D

EVERGREEN COMMUNITY OF JOHNSON COUNTY

11875 S SUNSET DRIVE, SUITE 100, OLATHE, KS 66061
Score: 49 / 100

CMS data shows Evergreen Community Of Johnson County earning a D grade with a score of 49/100, placing it below most facilities in Kansas. Prospective residents and families should carefully review the specific areas of concern detailed below.

Evergreen Community Of Johnson County provides above-average staffing with 4.96 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 29 deficiencies at Evergreen Community Of Johnson County. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.96 3.8 Above Average
Registered Nurses (RN) 0.79 0.7 Above Average
Licensed Practical Nurses (LPN) 0.78 0.7 Above Average
Certified Nursing Assistants (CNA) 3.40 2.4 Above Average
Weekend Total Nursing 4.23 3.8 Above Average
Weekend RN Hours 0.58 0.7 Below Average

🔍 Inspection & Deficiency History

29
Total Deficiencies
Apr 30, 2024
Most Recent Inspection
🟠 29 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 30, 2024 · 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.
    Apr 30, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Apr 30, 2024 · Resident Rights Deficiencies
  • Tag 0676 Severity D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    Apr 30, 2024 · Quality of Life and Care Deficiencies
  • Tag 0679 Severity D
    Provide activities to meet all resident's needs.
    Apr 30, 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 2.2% 4.5% Better
Falls with major injury 5.9% 3.0% Worse
On antipsychotic medication 9.8% 14.5% Better
Urinary tract infections 8.3% 2.5% Worse
ADL decline (daily activities) 22.5% 14.0% Worse
Excessive weight loss 5.8% 7.5% Better
New/worsened incontinence 28.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $22,913

How This Grade Was Calculated

This facility's grade of D is based on a score of 49 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
86
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 30, 2024
Deficiencies (Cycle 1)
7