The Healthcare Resort of Leawood - Iron Horse Hlth

Nursing Home · Leawood, KS

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number175558

Contact & location

5401 W 143Rd Street
Leawood, KS 66224
Johnson County
Phone
(913) 249-3600
ZIP code
66224 – all care providers

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Facility details

Certified beds
70
Residents per day
61.5 (88% occupied)
Ownership
For profit - Limited Liability company
Legal name
Iron Horse Healthcare LLC
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
December 7, 2016
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

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

Staffing

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

Total nurse staffing
4.05 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
0.76 (state 0.71 · U.S. 0.69)
Licensed practical nurses
0.61 (state 0.65 · U.S. 0.86)
Nurse aides
2.68 (state 2.70 · U.S. 2.32)
Weekend total
3.76 (state 3.60 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
August 6, 2025
Health deficiencies (last cycle)
15.0 (state 9.5 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
36 health · 28 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-11 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 · complaint inspection
L
Immediate jeopardy to resident health or safety
Corrected 2026-02-10
2025-08-06 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 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 2025-09-15
2025-08-06 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 2025-09-15
2025-08-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 Keep complete, dated laboratory records in the resident's record.
F0775 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2025-08-06 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.
F0849 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-15
2023-11-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-16 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-16 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.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-16 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
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-16 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 2023-12-15
2023-11-16 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-16 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 2023-12-15
2023-11-16 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 2023-12-15
2023-11-16 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 2023-12-15
2023-11-16 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 2023-12-15
2023-11-16 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.
F0803 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2022-03-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-04-08
2022-03-07 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-04-08
2022-03-07 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 2022-04-08
2022-03-07 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-04-08
2022-03-07 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 2022-04-08
2022-03-07 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-04-08
2022-03-07 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 2022-04-08
2022-03-07 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-04-08
2022-03-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-04-08

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

1 penalty in the last three years, including $12,418 in fines.

DateTypeAmount
2026-02-11Fine$12,418

Ownership & management

NameRoleSince
Bohrer, Tracy (individual)Administrator · NOT APPLICABLE
Geha, Christopher (individual)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Gateway Healthcare LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Jorgensen, David (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Keetch, Chad (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Bohrer, Tracy (individual)Managing Control - Governing Body · NOT APPLICABLE
Burnam, Soon (individual)Managing Control - Governing Body · NOT APPLICABLE
Geha, Christopher (individual)Managing Control - Governing Body · NOT APPLICABLE
Bohrer, Tracy (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Healthcare Resort of Leawood - Iron Horse Hlth?

The Healthcare Resort of Leawood - Iron Horse Hlth has a 2-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 The Healthcare Resort of Leawood - Iron Horse Hlth have?

It has 70 certified beds and cares for about 62 residents per day.

Has The Healthcare Resort of Leawood - Iron Horse Hlth been fined?

Yes. CMS lists 1 penalty totaling $12,418 in the last three years.

Who owns The Healthcare Resort of Leawood - Iron Horse Hlth?

It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Healthcare Resort of Leawood - Iron Horse Hlth?

(913) 249-3600. The facility is located at 5401 W 143Rd Street, Leawood, KS 66224.

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