nursing home in Overland Park, KS
Colonial Village
12500 W 137th St, Overland Park, KS 66221 · (913) 730-3700
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Colonial Village at a glance
Colonial Village is a 40-bed for-profit nursing home in Overland Park, Kansas (Johnson County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Kansas average of 3.1.
Residents receive about 4.4 hours of nursing care per day (1 of them from registered nurses), better than the state average of 4.1 hours.
Its most recent standard health inspection (October 31, 2024) found 10 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 63% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 40
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pivotal Health Care
- Medicare-certified since
- December 12, 2018
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Johnson County
- CMS Certification Number
- 175560
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.43 hrs | 4.07 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.00 hrs | 0.71 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.83 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.02 hrs | 3.60 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 63% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 61.5% | 42% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 80 | 83.4 | 80.6 | Average |
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 | 40 | 61 | 107 | |
| Average residents per day | 35 | 51 | 86 | |
| Occupancy | 87% | 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) | 1.7% | 4.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 4.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.6% | 18.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.2% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.1% | 16.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.2% | 4.9% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 9.9% | 23.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.9% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 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) | 3.4% | 1.9% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 92.7% | 73.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.1% | 76.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 31, 2024 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 January 6, 2025 |
| October 31, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected January 6, 2025 |
| October 31, 2024 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 January 6, 2025 |
| October 31, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 6, 2025 |
| October 31, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 6, 2025 |
| October 31, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 6, 2025 |
| October 31, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected January 6, 2025 |
| October 31, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected November 21, 2024 |
| October 31, 2024 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected November 21, 2024 |
| October 31, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 21, 2024 |
| October 31, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 21, 2024 |
| October 31, 2024 Standard | 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 · Tag F0849 | D Potential harm, isolated | Corrected November 21, 2024 |
| October 31, 2024 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 November 21, 2024 |
| October 31, 2024 Standard | 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 November 21, 2024 |
| October 31, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 21, 2024 |
| October 31, 2024 Standard | 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 November 21, 2024 |
| October 31, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected November 21, 2024 |
| June 8, 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 July 28, 2023 |
| June 8, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected July 28, 2023 |
| June 8, 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 July 28, 2023 |
| June 8, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 28, 2023 |
| June 8, 2023 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected July 28, 2023 |
| June 8, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected July 28, 2023 |
| June 8, 2023 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected July 28, 2023 |
| June 8, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 28, 2023 |
| June 8, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 28, 2023 |
| June 8, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 30, 2023 |
| June 8, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 30, 2023 |
| June 8, 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 | E Potential harm, pattern | Corrected June 30, 2023 |
| June 8, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 30, 2023 |
| June 8, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 30, 2023 |
| June 8, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected June 30, 2023 |
| June 8, 2023 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected June 30, 2023 |
| June 8, 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 June 30, 2023 |
| June 8, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 30, 2023 |
| June 8, 2023 Standard | 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 · Tag F0688 | D Potential harm, isolated | Corrected June 30, 2023 |
| June 8, 2023 Standard | 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 June 30, 2023 |
| June 8, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 30, 2023 |
| June 8, 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 June 30, 2023 |
| June 8, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | C No harm, widespread | Corrected June 30, 2023 |
| November 2, 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 January 7, 2022 |
| November 2, 2021 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 January 7, 2022 |
| November 2, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 7, 2022 |
| November 2, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 7, 2022 |
| November 2, 2021 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected January 7, 2022 |
| November 2, 2021 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected January 7, 2022 |
| November 2, 2021 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected January 7, 2022 |
| November 2, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected January 7, 2022 |
| November 2, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected November 30, 2021 |
| November 2, 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 | E Potential harm, pattern | Corrected November 30, 2021 |
| November 2, 2021 Standard | 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 November 30, 2021 |
| November 2, 2021 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 30, 2021 |
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 |
|---|---|---|---|
| ABBY, AMBER Individual | adp of the snf | NOT APPLICABLE | 05/02/2026 |
| CURANA HEALTH OF MISSOURI-KANSAS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| GULLEDGE, SCOTT Individual | adp of the snf | NOT APPLICABLE | 12/01/2018 |
| 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 | 07/17/2025 |
| SUMMIT CARE, LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2018 |
| SCENIC DEVELOPMENT LLC Organization | direct ownership interest | NOT APPLICABLE | 12/01/2018 |
| SCENIC HOLDINGS LLC Organization | direct ownership interest | NOT APPLICABLE | 07/31/2022 |
| 3RK, LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2021 |
| 5 R CATTLE, LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| ANDERSON, JORDAN Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2021 |
| ANDERSON, MARLENE Individual | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| ANDERSON, WAYNE Individual | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| CADET INVESTMENT LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| GULLEDGE, SCOTT Individual | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| GULLEDGE, TRAVIS Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2021 |
| HOWARD, STEVEN Individual | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| LMRAY, LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| POKY - 5R LLC Organization | indirect ownership interest | NOT APPLICABLE | 07/31/2022 |
| POKY FEEDERS INC Organization | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| WOOD, GILBERT Individual | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| WSG LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/01/2018 |
| ABBY, AMBER Individual | operational/managerial control | NOT APPLICABLE | 05/02/2026 |
| ANDERSON, JORDAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| GULLEDGE, SCOTT Individual | operational/managerial control | NOT APPLICABLE | 12/01/2018 |
| 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 | 12/01/2018 |
| SCENIC DEVELOPMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2018 |
| WOOD, GILBERT Individual | operational/managerial control | NOT APPLICABLE | 12/01/2018 |
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Frequently asked questions
What is Colonial Village's rating?
Colonial Village has 2 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 Colonial Village receive?
Its most recent standard health inspection found 10 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Colonial Village 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 Colonial Village?
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 Colonial Village and how do I contact it?
Colonial Village is at 12500 W 137th St, Overland Park, KS 66221. Phone: (913) 730-3700.
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.