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C
Below Standard

Delmar Gardens Of Overland Park

12100 W 109TH STREET · OVERLAND PARK, KS 66210

9134694210 · For profit - Limited Liability company

120 beds96.7 residents168 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
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 Overland Park receives an overall staffing grade of C (Below Standard). With 3.3124 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5372 HPRD, below the recommended 0.75. It is 0.58 HPRD below the national average.

Weekend staffing drops significantly — dropping 30.74% compared to weekdays. The facility has low agency staff usage (2.32% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3124 HPRD — needs 0.17 more hours per resident per day.
⚠️RN staffing (0.5372 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 30.74% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.32%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3124hrs/resident/day▼ 0.58
CMS benchmark: 3.48
RN HPRD
0.5372hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
30.74%
3.6275 weekday → 2.5125 weekend
⚠ Significant weekend reduction
Agency Staff
2.32%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8389hrs/resident/day
Direct care aides
LPN HPRD
0.5364hrs/resident/day
Licensed practical nurses
Consistency
0.7483std 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-0.82 HPRD
4.13
03.31 HPRD
vs. Kansas State Average-0.77 HPRD
4.08
03.31 HPRD
vs. National Average-0.58 HPRD
3.90
03.31 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 Overland Park ★
OVERLAND PARK · This facility
—
C
3.31240.5372★☆☆☆☆
Delmar Gardens Of Lenexa
LENEXA
1.3 mi
F
0.16610.0176★★★★☆
LAKEVIEW VILLAGE
LENEXA
2.3 mi
A+
5.66311.0133★★★☆☆
VILLA ST FRANCIS CATHOLIC CARE CENTER INC
OLATHE
3.5 mi
A
5.4750.8101★★★★★
SWAN HEALTH AT OVERLAND PARK
OVERLAND PARK
3.6 mi
A
4.87550.8913★☆☆☆☆
ABERDEEN VILLAGE
OLATHE
3.7 mi
A+
5.09741.1723★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
53
Total Deficiencies
$23,261
Fines Assessed
Mar 13, 2024Health
33 deficiencies cited
▼
Sep 15, 2022Health
12 deficiencies cited
▼
Apr 15, 2021Health
8 deficiencies cited· Includes actual harm
▼

Penalty History

Feb 20, 2024Fine
$6,369
Feb 12, 2024Fine
$5,790
Jan 22, 2024Fine
$5,698
Dec 26, 2023Fine
$5,404
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.