Delmar Gardens of Lenexa

9701 Monrovia Street · Lenexa, KS · 66215 · 9134921130

222 certified beds For profit - Limited Liability company Chain: Delmar Gardens

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 60
Serious harm & abuse 20% 100
Staffing 20% 63
Federal penalties 15% 100
Trend 10% 47
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.683.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.54≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (23 in the current record)

  • Potential for harm · D March 18, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 29, 2026 · Resident Rights

  • Potential for harm · D March 18, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 29, 2026 · Resident Rights

  • Potential for harm · D March 18, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected April 29, 2026 · Resident Rights

  • Potential for harm · D March 18, 2026

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 29, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 18, 2026

    Respond appropriately to all alleged violations.

    Corrected April 29, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 18, 2026

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected April 29, 2026 · Quality of Life and Care

  • Potential for harm · D March 18, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 29, 2026 · Pharmacy Service

  • Potential for harm · D March 18, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 29, 2026 · Pharmacy Service

  • Potential for harm · E March 18, 2026

    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.

    Corrected April 29, 2026 · Pharmacy Service

  • Potential for harm · D March 18, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 29, 2026 · Infection Control

  • Potential for harm · D March 27, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D March 27, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D March 27, 2024

    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.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D March 27, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 27, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 27, 2024

    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.

    Corrected May 3, 2024 · Quality of Life and Care

  • Potential for harm · E March 27, 2024

    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.

    Corrected May 3, 2024 · Pharmacy Service

  • Potential for harm · D October 24, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 30, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 24, 2022

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 30, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 24, 2022

    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.

    Corrected November 30, 2022 · Quality of Life and Care

  • Potential for harm · D October 24, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 30, 2022 · Quality of Life and Care

  • Potential for harm · D October 24, 2022

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected November 30, 2022 · Quality of Life and Care

  • Potential for harm · E October 24, 2022

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 30, 2022 · Pharmacy Service

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175122 · certified since January 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.