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

OVERLAND PARK POST ACUTE

OVERLAND PARK, KS · 140 certified beds · Last Life Safety survey September 11, 2024

CMS Certification Number 175180 · first certified February 1989

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

Ownership changed July 15, 2024 (change of ownership)from EXCEL OF OVERLAND PARK LLC

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

39 citations — more than 83% 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

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

The latest survey found 14 citations; the earlier surveys in the window averaged 12.5. 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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10 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

3 of the 39 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)

5 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 39 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	39
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
May 3, 2021	10
December 5, 2022	15
September 11, 2024	14

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-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	3	2024-09-11
K-0920	Ensure proper usage of power strips and extension cords.	2	2024-09-11
K-0324	Provide properly protected cooking facilities.	2	2024-09-11
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	2022-12-05
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2024-09-11
K-0363	Install corridor and hallway doors that block smoke.	2	2022-12-05
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2024-09-11
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-09-11

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Miscellaneous Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 5
Services Deficiencies 5
Other 8

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Miscellaneous Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	5
Services Deficiencies	5
Egress Deficiencies	4
Emergency Preparedness Deficiencies	3
Construction Deficiencies	1

Every citation on file

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

September 11, 2024 — 14 citations

Citations issued on September 11, 2024
Tag	What the surveyor checks	Status
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (November 25, 2024)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (November 25, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (November 19, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (November 19, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (November 25, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 19, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (November 19, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (November 19, 2024)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (November 25, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 25, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (November 19, 2024)
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 19, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 19, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 19, 2024)

December 5, 2022 — 15 citations

Citations issued on December 5, 2022
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (February 17, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 17, 2023)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (February 17, 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 (February 17, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 17, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 17, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 17, 2023)
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 (February 17, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 17, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 17, 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 (February 17, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 17, 2023)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (February 17, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (February 17, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 17, 2023)

May 3, 2021 — 10 citations

Citations issued on May 3, 2021
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 14, 2021)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (June 14, 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 (June 14, 2021)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (June 14, 2021)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 14, 2021)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (June 14, 2021)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (June 14, 2021)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (June 14, 2021)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (June 14, 2021)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (June 14, 2021)

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