Delmar Gardens of Lenexa

In the surveyor’s words

From the most serious findings on record at Delmar Gardens of Lenexa, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Mar 18, 2026

  The facility reported a census of 162 residents, with 32 residents sampled. Based on observation, interview, and record review, the facility failed to ensure three of six medication carts observed were locked while unattended.This deficiency had the potential to affect 19 residents located on the 500 hallways and 29 residents located on the 600 hallways. Findings included:- On 03/16/2026 at 08:16 AM, an observation of an unlocked and unattended medication cart was in the 600 hallways for three minutes unattended; Licensed Nurse (LN) CC walked by and locked the medication cart and walked away. On 03/16/2026 at 08:53 AM, an observation of an unlocked unattended medication cart in the 600 hallways. […]

• No harm, potential for more than minimal, patternF761Mar 27, 2024

  The facility had a census of 151 residents. The sample included 31 residents. The facility had six medication carts. Based on observation, interview, and record review, the facility failed to date Resident (R)53's insulin (a hormone which allows cells throughout the body to uptake glucose) flex pen when opened and failed to discard R15 and R346's insulin flex pen and R01's insulin vial when outdated. The facility further failed to discard expired stock medications. This deficient practice placed the affected residents at risk for ineffective medications. Findings included: - On [DATE] at 08:15 AM, observation of the facility's 500 Nurse medication cart revealed the following: R53's Lantus (long-acting insulin) flex pen lacked an open date and discard date. […]

• No harm, potential for more than minimal, patternF755Oct 24, 2022

  - R70's Electronic Medical Record, (EMR) documented the resident had a diagnosis of [CONDITION(S)] (greater than normal amount of potassium in the blood). R70's Quarterly Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview of Mental Status (BIMS) of 13, which indicated intact cognition. The MDS documented R70 required staff supervision with activities of daily living (ADLs). R70's Medication Care Plan, revised 10/02/22, instructed staff to administer her medications as the physician ordered. […]

• No harm, potential for more than minimal, isolatedF582Jun 8, 2026

  Based on record review and interviews, the facility failed to provide R1's durable power of attorney (DPOA- a legal document that names a person to make healthcare decisions when the resident is no longer able to) with the Medicare Liability Notice, CMS 101123- Notice of Medicare Non-Coverage (NOMNC) prior to the last day of skilled coverage on 05/21/2026. Findings included:- R1 admitted to the facility on [DATE] and discharged home to his independent living apartment on 05/22/2026. […]

• No harm, potential for more than minimal, isolatedF627Jun 8, 2026

  Based on record review and interviews, the facility failed to develop and implement an effective discharge plan in consideration with R1 and his Durable Power of Attorney (DPOA). The facility failed to ensure R1 safely discharged , including notifying his DPOA that he discharged and providing her with post-discharge instructions for R1. Findings included:- R1 admitted to the facility on [DATE] and discharged home to live independently on 05/22/2026. R1's Electronic Medical Record (EMR) documented diagnoses of acute kidney failure (inability of the kidneys to excrete waste, concentrate urine, and conserve electrolytes), dementia (a progressive mental disorder characterized by failing memory and confusion), and cognitive communication deficit (an impairment in organization, sequencing,… […]