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DELMAR GARDENS OF OVERLAND PARK

12100 W 109TH STREET
OVERLAND PARK, KS 66210 · 9134694210 · Johnson County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds120
OwnershipFor profit - Limited Liability company
State rank#126

By the numbers

50
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$23,261
Federal fines (CMPs)
The trend: Citations are trending down — 5 in the most recent cycle versus 12 two cycles ago.

Recent Health Citations

Jun 30, 2026 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jan 28, 2026 · Health survey · F-tag 0699
D — No actual harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Jan 28, 2026 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jan 28, 2026 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 28, 2026 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 13, 2024 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Mar 13, 2024 · Health survey · F-tag 0806
D — No actual harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Mar 13, 2024 · Health survey · F-tag 0758
D — No actual harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Mar 13, 2024 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Mar 13, 2024 · Health survey · F-tag 0756
D — No actual harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Mar 13, 2024 · Health survey · F-tag 0697
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Mar 13, 2024 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Mar 13, 2024 · Health survey · F-tag 0688
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Mar 13, 2024 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 13, 2024 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 13, 2024 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 13, 2024 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Mar 13, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 13, 2024 · Health survey · F-tag 0655
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Mar 13, 2024 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Kansas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.