Westchester Village of Lenexa
8505 Pflumm Road · Lenexa, KS · 66215 · 9133072000
34 certified beds For profit - Corporation Chain: Pivotal Health Care Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
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: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.07 | 0.55–0.75 |
| Weekend hours / resident-day | 4.28 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · D March 19, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 19, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 19, 2025 · found via complaint
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 2, 2025 · Resident Rights
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Potential for harm · D March 19, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · D March 19, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 2, 2025 · Infection Control
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Potential for harm · F March 19, 2025 · found via complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D July 12, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 12, 2023
Provide activities to meet all resident's needs.
Corrected July 20, 2023 · Quality of Life and Care
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Potential for harm · D July 12, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 20, 2023 · Quality of Life and Care
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Potential for harm · D July 12, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 20, 2023 · Quality of Life and Care
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Potential for harm · D July 12, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected July 20, 2023 · Quality of Life and Care
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Potential for harm · D July 12, 2023
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.
Corrected July 20, 2023 · Pharmacy Service
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Potential for harm · D July 12, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 20, 2023 · Infection Control
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Potential for harm · D December 30, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 30, 2022 · Resident Rights
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Potential for harm · D December 30, 2021
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected January 30, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 30, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 30, 2022 · Quality of Life and Care
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Potential for harm · D December 30, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2022 · Quality of Life and Care
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Potential for harm · D December 30, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 30, 2022 · Pharmacy Service
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Potential for harm · D December 30, 2021
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 30, 2022 · Pharmacy Service
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Potential for harm · D December 30, 2021
Provide and implement an infection prevention and control program.
Corrected January 30, 2022 · Infection Control
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 175536 · certified since June 27, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.