The Healthcare Resort of Leawood - Iron Horse Hlth
5401 W 143rd Street · Leawood, KS · 66224 · 9132493600
70 certified beds For profit - Limited Liability company Chain: The Ensign Group Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $19,105 |
Inspection citations (36 in the current record)
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Immediate jeopardy · L February 11, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2026 · Quality of Life and Care
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Potential for harm · D August 6, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 6, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 6, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · E August 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · F August 6, 2025
Observe each nurse aide's job performance and give regular training.
Corrected September 15, 2025 · Nursing and Physician Services
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Potential for harm · E August 6, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 15, 2025 · Pharmacy Service
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Potential for harm · D August 6, 2025
Keep complete, dated laboratory records in the resident's record.
Corrected September 15, 2025 · Administration
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Potential for harm · F August 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 15, 2025 · Nutrition and Dietary
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Potential for harm · D August 6, 2025
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 September 15, 2025 · Administration
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Potential for harm · E August 6, 2025
Provide and implement an infection prevention and control program.
Corrected September 15, 2025 · Infection Control
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Potential for harm · E August 6, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 15, 2025 · Infection Control
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Potential for harm · D November 16, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 15, 2023 · Resident Rights
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Potential for harm · E November 16, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 15, 2023 · Resident Rights
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Potential for harm · E November 16, 2023
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 December 15, 2023 · Resident Rights
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Potential for harm · E November 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 15, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected December 15, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 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 December 15, 2023 · Pharmacy Service
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Potential for harm · D November 16, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 15, 2023 · Pharmacy Service
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Potential for harm · D November 16, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected December 15, 2023 · Nutrition and Dietary
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Potential for harm · F November 16, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 15, 2023 · Nutrition and Dietary
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Potential for harm · E November 16, 2023
Provide and implement an infection prevention and control program.
Corrected December 15, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 11, 2026 | Fine | $19,105 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175558 · certified since December 7, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.