Delmar Gardens of Overland Park

In the surveyor’s words

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

• Actual harm, isolatedF692Apr 15, 2021

  The facility had a census of 100 residents. The sample included 21 residents with four reviewed for nutrition. Based on observation, record review, and interview, the facility failed to follow the registered dietitians' recommendations for one of four sampled residents. Resident (R) 24 had an 18.7% weight loss in one month (02/07/21-03/07/21) and 11.9% weight loss in 3 months (01/07/21-04/07/21). Findings included: - R24's undated Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . The Annual Minimum Data Set (MDS), dated [DATE] documented the resident had moderately impaired cognition. R24 required extensive to total dependence of one to two staff members for bed mobility, and transfers and did not have any weight loss. […]

• No harm, potential for more than minimal, widespreadF812Jan 28, 2026

  The facility identified a census of 97 residents, with one kitchen and dining room. Based on observation, record review, and interviews, the facility failed to follow sanitary dietary standards related to food and equipment storage.Findings included:- On 01/26/25 at 09:05 AM, a walkthrough of the facility's kitchen was completed:An inspection of the steam table serving area revealed clean plates stored upward on the plate rack without a sanitary cover or barrier. An inspection of the dishwashing area revealed that clean plates were stored upward on the plate rack without a sanitary cover or barrier.An inspection of the walk-in freezer's air condenser unit revealed that it had leaked large amounts of fluid onto stored bags of servable ice and boxes of ice cream sandwiches stored below the… […]

• No harm, potential for more than minimal, widespreadF882Mar 13, 2024

  The facility identified a census of 81 residents. Based on record review and interviews, the facility failed to designate a staff member with the required qualification and certification as the Infection Preventionist, who was responsible for the facility's Infection Prevention and Control Program. This deficient practice placed all residents at risk for lack of identification, tracking/trending, and treatment of infections. Findings included: - During the entrance conference Administrative Staff, A reported the facility did not have a certified Infection Preventionist and Administrative Nurse E was in the process of becoming certified. On 03/13/24 Administrative Nurse E was not available for the interview. […]

• No harm, potential for more than minimal, widespreadF943Mar 13, 2024

  The facility reported a census of 81 residents. The sample included 21 residents. Five Certified Nurse Aides (CNA) were sampled for prevention of abuse, neglect, and exploitation training. Based on record review, and interviews the facility failed to provide evidence of the required prevention of abuse, neglect, and exploitation training for the two of the five CNAs that were sampled. Findings included: - Employee record review of CNA PP revealed the facility failed to provide evidence that CNA PP received the required abuse, neglect, and exploitation training. Employee record review of CNA QQ revealed the facility failed to provide evidence that CNA QQ received the required abuse, neglect, and exploitation training. […]

• No harm, potential for more than minimal, widespreadF947Mar 13, 2024

  The facility had a census of 81 residents. The sample included 21 residents and five Certified Nurse Aides (CNAs) reviewed for required in-service training. Based on record review and interview, the facility failed to ensure five of the five CNA staff reviewed had the required 12 hours of in-service education and two of the five CNA staff had the required in-service education for dementia (a progressive mental disorder characterized by failing memory, confusion) care. This placed the residents at risk for inadequate care. Findings included: - A review of the facility's in-service records revealed the following: CNA LL, hired on 12/09/16, had eight hours of in-service in the past 12 months. CNA OO hired 09/29/09, had six hours of in-service in the past 12 months. […]