Colonial Village

Nursing Home · Overland Park, KS

CMS overall rating 2/5 For profit - Corporation

CMS certification number175560

Contact & location

12500 W 137Th ST
Overland Park, KS 66221
Johnson County
Phone
(913) 730-3700
ZIP code
66221 – all care providers

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Facility details

Certified beds
40
Residents per day
34.8 (87% occupied)
Ownership
For profit - Corporation
Legal name
CCRC of Overland Park LLC
Chain
Pivotal Health Care (9 facilities, avg 3.9★)
Medicare certified since
December 12, 2018
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★★★★★ 4/5

Staffing

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

Total nurse staffing
4.43 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
1.00 (state 0.71 · U.S. 0.69)
Licensed practical nurses
0.59 (state 0.65 · U.S. 0.86)
Nurse aides
2.83 (state 2.70 · U.S. 2.32)
Weekend total
4.02 (state 3.60 · U.S. 3.42)
Nursing staff turnover
63.0 (state 48.1 · U.S. 45.8)%
RN turnover
61.5 (state 42.0 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
October 31, 2024
Health deficiencies (last cycle)
10.0 (state 9.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
28 health · 24 fire safety · includes actual harm
DateCitationSeverityStatus
2024-10-31 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-11-21
2024-10-31 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 2024-11-21
2024-10-31 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 2024-11-21
2024-10-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-21
2024-10-31 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-21
2024-10-31 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-21
2024-10-31 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 2024-11-21
2024-10-31 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-21
2024-10-31 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 2024-11-21
2024-10-31 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 2024-11-21
2023-06-08 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 2023-06-30
2023-06-08 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 2023-06-30
2023-06-08 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-30
2023-06-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-30
2023-06-08 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-30
2023-06-08 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-30
2023-06-08 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 2023-06-30
2023-06-08 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 2023-06-30
2023-06-08 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-30
2023-06-08 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-30
2023-06-08 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-30
2023-06-08 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 2023-06-30
2023-06-08 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 2023-06-30
2023-06-08 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-06-30
2021-11-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2021-11-30
2021-11-02 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 2021-11-30
2021-11-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-11-30
2021-11-02 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-11-30

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
Abby, Amber (individual)Administrator · NOT APPLICABLE
Curana Health of Missouri-Kansas LLC (organization)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
Abby, Amber (individual)Operational/managerial Control · NOT APPLICABLE
Anderson, Jordan (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 Colonial Village?

Colonial Village 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 Colonial Village have?

It has 40 certified beds and cares for about 35 residents per day.

Has Colonial Village been fined?

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

Who owns Colonial Village?

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 Colonial Village?

(913) 730-3700. The facility is located at 12500 W 137Th ST, Overland Park, KS 66221.

Other nursing homes in Overland Park

Compare all nursing homes in Overland Park, KS →

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