01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-28 | 5 | 2026-01-28 | 11 |
| Cycle 2 | 2024-03-13 | 33 | 2024-03-13 | 13 |
| Cycle 3 | 2022-09-15 | 12 | 2022-09-15 | 3 |
CMS CCN 1751822026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Delmar Gardens Of Overland Park
12100 W 109Th Street · Overland Park, KS 66210 · Johnson County
Certified beds120CMS provider file
Recent citation rows77current CMS citation release
Penalty rows4current 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
77 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 18 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-30 · HEALTHF0690Severity D · isolated; 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 plan of correction · 2026-07-30 · complaint2026-01-28 · 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 · 2026-03-122026-01-28 · 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 · 2026-03-122026-01-28 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2026-03-122026-01-28 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-03-122026-01-28 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2026-04-082026-01-28 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-04-082026-01-28 · 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 · 2026-04-082026-01-28 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-04-082026-01-28 · 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 · 2026-04-082026-01-28 · 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 · 2026-04-082026-01-28 · 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 · 2026-04-082026-01-28 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-04-082026-01-28 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-04-082026-01-28 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-04-082026-01-28 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-04-082024-03-13 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-04-242024-03-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-04-26 · complaint2024-03-13 · 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 · 2024-04-26 · complaint2024-03-13 · 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 · 2024-04-26 · complaint2024-03-13 · 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 · 2024-04-26 · complaint2024-03-13 · HEALTHF0576Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2024-04-26 · complaint2024-03-13 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-04-26 · complaint2024-03-13 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2024-04-26 · complaint03 / 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 |
|---|---|---|---|
| 2024-02-20 | Fine | $6,369 | 0 |
| 2024-02-12 | Fine | $5,790 | 0 |
| 2024-01-22 | Fine | $5,698 | 0 |
| 2023-12-26 | Fine | $5,404 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DELMAR GARDENS ENTERPRISES INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/11/2003
- GABE GROSSBERG AND GEORGE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARAOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 03/11/2003
- GEORGE GROSSBERG AND GABE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARAOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 03/11/2003
- GOLDBERG-NOM LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST25% · since 03/11/2003
- NON-GST FAMILY TRUST EST U/W OF ISRAEL GOLDBERG FBO JANICE BITANSKIOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 04/10/2013
- NON-GST FAMILY TRUST ESTABLISHED U/W OF ISRAEL GOLDBERG FBO HARRY ZVIOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 04/10/2013
- NON-GSTFAMILY TRUST EST U/W ISRAEL GOLDBERG FBO DIANE FREDMANOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 04/10/2013
- GROSSBERG, GABEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST16% · since 03/11/2003
- GROSSBERG, GEORGEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST11% · since 03/11/2003
- CONEKIN, TAMMYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/10/2023
- HILL, AMANDAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/10/2021
- GROSSBERG, GABEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/11/2003
- MARX, KENNETHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/11/2019
- OPPENHEIMER, HOWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/11/2003
- DELMAR GARDENS MANAGEMENT SERVICES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2005
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 hours3.43per resident day
RN hours0.49per resident day
Weekend nurse hours3.08per resident day
Staff turnover38.0%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 rowsAspen Health And Wellness102 beds · CMS overall 1/5101 citation rowsBrookdale Overland Park94 beds · CMS overall 4/537 citation rowsColonial Village40 beds · CMS overall 2/552 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