nursing home in Lenexa, KS
Westchester Village of Lenexa
8505 Pflumm Road, Lenexa, KS 66215 · (913) 307-2000
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Westchester Village of Lenexa at a glance
Westchester Village of Lenexa is a 34-bed for-profit nursing home in Lenexa, Kansas (Johnson County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Kansas average of 3.1.
Residents receive about 5.1 hours of nursing care per day (1.2 of them from registered nurses), better than the state average of 4.1 hours.
Its most recent standard health inspection (March 19, 2025) found 8 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 57.8% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 34
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pivotal Health Care
- Medicare-certified since
- June 27, 2013
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Johnson County
- CMS Certification Number
- 175536
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.11 hrs | 4.07 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.22 hrs | 0.71 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.35 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.80 hrs | 3.60 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 57.8% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 45.5% | 42% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 41 | 83.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 34 | 61 | 107 | |
| Average residents per day | 31 | 51 | 86 | |
| Occupancy | 90% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8% | 4.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6% | 4.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 1.9% | 18.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 7% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 22.6% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 30.3% | 16.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.3% | 4.9% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.2% | 23.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 34.4% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 84% | 95.5% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 92.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 82.6% | 73.8% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96% | 76.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected May 1, 2025 |
| March 19, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 1, 2025 |
| March 19, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected May 1, 2025 |
| March 19, 2025 Complaint | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | F Potential harm, widespread | Corrected May 2, 2025 |
| March 19, 2025 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. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 2, 2025 |
| July 12, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected September 14, 2023 |
| July 12, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected September 14, 2023 |
| July 12, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected July 20, 2023 |
| July 12, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected July 20, 2023 |
| July 12, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 20, 2023 |
| July 12, 2023 Standard | 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 · Tag F0758 | D Potential harm, isolated | Corrected July 20, 2023 |
| July 12, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 20, 2023 |
| July 12, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected July 20, 2023 |
| July 12, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 20, 2023 |
| December 30, 2021 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | E Potential harm, pattern | Corrected February 17, 2022 |
| December 30, 2021 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected February 17, 2022 |
| December 30, 2021 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected January 30, 2022 |
| December 30, 2021 Standard | 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 · Tag F0756 | D Potential harm, isolated | Corrected January 30, 2022 |
| December 30, 2021 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 30, 2022 |
| December 30, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 30, 2022 |
| December 30, 2021 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected January 30, 2022 |
| December 30, 2021 Standard | 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 · Tag F0661 | D Potential harm, isolated | Corrected January 30, 2022 |
| December 30, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 30, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CURANA HEALTH OF MISSOURI-KANSAS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| FRANS, CLAYTON Individual | adp of the snf | NOT APPLICABLE | 05/02/2026 |
| GULLEDGE, SCOTT Individual | adp of the snf | NOT APPLICABLE | 12/16/2017 |
| GULLEDGE, TRAVIS Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| MARTIN, CAROLINE Individual | adp of the snf | NOT APPLICABLE | 02/06/2023 |
| PIVOTAL HEALTH CARE LLC Organization | adp of the snf | NOT APPLICABLE | 04/28/2025 |
| SUMMIT CARE, LLC Organization | adp of the snf | NOT APPLICABLE | 12/16/2017 |
| SCENIC DEVELOPMENT LLC Organization | direct ownership interest | NOT APPLICABLE | 12/16/2017 |
| SCENIC HOLDINGS LLC Organization | direct ownership interest | NOT APPLICABLE | 12/31/2019 |
| 3RK, LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2021 |
| 5 R CATTLE, LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| ANDERSON, JORDAN Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2021 |
| ANDERSON, MARLENE Individual | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| ANDERSON, WAYNE Individual | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| CADET INVESTMENT LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| GULLEDGE, SCOTT Individual | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| GULLEDGE, TRAVIS Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2021 |
| HOWARD, STEVEN Individual | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| LMRAY, LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| POKY - 5R LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/31/2019 |
| POKY FEEDERS INC Organization | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| WOOD, GILBERT Individual | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| WSG LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/16/2017 |
| ANDERSON, JORDAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| FRANS, CLAYTON Individual | operational/managerial control | NOT APPLICABLE | 05/02/2026 |
| GULLEDGE, SCOTT Individual | operational/managerial control | NOT APPLICABLE | 12/16/2017 |
| GULLEDGE, TRAVIS Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| MARTIN, CAROLINE Individual | operational/managerial control | NOT APPLICABLE | 02/06/2023 |
| PIVOTAL HEALTH CARE LLC Organization | operational/managerial control | NOT APPLICABLE | 12/16/2017 |
| SCENIC DEVELOPMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 12/16/2017 |
| WOOD, GILBERT Individual | operational/managerial control | NOT APPLICABLE | 12/16/2017 |
Other nursing homes near Westchester Village of Lenexa
- ★★★★★4Above average
Shawnee Gardens Healthcare & Rehab Center
6416 Long Street, Shawnee, KS 66216 · 1.5 mi
For-profit · 130 beds · Part of Recover-Care Healthcare
★★★★★1Much below averageDelmar Gardens of Lenexa
9701 Monrovia Street, Lenexa, KS 66215 · 1.8 mi
For-profit · 222 beds · Part of Delmar Gardens
★★★★★4Above averageGarden Terrace at Overland Park
7541 Switzer Road, Overland Park, KS 66214 · 2.1 mi
For-profit · 163 beds · Part of Life Care Centers of America
- Abuse citation
★★★★★1Much below averageDelmar Gardens of Overland Park
12100 W 109th Street, Overland Park, KS 66210 · 3 mi
For-profit · 120 beds · Part of Delmar Gardens
★★★★★3AverageShawnee Post Acute Rehabilitation Center
7600 Antioch Road, Overland Park, KS 66204 · 3.2 mi
For-profit · 101 beds · Part of The Ensign Group
★★★★★2Below average
Frequently asked questions
What is Westchester Village of Lenexa's rating?
Westchester Village of Lenexa has 4 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Westchester Village of Lenexa receive?
Its most recent standard health inspection found 8 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Westchester Village of Lenexa accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Westchester Village of Lenexa?
It is for profit - corporation and part of Pivotal Health Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Westchester Village of Lenexa and how do I contact it?
Westchester Village of Lenexa is at 8505 Pflumm Road, Lenexa, KS 66215. Phone: (913) 307-2000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.