• CMS rates this facility 2/5 stars (below average)
• Has 40 certified beds with an average of 35.8 residents per day (89% occupancy)
• Last health inspection found 10 deficiencies (inspected Oct 31, 2024)
• Has been fined a total of $4,893 across 2 fine(s)
• Total nursing staff: 4.30 hours per resident per day
• Staff turnover rate: 62.7% (high)
• Part of the Pivotal Health Care chain (9 facilities)
Colonial Village is a 2-star Medicare and Medicaid certified nursing home in Overland Park, Kansas with 40 certified beds. It has been operating since 2018. The facility scored below average compared to Kansas facilities.
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.
Provide enough food/fluids to maintain a resident's health.
Observe each nurse aide's job performance and give regular training.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide and implement an infection prevention and control program.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide and implement an infection prevention and control program.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 and implement an infection prevention and control program.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PIVOTAL HEALTH CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2018 |
| SCENIC DEVELOPMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2018 |
| ANDERSON, JORDAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| CHIK, DAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2019 |
| GULLEDGE, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2018 |
| GULLEDGE, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| MARTIN, CAROLINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 6, 2023 |
| WOOD, GILBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2018 |
This chain operates 9 facilities. View all →