THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH
THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH is a 70-bed nursing home in LEAWOOD, Kansas. CMS has certified it for Medicare and Medicaid since 2016-12-07. It averages 61.5 residents a day.
What harm was found in the violations cited at THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH?
CMS lists 36 health-inspection deficiencies for THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH since 2022-03-07, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-02-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L |
| 2025-08-06 | 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 |
| 2025-08-06 | F0689, F0761, F0880, F0883 | 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-08-06 | F0558, F0628, F0656, F0684, F0686, F0695, F0775, F0849 | Reasonably accommodate the needs and preferences of each resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Keep complete, dated laboratory records in the resident's record. / 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 |
| 2023-11-16 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-11-16 | F0565, F0585, F0689, F0880 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | E |
| 2023-11-16 | F0550, F0677, F0690, F0692, F0756, F0757, F0803 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D |
| 2022-03-07 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2022-03-07 | F0655, F0656, F0657, F0661, F0676, F0684, F0698, F0760 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that residents are free from significant medication errors. | D |
Why was THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH fined?
| Date | Type | Amount |
|---|---|---|
| 2026-02-11 | Fine | $12,418 |
How is THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH staffed relative to the KS average?
| Measure | This facility | KS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.04686 | 4.06686 |
| Average number of residents per day | 61.5 | 50.5 |
Who owns THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH, and what chain is it in?
THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH is registered with CMS as For profit - Limited Liability company, operates under the legal business name IRON HORSE HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | GATEWAY HEALTHCARE LLC | since 01/22/2015 |
| MANAGING CONTROL - GOVERNING BODY | BOHRER, TRACY, BURNAM, SOON, GEHA, CHRISTOPHER | since 01/10/2020 |
| CORPORATE OFFICER | BURNAM, SOON | since 02/04/2015 |
| OPERATIONAL/MANAGERIAL CONTROL | BOHRER, TRACY | since 05/07/2020 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | JORGENSEN, DAVID, KEETCH, CHAD, PORT, BARRY | since 06/24/2025 |
| ADP OF THE SNF | THE ENSIGN GROUP INC, BOHRER, TRACY, GEHA, CHRISTOPHER | since 01/10/2020 |
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