C

Delmar Gardens Of Lenexa

9701 MONROVIA STREET, LENEXA, KS 66215
Score: 67 / 100

With a score of 67 out of 100, Delmar Gardens Of Lenexa earns a C grade — placing it near the middle of Kansas nursing facilities. Families should review the detailed metrics below when considering this Lenexa location.

With 0.17 total nurse hours per resident per day, Delmar Gardens Of Lenexa falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 14 deficiencies at Delmar Gardens Of Lenexa. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 0.17 3.8 Below Average
Registered Nurses (RN) 0.02 0.7 Below Average
Licensed Practical Nurses (LPN) 0.04 0.7 Below Average
Certified Nursing Assistants (CNA) 0.11 2.4 Below Average
Weekend Total Nursing 0.25 3.8 Below Average
Weekend RN Hours 0.02 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Mar 26, 2024
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Mar 26, 2024 · Pharmacy Service Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Mar 26, 2024 · Resident Rights Deficiencies
  • Tag 0623 Severity D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a
    Mar 26, 2024 · Resident Rights Deficiencies
  • Tag 0625 Severity D
    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 hospi
    Mar 26, 2024 · Resident Rights Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Mar 26, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.2% 4.5% Worse
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 15.3% 14.5% Average
Urinary tract infections 2.2% 2.5% Better
ADL decline (daily activities) 20.6% 14.0% Worse
Excessive weight loss 6.9% 7.5% Average
New/worsened incontinence 27.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 67 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
222
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 26, 2024
Deficiencies (Cycle 1)
7