EVERGREEN COMMUNITY OF JOHNSON COUNTY
Grade C — 74/100 composite score
CMS Star Ratings
Certified Beds
86
Ownership
Non profit - Corporation
Total Fines
$22,913
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
EVERGREEN LIVING INNOVATIONS INC
100%
DAUGHERTY, DIANNE
DWYER, MARK
GALLAGHER, LINDA
GASH, MARK
GASH, MARY
HOLLAND, CHRIS
PARISE, BRETT
ROBERTS, CHARLA
SWEARINGEN-LYLES, DEBRA
DAUGHERTY, DIANNE
DWYER, MARK
GALLAGHER, LINDA
GASH, MARK
GASH, MARY
PARISE, BRETT
SWEARINGEN-LYLES, DEBRA
AMOS, PATRICK
DUPRIEST, JESSICA
HOLLAND, CHRIS
OSBORN, CHRISTOPHER
PLOWMAN, ANDREA
ROBERTS, CHARLA
Penalties & Fines (3)
| Date | Type | Description | Amount |
|---|---|---|---|
| May 1, 2024 | Fine | — | $12,854 |
| May 1, 2024 | Payment Denial | — | — |
| Oct 3, 2023 | Fine | — | $10,059 |
Health Inspection Deficiencies (29)
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
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.
Administration Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for EVERGREEN COMMUNITY OF JOHNSON COUNTY?
EVERGREEN COMMUNITY OF JOHNSON COUNTY in OLATHE, Kansas has a CareGrader grade of C (Average), with a composite score of 74.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for EVERGREEN COMMUNITY OF JOHNSON COUNTY?
EVERGREEN COMMUNITY OF JOHNSON COUNTY has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does EVERGREEN COMMUNITY OF JOHNSON COUNTY have?
EVERGREEN COMMUNITY OF JOHNSON COUNTY has 29 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has EVERGREEN COMMUNITY OF JOHNSON COUNTY been fined?
Yes. EVERGREEN COMMUNITY OF JOHNSON COUNTY has $22,913 in total fines from CMS enforcement actions across 3 penalties.
How many beds does EVERGREEN COMMUNITY OF JOHNSON COUNTY have?
EVERGREEN COMMUNITY OF JOHNSON COUNTY has 86 certified beds with approximately 76 current residents (88% occupancy). The facility is located at 11875 S SUNSET DRIVE, SUITE 100, OLATHE, Kansas 66061. It is a non profit - corporation facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.