COLONIAL VILLAGE
COLONIAL VILLAGE is a 40-bed nursing home in OVERLAND PARK, Kansas. CMS has certified it for Medicare and Medicaid since 2018-12-12. It averages 34.8 residents a day.
What harm was found in the violations cited at COLONIAL VILLAGE?
CMS lists 28 health-inspection deficiencies for COLONIAL VILLAGE since 2021-11-02, 10 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2024-10-31.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2024-10-31 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2024-10-31 | F0730, F0812 | Observe each nurse aide's job performance and give regular training. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-10-31 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-10-31 | F0623, F0625, F0686, F0690, F0758, F0849 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / 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. | D |
| 2023-06-08 | F0689, F0761, F0812, F0880 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-06-08 | F0554, F0604, F0656, F0657, F0677, F0688, F0690, F0695, F0758 | Allow residents to self-administer drugs if determined clinically appropriate. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / 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. | D |
| 2023-06-08 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |
| 2021-11-02 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2021-11-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2021-11-02 | F0677, F0690 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
How is COLONIAL VILLAGE staffed?
| Measure | This facility | KS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.42606 | 4.06686 |
| Total nursing staff turnover (%) | 63.0 | 48.1 |
| Average number of residents per day | 34.8 | 50.5 |
Who owns COLONIAL VILLAGE, and what chain is it in?
COLONIAL VILLAGE is registered with CMS as For profit - Corporation, operates under the legal business name CCRC OF OVERLAND PARK LLC and belongs to the PIVOTAL HEALTH CARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | SCENIC DEVELOPMENT LLC, SCENIC HOLDINGS LLC | since 07/31/2022 |
| INDIRECT OWNERSHIP INTEREST | 3RK, LLC, 5 R CATTLE, LLC, CADET INVESTMENT LLC, LMRAY, LLC, POKY - 5R LLC, POKY FEEDERS INC, WSG LLC, ANDERSON, JORDAN, ANDERSON, MARLENE, ANDERSON, WAYNE, GULLEDGE, SCOTT, GULLEDGE, TRAVIS, HOWARD, STEVEN, WOOD, GILBERT | since 01/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | PIVOTAL HEALTH CARE LLC, SCENIC DEVELOPMENT LLC, ABBY, AMBER, ANDERSON, JORDAN, GULLEDGE, SCOTT, GULLEDGE, TRAVIS, MARTIN, CAROLINE, WOOD, GILBERT | since 01/01/2025 |
| ADP OF THE SNF | CURANA HEALTH OF MISSOURI-KANSAS LLC, PIVOTAL HEALTH CARE LLC, SUMMIT CARE, LLC, ABBY, AMBER, GULLEDGE, SCOTT, GULLEDGE, TRAVIS, MARTIN, CAROLINE | since 01/01/2025 |