01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-25 | 2 | 2024-05-01 | 7 |
| Cycle 2 | 2024-05-01 | 7 | 2022-09-19 | 7 |
| Cycle 3 | 2022-09-19 | 15 | 2021-04-29 | 7 |
CMS CCN 1753552026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Evergreen Community Of Johnson County
11875 S Sunset Drive, Suite 100 · Olathe, KS 66061 · Johnson County
Certified beds44CMS provider file
Recent citation rows45current CMS citation release
Penalty rows3current 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
45 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-25 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-302026-02-25 · 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 · 2026-03-302024-05-01 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2024-04-122024-05-01 · 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 · 2024-05-31 · complaint2024-05-01 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-05-31 · complaint2024-05-01 · HEALTHF0679Severity D · isolated; 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 · 2024-05-31 · complaint2024-05-01 · HEALTHF0689Severity G · isolated actual 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 · 2024-05-31 · complaint2024-05-01 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-05-31 · complaint2024-05-01 · 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 · 2024-05-31 · complaint2024-05-01 · 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 · 2024-05-31 · complaint2024-05-01 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-05-022024-05-01 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-04-122024-05-01 · FIREK0325Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2024-04-122024-05-01 · 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 · 2024-05-012024-05-01 · 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 · 2024-04-122024-05-01 · FIREK0920Severity F · widespread; 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 · 2024-05-022023-10-03 · HEALTHF0689Severity G · isolated actual 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: Past Non-Compliance · 2023-09-29 · complaint2022-09-19 · 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 · 2022-10-312022-09-19 · 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 · 2022-10-312022-09-19 · HEALTHF0661Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Correction field: Deficient, Provider has date of correction · 2022-10-312022-09-19 · 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 · 2022-10-312022-09-19 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2022-10-312022-09-19 · HEALTHF0689Severity D · isolated; 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 · 2022-10-312022-09-19 · 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 date of correction · 2022-10-3103 / 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 |
|---|---|---|---|
| 2024-05-01 | Fine | $12,854 | 0 |
| 2024-05-01 | Payment Denial | $0 | 3 |
| 2023-10-03 | Fine | $10,059 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EVERGREEN LIVING INNOVATIONS INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2003
- DAUGHERTY, DIANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2018
- DWYER, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- GALLAGHER, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/20/2020
- GASH, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- GASH, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/18/2018
- PARISE, BRETTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- SWEARINGEN-LYLES, DEBRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/23/2024
- AMOS, PATRICKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2022
- DUPRIEST, JESSICAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- HOLLAND, CHRISIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/19/2019
- OSBORN, CHRISTOPHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2011
- PLOWMAN, ANDREAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- ROBERTS, CHARLAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/09/2023
- DAUGHERTY, DIANNEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2025
- DWYER, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2025
- GALLAGHER, LINDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2025
- GASH, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2025
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 hours5.26per resident day
RN hours0.81per resident day
Weekend nurse hours4.68per resident day
Staff turnover45.3%CMS reported field
06 / LOCAL RECORDS
Open the Olathe ledger →Other published facilities nearby
Aberdeen Village60 beds · CMS overall 5/526 citation rowsAzria Health Olathe125 beds · CMS overall 1/5100 citation rowsGood Samaritan-Olathe128 beds · CMS overall 3/569 citation rowsHoeger House34 beds · CMS overall 5/563 citation rowsNottingham Health And Rehabilitation80 beds · CMS overall 5/536 citation rowsThe Healthcare Resort Of Olathe70 beds · CMS overall 2/595 citation rowsThe Plaza Health Services At Santa Marta50 beds · CMS overall 5/570 citation rowsVilla St Francis Catholic Care Center Inc170 beds · CMS overall 5/566 citation rows