Westchester Village of Lenexa

Name: Westchester Village of Lenexa
Address: 8505 PFLUMM ROAD, Lenexa, KS, 66215, US
Telephone: 9133072000

8505 Pflumm Road, Lenexa, KS 66215 · Johnson County · 34 certified beds · avg 31 residents/day · certified since Jun 27, 2013

Part of chain: PIVOTAL HEALTH CARE (9 facilities, chain avg rating 3.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.56

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: 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.

All citations in the current public record (22)

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
Mar 19, 2025	F · Potential for harm, facility-wide	The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. · from a complaint
Mar 19, 2025	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 19, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 19, 2025	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 19, 2025	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 19, 2025	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
Mar 19, 2025	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 19, 2025	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
Jul 12, 2023	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jul 12, 2023	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.
Jul 12, 2023	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.
Jul 12, 2023	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.
Jul 12, 2023	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.
Jul 12, 2023	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.
Jul 12, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 30, 2021	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.
Dec 30, 2021	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.
Dec 30, 2021	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.
Dec 30, 2021	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.
Dec 30, 2021	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.
Dec 30, 2021	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.
Dec 30, 2021	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 stayed about the same across the last two inspection cycles (7 → 8).

Year	Citations	Worst severity that year
2021	7	D
2023	7	E
2025	8	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)

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)	5.56	4.58	3.95	top 16% in Kansas; top 7% 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	5.23	4.05	3.50	top 13% in Kansas; top 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.98	0.49	0.48	top 4% in Kansas; top 6% in the U.S.
Total nursing staff turnover (%)	57.8	48.1	45.8	bottom 23% in Kansas; bottom 20% in the U.S.
RN turnover (%)	45.5	42.0	42.9	bottom 42% in Kansas; bottom 43% 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 5.11, RN 1.22, weekend 4.80. 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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
3RK, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2021
5 R Cattle, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Anderson, Jordan	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/01/2021
Anderson, Marlene	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Anderson, Wayne	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Cadet Investment LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Gulledge, Scott	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Gulledge, Travis	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/01/2021
Howard, Steven	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Lmray, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Poky - 5r LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2019
Poky Feeders INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Scenic Development LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/16/2017
Scenic Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/31/2019
Wood, Gilbert	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
WSG LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/16/2017
Anderson, Jordan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Curana Health of Missouri-Kansas LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2023
Frans, Clayton	Individual	Operational/Managerial Control	NOT APPLICABLE	05/02/2026
Frans, Clayton	Individual	ADP of the SNF	NOT APPLICABLE	05/02/2026

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 and how often are staff trained on residents' rights?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"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
Lakeview Village	0.8 mi	Lenexa, KS	★★★★☆	3/5
Shawnee Gardens Healthcare & Rehab Center	1.5 mi	Shawnee, KS	★☆☆☆☆	1/5	abuse
Delmar Gardens of Lenexa	1.8 mi	Lenexa, KS	★★★★☆	4/5
Garden Terrace at Overland Park	2.1 mi	Overland Park, KS	★☆☆☆☆	1/5	abuse
Delmar Gardens of Overland Park	3.0 mi	Overland Park, KS	★★★☆☆	3/5
Shawnee Post Acute Rehabilitation Center	3.2 mi	Overland Park, KS	★★☆☆☆	2/5
Brookdale Rosehill	3.3 mi	Shawnee, KS	★★★★★	3/5
Merriam Gardens Healthcare & Rehabilitation Center	3.7 mi	Merriam, KS	★★☆☆☆	2/5
The Plaza Health Services at Santa Marta	3.8 mi	Olathe, KS	★★★★★	4/5
Sharon Lane Health and Rehabilitation	3.9 mi	Shawnee, KS	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Lenexa →

Facility data as of CMS processing date 2026-08-01. CCN 175536.

The Care File

Visit checklist — Westchester Village of Lenexa

8505 Pflumm Road, Lenexa, KS 66215 · 9133072000

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

Questions for the administrator:

☐ "How and how often are staff trained on residents' rights?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "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 175536 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)