Delmar Gardens of Overland Park

OVERLAND PARK, KS • CMS Certification: 175182

  • Date Updated: May 01, 2026
  • Overall Rating: 3 Stars
  • Address: 12100 W 109TH STREET, OVERLAND PARK KS 66210
  • Phone: 9134694210

About Delmar Gardens of Overland Park

Delmar Gardens Of Overland Park, located in OVERLAND PARK, KS, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Delmar Gardens of Overland Park

Key Performance Indicators

  • CMS Overall Rating 3 Stars
  • Nursing Hours 3.46 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the DELMAR GARDENS network. This chain operates 13 facilities.

Chain Performance Overview

Inspection
3.2
Staffing
2.8
Quality
2.4

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Delmar Gardens of Overland Park provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.53 hrs/day
State: 0.71 US: 0.68
Case Mix Adj: 0.60
Quality Adj: 0.59

Licensed Practical Nurses

1.06 hrs/day
State: 1.37 US: 1.54
Case Mix Adj: 0.76
Quality Adj: 0.61

Certified Assistants

2.40 hrs/day
State: 2.68 US: 2.33
Case Mix Adj: 2.05
Quality Adj: 2.72

CMS Quality Ratings

Category Rating Stars
Overall Rating 3
Health Inspection 3
Quality Measures 3
Staffing 4

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 28 Jan 28, 2026
Weighted Average 70 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 22.5%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 7.4%
Number of hospitalizations per 1000 long-stay resident days (QM551) 3.8%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 1.7%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 20.9%
Percentage of long-stay residents who lose too much weight (QM404) 2.0%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 2.1%
Percentage of long-stay residents with a urinary tract infection (QM407) 4.4%
Percentage of long-stay residents who have depressive symptoms (QM408) 0.0%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 4.3%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 58.2%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 17.4%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 3.1%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 10.6%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 20.7%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 80.7%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 27.1%
Percentage of long-stay residents with pressure ulcers (QM479) 3.7%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 27.8%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 14.0%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2024: 33 complaints
  • Total: 33 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Apr 26, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Apr 26, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable.
Apr 26, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 26, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Apr 26, 2024 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.
Apr 26, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 26, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Apr 26, 2024 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Apr 26, 2024 Provide safe and appropriate respiratory care for a resident when needed.
Apr 26, 2024 Provide safe, appropriate pain management for a resident who requires such services.
Apr 26, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 26, 2024 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Apr 26, 2024 Ensure each resident?s drug regimen must be free from unnecessary drugs.
Apr 26, 2024 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.
Apr 26, 2024 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Apr 26, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 26, 2024 Provide and implement an infection prevention and control program.
Apr 26, 2024 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Apr 26, 2024 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Apr 26, 2024 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Apr 26, 2024 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Apr 26, 2024 Ensure each resident receives an accurate assessment.
Apr 26, 2024 Assess the resident when there is a significant change in condition
Apr 26, 2024 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Apr 26, 2024 Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Apr 26, 2024 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Apr 26, 2024 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Apr 26, 2024 Ensure residents have reasonable access to and privacy in their use of communication methods.
Apr 26, 2024 Honor the resident's right to organize and participate in resident/family groups in the facility.
Apr 26, 2024 Reasonably accommodate the needs and preferences of each resident.
Apr 26, 2024 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Apr 26, 2024 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 26, 2024 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in OVERLAND PARK, KS

Compare Delmar Gardens of Overland Park to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Delmar Gardens of Overland Park has a 3-star CMS overall rating out of 5, which indicates good quality care meeting industry standards. The nursing staff spends 3.46 hours per resident daily, compared to the national average of 3.87 hours.

Delmar Gardens of Overland Park is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 120 certified beds.

Delmar Gardens of Overland Park accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Delmar Gardens of Overland Park directly at 9134694210. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Delmar Gardens of Overland Park, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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