Lakeview Village

13840 W 91st Terrace · Lenexa, KS · 66215 · 9138881900

158 certified beds Non profit - Corporation Part of a CCRC

  • Staffing hours comfortably above national benchmarks.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 88
Staffing 20% 92
Federal penalties 15% 56
Trend 10% 56
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: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day5.803.48 min · 4.1 strong
RN hours / resident-day1.040.55–0.75
Weekend hours / resident-day5.40≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)2 · $35,619

Inspection citations (18 in the current record)

  • Immediate jeopardy · J April 22, 2025 · found via complaint

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · E June 5, 2024

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected July 5, 2024 · Resident Rights

  • Potential for harm · D June 5, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 5, 2024 · Quality of Life and Care

  • Potential for harm · D June 5, 2024

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

    Corrected July 5, 2024 · Quality of Life and Care

  • Potential for harm · D June 5, 2024

    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 July 5, 2024 · Quality of Life and Care

  • Potential for harm · D June 5, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 5, 2024 · Quality of Life and Care

  • Potential for harm · D June 5, 2024

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected July 5, 2024 · Quality of Life and Care

  • Potential for harm · D June 5, 2024

    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 July 5, 2024 · Pharmacy Service

  • Potential for harm · F June 5, 2024

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

    Corrected July 5, 2024 · Nutrition and Dietary

  • Potential for harm · D June 5, 2024

    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 July 5, 2024 · Administration

  • Potential for harm · F June 5, 2024

    Provide and implement an infection prevention and control program.

    Corrected July 5, 2024 · Infection Control

  • Potential for harm · D June 5, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 5, 2024 · Infection Control

  • Immediate jeopardy · J December 19, 2023 · found via complaint

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

    Corrected December 5, 2023 · Quality of Life and Care

  • Potential for harm · E January 12, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 12, 2023 · Resident Rights

  • Potential for harm · D January 12, 2023

    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 February 12, 2023 · Quality of Life and Care

  • Potential for harm · D January 12, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 12, 2023 · Quality of Life and Care

  • Potential for harm · D January 12, 2023

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

    Corrected February 12, 2023 · Pharmacy Service

  • Potential for harm · D January 12, 2023

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

    Corrected February 12, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
April 22, 2025Fine$22,222
December 19, 2023Fine$13,397

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175242 · certified since March 22, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.