Evergreen Community of Johnson County

11875 S Sunset Drive, Suite 100 · Olathe, KS · 66061 · 9134778227

86 certified beds Non profit - Corporation Part of a CCRC

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 64
Serious harm & abuse 20% 88
Staffing 20% 84
Federal penalties 15% 41
Trend 10% 87
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.953.48 min · 4.1 strong
RN hours / resident-day0.770.55–0.75
Weekend hours / resident-day4.27≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)2 · $22,913

Inspection citations (24 in the current record)

  • Potential for harm · D February 25, 2026

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected March 30, 2026 · Quality of Life and Care

  • Potential for harm · F February 25, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 30, 2026 · Nutrition and Dietary

  • Actual harm · G May 1, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 31, 2024 · Quality of Life and Care

  • Potential for harm · D May 1, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 31, 2024 · Resident Rights

  • Potential for harm · D May 1, 2024 · found via complaint

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected May 31, 2024 · Quality of Life and Care

  • Potential for harm · D May 1, 2024 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected May 31, 2024 · Quality of Life and Care

  • Potential for harm · D May 1, 2024 · found via complaint

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected May 31, 2024 · Pharmacy Service

  • Potential for harm · F May 1, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 31, 2024 · Nutrition and Dietary

  • Potential for harm · D May 1, 2024 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected May 31, 2024 · Administration

  • Actual harm · G October 3, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 29, 2023 · Quality of Life and Care

  • Potential for harm · D September 19, 2022

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 31, 2022 · Resident Rights

  • Potential for harm · D September 19, 2022

    Reasonably accommodate the needs and preferences of each resident.

    Corrected October 31, 2022 · Resident Rights

  • Potential for harm · D September 19, 2022

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected October 31, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 31, 2022 · Quality of Life and Care

  • Potential for harm · D September 19, 2022

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected October 31, 2022 · Quality of Life and Care

  • Potential for harm · D September 19, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 31, 2022 · Quality of Life and Care

  • Potential for harm · D September 19, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected October 31, 2022 · Quality of Life and Care

  • Potential for harm · D September 19, 2022

    Provide enough food/fluids to maintain a resident's health.

    Corrected October 31, 2022 · Quality of Life and Care

  • Potential for harm · D September 19, 2022

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 31, 2022 · Pharmacy Service

  • Potential for harm · D September 19, 2022

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected October 31, 2022 · Pharmacy Service

  • Potential for harm · D September 19, 2022

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 31, 2022 · Pharmacy Service

  • Potential for harm · D September 19, 2022

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected October 31, 2022 · Pharmacy Service

  • Potential for harm · E September 19, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 31, 2022 · Nutrition and Dietary

  • Potential for harm · D September 19, 2022

    Provide and implement an infection prevention and control program.

    Corrected October 31, 2022 · Infection Control

Federal penalties

DateTypeAmount / length
May 1, 2024Fine$12,854
May 1, 2024Payment Denial3 days
October 3, 2023Fine$10,059

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175355 · certified since January 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.