Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ADVANCED HEALTH CARE OF OVERLAND PARK

OVERLAND PARK, KS · 38 certified beds · Last Life Safety survey September 25, 2024

CMS Certification Number 175542 · first certified June 2014

Ownership

Operated by ADVANCED HEALTH CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within KS

42 citations — more than 88% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 19. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten KS facilities have been surveyed. This facility’s last Life Safety survey was September 2024. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 42 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 42 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	42
Median facility in KS	27
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 1, 2021	15
February 28, 2023	23
September 25, 2024	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2024-09-25
K-0363	Install corridor and hallway doors that block smoke.	3	2024-09-25
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-09-25
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2024-09-25
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2023-02-28
K-0920	Ensure proper usage of power strips and extension cords.	2	2023-02-28
K-0511	Have properly installed electrical wiring and gas equipment.	2	2023-02-28
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2023-02-28

What the citations cover

Citations by CMS category

Smoke Deficiencies 15
Gas, Vacuum, and Electrical Systems Deficiencies 8
Emergency Preparedness Deficiencies 8
Miscellaneous Deficiencies 6
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	15
Gas, Vacuum, and Electrical Systems Deficiencies	8
Emergency Preparedness Deficiencies	8
Miscellaneous Deficiencies	6
Services Deficiencies	3
Egress Deficiencies	1
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 25, 2024 — 4 citations

Citations issued on September 25, 2024
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 2, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 2, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 2, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 2, 2024)

February 28, 2023 — 23 citations

Citations issued on February 28, 2023
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (April 6, 2023)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (April 6, 2023)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (April 6, 2023)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (April 6, 2023)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (April 6, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (April 6, 2023)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (April 6, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (April 6, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (April 6, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 6, 2023)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (April 6, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 6, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (April 6, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 6, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (April 6, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 6, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (April 6, 2023)
K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.	Deficient, Provider has date of correction (April 6, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 6, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (April 6, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 6, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 6, 2023)
K-0924	Ensure that anesthesia apparatus are tested after any adjustment, modification or repair.	Deficient, Provider has date of correction (April 6, 2023)

September 1, 2021 — 15 citations

Citations issued on September 1, 2021
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (November 4, 2021)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (November 4, 2021)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 4, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 4, 2021)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (November 4, 2021)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (November 4, 2021)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 4, 2021)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (November 4, 2021)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (November 4, 2021)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (November 4, 2021)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 4, 2021)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (November 4, 2021)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (November 4, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 4, 2021)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 4, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.