Delmar Gardens of Lenexa
9701 Monrovia Street, Lenexa, KS 66215
Delmar Gardens of Lenexa, a 222-bed for profit - limited liability company nursing facility in Lenexa, KS, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #99 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 9134921130
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #99 of 294
- In-state rank among rated KS homes
- 3.90
- About average · nurse hrs/day · nat'l 3.86
- 25
- Inspection findings
The verdict
Delmar Gardens of Lenexa, a 222-bed for profit - limited liability company nursing facility in Lenexa, KS, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #99 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #99 of 294
- In-state rank among rated KS homes
- 3.90
- Nurse hrs/resident-day · national 3.86
- 25
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 296 KS nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 175122
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 222
- Residents
- 168
- In Hospital
- No
- County
- Johnson
- Last Inspection
- Mar 18, 2026
Staffing Data
How the 3.90 total nursing hours per resident-day are staffed:
- RN Hours
- 0.42 (nat'l avg: 0.69)
- LPN Hours
- 0.79
- CNA Hours
- 2.68
- Total Nursing Hours
- 3.90 (nat'l avg: 3.86)
- PT Hours
- 0.06
What the CMS Record Reveals About Delmar Gardens of Lenexa
According to CMS Nursing Home Compare, Delmar Gardens of Lenexa ranks #99 of 294 rated nursing homes in KS on overall stars (tie-broken by health+staffing+quality, then fewer fines). Delmar Gardens of Lenexa operates 222 certified beds in Lenexa, KS with approximately 168 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 3★).
The inspection file contains 25 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.90 total nursing hours (national average 3.86) and 0.42 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Delmar Gardens of Lenexa falls into a category where comparative context matters.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (25 most recent)
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Category: Resident Rights Deficiencies
Corrected: Jun 26, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Jun 26, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 29, 2026
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Apr 29, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Apr 29, 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.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 29, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 29, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 29, 2026
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Apr 29, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Apr 29, 2026
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Apr 29, 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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 29, 2026
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.
Category: Quality of Life and Care Deficiencies
Corrected: May 3, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 3, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 3, 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.
Category: Resident Rights Deficiencies
Corrected: May 3, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: May 3, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: May 3, 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.
Category: Pharmacy Service Deficiencies
Corrected: May 3, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 30, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 30, 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.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 30, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 30, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 30, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Nov 30, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.4% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 90.7% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 13.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 85.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 28.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 84.2% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 42.4% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Delmar Gardens of Lenexa, both outside KS so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside KS (222 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside KS (4.87 here).
Nearby Nursing Homes in KS
295 other nursing homes are on record in KS; 6 are shown here.
Aberdeen Village
Olathe, KS
Access Mental Health
Peabody, KS
Advanced Health Care of Overland Park
Overland Park, KS
Advena Living at Fountainview
Rose Hill, KS
Advena Living of Cherryvale
Cherryvale, KS
Andbe Home, INC
Norton, KS
Understanding Nursing Home Data
What the CMS records show for Delmar Gardens of Lenexa
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The KS registry aggregates state averages and the highest-rated homes in this cohort. View KS registry
- Peer homes near 222 beds show how CMS stars vary at a similar scale in KS. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Delmar Gardens of Lenexa?
Where does Delmar Gardens of Lenexa rank among nursing homes in KS?
What are the staffing levels at Delmar Gardens of Lenexa?
How many beds does Delmar Gardens of Lenexa have?
Does Delmar Gardens of Lenexa have any deficiencies on record?
Has Delmar Gardens of Lenexa received any fines or penalties?
Who owns Delmar Gardens of Lenexa?
When was Delmar Gardens of Lenexa last inspected?
What quality measures are tracked for Delmar Gardens of Lenexa?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
