EVERGREEN COMMUNITY OF JOHNSON COUNTY – Nursing Home, OLATHE, Kansas
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 25 February 2026 · 82 health and 63 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
11875 S SUNSET DRIVE, SUITE 100
OLATHE, KS 66061
Phone: (913) 477-8227
Compare to KS average
See how this facility compares to the KS state average among rated nursing homes (330 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | KS average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 4 | 3.02 | 5 |
| Health inspection | 4 | 2.8 | 5 |
| Staffing | 4 | 3.42 | 5 |
| Quality measures | 2 | 3.26 | 5 |
| Certified beds | 86 | 60.5 | — |
| Citations on file (health + fire) | 145 | ~7.3 health* | — |
- ABERDEEN VILLAGE — 5★ overall
- AZRIA HEALTH OLATHE — 1★ overall
- GOOD SAMARITAN SOCIETY - OLATHE — 3★ overall
- HOEGER HOUSE — 5★ overall
- NOTTINGHAM HEALTH AND REHABILITATION — 5★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| HOLLAND, CHRIS | CORPORATE OFFICER | Individual | - | 08/19/2019 |
| HOLLAND, CHRIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| GALLAGHER, LINDA | CORPORATE DIRECTOR | Individual | - | 08/20/2020 |
| GALLAGHER, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| AMOS, PATRICK | CORPORATE OFFICER | Individual | 0.00 | 01/01/2022 |
| DAUGHERTY, DIANNE | CORPORATE DIRECTOR | Individual | - | 10/01/2018 |
| DAUGHERTY, DIANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| DUPRIEST, JESSICA | CORPORATE OFFICER | Individual | - | 01/01/2024 |
| DWYER, MARK KEVIN | CORPORATE DIRECTOR | Individual | - | 01/01/2024 |
| DWYER, MARK KEVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| ROBERTS, CHARLA | CORPORATE OFFICER | Individual | - | 10/09/2023 |
| ROBERTS, CHARLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 10/09/2023 |
| ROBERTS, CHARLA | ADP OF THE SNF | Individual | - | 10/09/2023 |
| GASH, MARK | CORPORATE DIRECTOR | Individual | - | 04/01/2018 |
| GASH, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| PARISE, BRETT A | CORPORATE DIRECTOR | Individual | - | 01/01/2022 |
| PARISE, BRETT A | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| GASH, MARY | CORPORATE DIRECTOR | Individual | - | 10/18/2018 |
| GASH, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| PLOWMAN, ANDREA | CORPORATE OFFICER | Individual | 0.00 | 01/01/2024 |
| OSBORN, CHRISTOPHER M | CORPORATE OFFICER | Individual | - | 05/01/2011 |
| SWEARINGEN-LYLES, DEBRA | CORPORATE DIRECTOR | Individual | - | 04/23/2024 |
| SWEARINGEN-LYLES, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/06/2025 |
| EVERGREEN LIVING INNOVATIONS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 01/01/2003 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
145 citations on file · Latest survey: 25 February 2026 · 82 health · 63 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-25 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2026-02-25 | F693 | D — Minimal harm, isolated | Health | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. |
| 2024-05-01 | F849 | D — Minimal harm, isolated | Health | 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. |
| 2024-05-01 | F849 | D — Minimal harm, isolated | Health | 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. |
| 2024-05-01 | F849 | D — Minimal harm, isolated | Health | 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. |
| 2024-05-01 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-05-01 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-05-01 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-05-01 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-05-01 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-05-01 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-05-01 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-05-01 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-05-01 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-05-01 | F679 | D — Minimal harm, isolated | Health | Provide activities to meet all resident's needs. |
| 2024-05-01 | F679 | D — Minimal harm, isolated | Health | Provide activities to meet all resident's needs. |
| 2024-05-01 | F679 | D — Minimal harm, isolated | Health | Provide activities to meet all resident's needs. |
| 2024-05-01 | F676 | D — Minimal harm, isolated | Health | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. |
| 2024-05-01 | F676 | D — Minimal harm, isolated | Health | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. |
| 2024-05-01 | F676 | D — Minimal harm, isolated | Health | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-05-01 | E7 | F — Minimal harm, widespread | Fire Safety | Address patient/client population and determine types of services needed. |
| 2024-05-01 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2024-05-01 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2024-05-01 | K325 | E — Minimal harm, pattern | Fire Safety | Have properly installed hallway dispensers for alcohol-based hand rub. |
| 2024-05-01 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-01 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2024-05-01 | K920 | F — Minimal harm, widespread | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-05-01 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2024-05-01 | K325 | E — Minimal harm, pattern | Fire Safety | Have properly installed hallway dispensers for alcohol-based hand rub. |
| 2024-05-01 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-01 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2024-05-01 | K920 | F — Minimal harm, widespread | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-05-01 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2024-05-01 | E7 | F — Minimal harm, widespread | Fire Safety | Address patient/client population and determine types of services needed. |
| 2024-05-01 | E7 | F — Minimal harm, widespread | Fire Safety | Address patient/client population and determine types of services needed. |
| 2024-05-01 | K920 | F — Minimal harm, widespread | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-05-01 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2024-05-01 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-01 | K325 | E — Minimal harm, pattern | Fire Safety | Have properly installed hallway dispensers for alcohol-based hand rub. |
| 2024-05-01 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 4 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 4 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 3.35782 |
| Reported LPN Staffing Hours per Resident per Day | 0.86258 |
| Reported RN Staffing Hours per Resident per Day | 0.76916 |
| Reported Licensed Staffing Hours per Resident per Day | 1.63175 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.94663 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.03167 |
| Casemix CNA Staffing Hours per Resident per Day | 2.0342 |
| Casemix LPN Staffing Hours per Resident per Day | 0.66021 |
| Casemix RN Staffing Hours per Resident per Day | 0.28867 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.98307 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.40772 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.93972 |
| Adjusted RN Staffing Hours per Resident per Day | 0.83794 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 5.38896 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-04-23 |
Date of Standard Health Survey (Cycle 2) | 2018-06-14 |
Health Deficiency Score (Cycle 1) | 0 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 0 |
Total Number of Health Deficiencies (Cycle 2) | 4 |
Number of Standard Health Deficiencies (Cycle 2) | 4 |
Health Deficiency Score (Cycle 2) | 16 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 16 |
Date of Standard Health Survey (Cycle 3) | 2016-07-26 |
Total Number of Health Deficiencies (Cycle 3) | 3 |
Number of Standard Health Deficiencies (Cycle 3) | 3 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 12 |
Total Health Score (Cycle 3) | 12 |
Total Weighted Health Survey Score | 34 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 3 |
Number of Fines | 2 |
Total Amount of Fines in Dollars | 22913 |
Number of Payment Denials | 1 |
Total Number of Penalties | 3 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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