Nursing homes › Kansas › Colonial Village
12500 W 137Th St, Overland Park, KS 66221 · 9137303700 · 40 certified beds
Per CMS filings, this facility is affiliated with Pivotal Health Care, a group operating 9 facilities in 3 states. Group record: average rating 4.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $0 in federal fines. This facility rates below its group average (4.0/5).
Total nurse staffing: 4.43 (Kansas median: 3.94). RN hours: 1.00. Weekend total: 4.02. Nursing staff turnover: 63%.
All-time on record: 28 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2024-10-31 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2024-11-21 |
| 2024-10-31 | Observe each nurse aide's job performance and give regular training. | F | Health | corrected 2024-11-21 |
| 2024-10-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-11-21 |
| 2024-10-31 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-21 |
| 2024-10-31 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-11-21 |
| 2024-10-31 | 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. | D | Health | corrected 2024-11-21 |
| 2024-10-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-11-21 |
| 2024-10-31 | 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 | Health | corrected 2024-11-21 |
| 2024-10-31 | 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 | Health | corrected 2024-11-21 |
| 2024-10-31 | 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 | Health | corrected 2024-11-21 |
| 2023-06-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-06-30 |
| 2023-06-08 | 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. | E | Health | corrected 2023-06-30 |
| 2023-06-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-06-30 |
| 2023-06-08 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-06-30 |
| 2023-06-08 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2023-06-30 |
| 2023-06-08 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2023-06-30 |
| 2023-06-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-06-30 |
| 2023-06-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-06-30 |
| 2023-06-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-06-30 |
| 2023-06-08 | 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. | D | Health | corrected 2023-06-30 |
| 2023-06-08 | 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 | Health | corrected 2023-06-30 |
| 2023-06-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-06-30 |
| 2023-06-08 | 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 | Health | corrected 2023-06-30 |
| 2023-06-08 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Health | corrected 2023-06-30 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SCENIC DEVELOPMENT LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2018 |
| SCENIC HOLDINGS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 07/31/2022 |
| 3RK, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/01/2021 |
| 5 R CATTLE, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2018 |
| CADET INVESTMENT LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2018 |
| LMRAY, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2018 |
| POKY - 5R LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 07/31/2022 |
| POKY FEEDERS INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2018 |
| WSG LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2018 |
| ANDERSON, JORDAN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 10/01/2021 |
| ANDERSON, MARLENE | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2018 |
| ANDERSON, WAYNE | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2018 |
| GULLEDGE, SCOTT | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2018 |
| GULLEDGE, TRAVIS | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 10/01/2021 |
| HOWARD, STEVEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2018 |
| WOOD, GILBERT | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2018 |
| PIVOTAL HEALTH CARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2018 |
| SCENIC DEVELOPMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2018 |
| ABBY, AMBER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/02/2026 |
| ANDERSON, JORDAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| GULLEDGE, SCOTT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2018 |
| GULLEDGE, TRAVIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| MARTIN, CAROLINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/06/2023 |
| WOOD, GILBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175560. Corrections: data@carerecords.org.