Westchester Village of Lenexa

Nursing Home · Lenexa, KS

CMS overall rating 4/5 For profit - Corporation

CMS certification number175536

Contact & location

8505 Pflumm Road
Lenexa, KS 66215
Johnson County
Phone
(913) 307-2000
ZIP code
66215 – all care providers

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Facility details

Certified beds
34
Residents per day
30.6 (90% occupied)
Ownership
For profit - Corporation
Legal name
CCRC of Lenexa LLC
Chain
Pivotal Health Care (9 facilities, avg 3.9★)
Medicare certified since
June 27, 2013
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.1
Health inspections★★★★★ 4/5
State avg 2.9
Staffing★★★★★ 4/5
State avg 3.5
Quality measures★★★★★ 2/5
State avg 3.2
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.11 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
1.22 (state 0.71 · U.S. 0.69)
Licensed practical nurses
0.54 (state 0.65 · U.S. 0.86)
Nurse aides
3.35 (state 2.70 · U.S. 2.32)
Weekend total
4.80 (state 3.60 · U.S. 3.42)
Nursing staff turnover
57.8 (state 48.1 · U.S. 45.8)%
RN turnover
45.5 (state 42.0 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
March 19, 2025
Health deficiencies (last cycle)
8.0 (state 9.5 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
22 health · 27 fire safety
DateCitationSeverityStatus
2025-03-19 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F0942 · Resident Rights Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-19 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-19 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-19 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-19 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-19 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-19 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2023-07-12 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-07-20
2023-07-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-20
2023-07-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-20
2023-07-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-20
2023-07-12 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-20
2023-07-12 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-20
2023-07-12 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-20
2021-12-30 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-01-30
2021-12-30 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-01-30
2021-12-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-01-30
2021-12-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-01-30
2021-12-30 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-01-30
2021-12-30 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-01-30
2021-12-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-01-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Curana Health of Missouri-Kansas LLC (organization)Administrator · NOT APPLICABLE
Frans, Clayton (individual)Administrator · NOT APPLICABLE
Gulledge, Scott (individual)Administrator · NOT APPLICABLE
Gulledge, Travis (individual)Administrator · NOT APPLICABLE
Martin, Caroline (individual)Administrator · NOT APPLICABLE
Pivotal Health Care LLC (organization)Administrator · NOT APPLICABLE
Summit Care, LLC (organization)Administrator · NOT APPLICABLE
Scenic Development LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Scenic Holdings LLC (organization)Direct Ownership Interest · NOT APPLICABLE
3RK, LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
5 R Cattle, LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Anderson, Jordan (individual)Indirect Ownership Interest · NOT APPLICABLE
Anderson, Marlene (individual)Indirect Ownership Interest · NOT APPLICABLE
Anderson, Wayne (individual)Indirect Ownership Interest · NOT APPLICABLE
Cadet Investment LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Gulledge, Scott (individual)Indirect Ownership Interest · NOT APPLICABLE
Gulledge, Travis (individual)Indirect Ownership Interest · NOT APPLICABLE
Howard, Steven (individual)Indirect Ownership Interest · NOT APPLICABLE
Lmray, LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Poky - 5R LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Poky Feeders INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Wood, Gilbert (individual)Indirect Ownership Interest · NOT APPLICABLE
WSG LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Anderson, Jordan (individual)Operational/managerial Control · NOT APPLICABLE
Frans, Clayton (individual)Operational/managerial Control · NOT APPLICABLE
Gulledge, Scott (individual)Operational/managerial Control · NOT APPLICABLE
Gulledge, Travis (individual)Operational/managerial Control · NOT APPLICABLE
Martin, Caroline (individual)Operational/managerial Control · NOT APPLICABLE
Pivotal Health Care LLC (organization)Operational/managerial Control · NOT APPLICABLE
Scenic Development LLC (organization)Operational/managerial Control · NOT APPLICABLE
Wood, Gilbert (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Westchester Village of Lenexa?

Westchester Village of Lenexa has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.

How many beds does Westchester Village of Lenexa have?

It has 34 certified beds and cares for about 31 residents per day.

Has Westchester Village of Lenexa been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Westchester Village of Lenexa?

It is part of Pivotal Health Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Westchester Village of Lenexa?

(913) 307-2000. The facility is located at 8505 Pflumm Road, Lenexa, KS 66215.

Other nursing homes in Lenexa

Compare all nursing homes in Lenexa, KS →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.