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F
Critical

Delmar Gardens Of Lenexa

9701 MONROVIA STREET · LENEXA, KS 66215

9134921130 · For profit - Corporation

222 beds174.8 residents133 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Delmar Gardens Of Lenexa receives an overall staffing grade of F (Critical). With 0.1661 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.0176 HPRD, below the recommended 0.75. It is 3.73 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping -84.24% compared to weekdays. The facility relies heavily on temporary agency staff (100% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

🚨Had 64 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 0.1661 HPRD — needs 3.31 more hours per resident per day.
⚠️RN staffing (0.0176 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️100% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Consistent weekend staffing — only -84.24% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
0.1661hrs/resident/day▼ 3.73
CMS benchmark: 3.48
RN HPRD
0.0176hrs/resident/day▼ 0.67
Recommended: 0.75
Weekend Drop-off
-84.24%
0.1342 weekday → 0.2472 weekend
Agency Staff
100%
100% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
64days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
0.112hrs/resident/day
Direct care aides
LPN HPRD
0.0365hrs/resident/day
Licensed practical nurses
Consistency
0.1176std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Johnson County Average-3.97 HPRD
4.13
00.17 HPRD
vs. Kansas State Average-3.92 HPRD
4.08
00.17 HPRD
vs. National Average-3.73 HPRD
3.90
00.17 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Delmar Gardens Of Lenexa ★
LENEXA · This facility
—
F
0.16610.0176★★★★☆
LAKEVIEW VILLAGE
LENEXA
1.2 mi
A+
5.66311.0133★★★☆☆
Delmar Gardens Of Overland Park
OVERLAND PARK
1.3 mi
C
3.31240.5372★☆☆☆☆
GARDEN TERRACE AT OVERLAND PARK
OVERLAND PARK
2.6 mi
B
3.83280.5684★☆☆☆☆
SHAWNEE GARDENS HEALTHCARE & REHAB CENTER
SHAWNEE
2.9 mi
C
3.43250.41★☆☆☆☆
SWAN HEALTH AT OVERLAND PARK
OVERLAND PARK
3.7 mi
A
4.87550.8913★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
14
Total Deficiencies
$0
Fines Assessed
Mar 27, 2024Health
7 deficiencies cited
▼
Oct 24, 2022Health
6 deficiencies cited
▼
May 24, 2021Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.