
| The Plaza Health Services at Santa Marta | 5.1 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 175541.