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EVERGREEN COMMUNITY OF JOHNSON COUNTY

11875 S SUNSET DRIVE, SUITE 100
OLATHE, KS 66061 · 9134778227 · Johnson County

CMS Star Ratings

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

Facility Facts

Certified beds44
OwnershipNon profit - Corporation
State rank#51

By the numbers

24
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
2
Actual-harm (G/H/I)
$22,913
Federal fines (CMPs)
The trend: Citations are trending down — 2 in the most recent cycle versus 15 two cycles ago.

Recent Health Citations

Feb 25, 2026 · Health survey · F-tag 0693
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Feb 25, 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.
May 1, 2024 · Health survey · F-tag 0849
D — No actual harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
May 1, 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.
May 1, 2024 · Health survey · F-tag 0679
D — No actual harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
May 1, 2024 · Health survey · F-tag 0676
D — No actual harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
May 1, 2024 · Health survey · F-tag 0558
D — No actual harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
May 1, 2024 · 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.
May 1, 2024 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected May 31, 2024 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Oct 3, 2023 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Sep 29, 2023 — Past Non-Compliance
Inspection cycle: 3
Survey origin: Complaint investigation
Sep 19, 2022 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 19, 2022 · 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.
Sep 19, 2022 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Sep 19, 2022 · 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.
Sep 19, 2022 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 19, 2022 · Health survey · F-tag 0692
D — No actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Sep 19, 2022 · 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.
Sep 19, 2022 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 19, 2022 · 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.
Sep 19, 2022 · 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.

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

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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.