01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-26 | 20 | 2025-06-26 | 4 |
| Cycle 2 | 2023-10-19 | 21 | 2023-10-19 | 21 |
| Cycle 3 | 2022-01-27 | 14 | 2022-01-27 | 21 |
CMS CCN 1751872026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Aspen Health And Wellness
6501 W 75Th Street · Overland Park, KS 66204 · Johnson County
Certified beds102CMS provider file
Recent citation rows101current CMS citation release
Penalty rows15current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
101 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 24 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-06-26 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0690Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0725Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · HEALTHF0881Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-08-07 · complaint2025-06-26 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-09-232025-06-26 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-09-232025-06-26 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-09-232025-06-26 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-09-2303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-13 | Fine | $17,940 | 0 |
| 2024-07-03 | Fine | $15,041 | 0 |
| 2023-11-20 | Fine | $4,587 | 0 |
| 2023-11-13 | Fine | $4,587 | 0 |
| 2023-11-06 | Fine | $4,587 | 0 |
| 2023-10-30 | Fine | $4,587 | 0 |
| 2023-10-23 | Fine | $4,587 | 0 |
| 2023-10-17 | Fine | $4,587 | 0 |
| 2023-10-10 | Fine | $4,587 | 0 |
| 2023-10-02 | Fine | $4,587 | 0 |
| 2023-09-25 | Fine | $4,587 | 0 |
| 2023-09-18 | Fine | $4,587 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JORGENSEN, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/22/2024
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/22/2024
- FITCH, CRAIGIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/22/2024
- LEWIS, CORWINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/22/2024
- SATO, AMIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/09/2024
- HOLLIS, JACQUELINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/19/2024
- GEHA, CHRISTOPHERIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/22/2025
- HOLLIS, JACQUELINEIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/06/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.66per resident day
RN hours0.70per resident day
Weekend nurse hours3.11per resident day
Staff turnover55.6%CMS reported field
06 / LOCAL RECORDS
Open the Overland Park ledger →Other published facilities nearby
Advanced Health Care Of Overland Park38 beds · CMS overall 5/565 citation rowsBrookdale Overland Park94 beds · CMS overall 4/537 citation rowsColonial Village40 beds · CMS overall 2/552 citation rowsDelmar Gardens Of Overland Park120 beds · CMS overall 3/577 citation rowsGarden Terrace At Overland Park163 beds · CMS overall 1/588 citation rowsIgnite Medical Resort Overland Park Llc102 beds · CMS overall 2/572 citation rowsOverland Park Post Acute140 beds · CMS overall 1/598 citation rowsShawnee Post Acute Rehabilitation Center101 beds · CMS overall 2/559 citation rows