D

LAKEVIEW VILLAGE

13840 W 91ST TERRACE, LENEXA, KS 66215
Score: 53 / 100

CMS data shows Lakeview Village earning a D grade with a score of 53/100, placing it below most facilities in Kansas. Prospective residents and families should carefully review the specific areas of concern detailed below.

Lakeview Village provides above-average staffing with 5.66 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent CMS inspections identified 18 deficiencies at Lakeview Village, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.66 3.8 Above Average
Registered Nurses (RN) 1.01 0.7 Above Average
Licensed Practical Nurses (LPN) 0.91 0.7 Above Average
Certified Nursing Assistants (CNA) 3.74 2.4 Above Average
Weekend Total Nursing 5.26 3.8 Above Average
Weekend RN Hours 0.72 0.7 Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Apr 21, 2025
Most Recent Inspection
🟠 16 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jun 4, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Jun 4, 2024 · Infection Control Deficiencies
  • Tag 0585 Severity E
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Jun 4, 2024 · Resident Rights Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jun 4, 2024 · Quality of Life and Care 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 4.6% 4.5% Average
Falls with major injury 4.9% 3.0% Worse
On antipsychotic medication 3.9% 14.5% Better
Urinary tract infections 1.5% 2.5% Better
ADL decline (daily activities) 24.8% 14.0% Worse
Excessive weight loss 5.0% 7.5% Better
New/worsened incontinence 25.9% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $35,619

How This Grade Was Calculated

This facility's grade of D is based on a score of 53 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -3 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
158
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 4, 2024
Deficiencies (Cycle 1)
12