01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-25 | 3 | 2026-02-25 | 11 |
| Cycle 2 | 2024-05-08 | 7 | 2024-05-08 | 9 |
| Cycle 3 | 2022-10-27 | 7 | 2022-10-27 | 12 |
CMS CCN 1755412026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Tallgrass Creek, Inc
13760 Metcalf Avenue · Overland Park, KS 66223 · Johnson County
Certified beds44CMS provider file
Recent citation rows49current CMS citation release
Penalty rows1current 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
49 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-25 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-25 · 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 · 2026-03-312026-02-25 · HEALTHF0880Severity E · pattern; 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 · 2026-03-312026-02-25 · 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 · 2026-05-292026-02-25 · FIREK0321Severity D · isolated; 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 · 2026-05-292026-02-25 · FIREK0344Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Correction field: Deficient, Provider has date of correction · 2026-05-292026-02-25 · 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 · 2026-05-292026-02-25 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-292026-02-25 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-05-292026-02-25 · 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 · 2026-05-292026-02-25 · 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 · 2026-05-292026-02-25 · 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 · 2026-05-292026-02-25 · 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 · 2026-05-292026-02-25 · 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 · 2026-05-292024-05-08 · 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 · 2024-06-11 · complaint2024-05-08 · 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 · 2024-06-11 · complaint2024-05-08 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-06-11 · complaint2024-05-08 · HEALTHF0804Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2024-06-11 · complaint2024-05-08 · HEALTHF0807Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Correction field: Deficient, Provider has date of correction · 2024-06-11 · complaint2024-05-08 · HEALTHF0812Severity E · pattern; 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 · 2024-06-11 · complaint2024-05-08 · HEALTHF0880Severity E · pattern; 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 · 2024-06-11 · complaint2024-05-08 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-07-182024-05-08 · 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 · 2024-06-262024-05-08 · 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 · 2024-07-1803 / 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 |
|---|---|---|---|
| 2023-10-16 | Fine | $7,446 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NATIONAL SENIOR COMMUNITIES, INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/14/2021
- BROWN, IANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- BROWN, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- CLUPPER, KATHERINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- COLINS, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- ERSTAD, EILEENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- JACQUE, ZINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/16/2014
- LEONARD, MONTYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- MOSCATO, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- PAULK, PAMELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- POMERANZ, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- REEL, STEPHANIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- ROSKIEWICZ, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- SHARP, RUSSELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- WALLICK, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- COLINS, MARYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2019
- EMBLEY, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/27/2021
- ERSTAD, EILEENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2018
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 hours4.87per resident day
RN hours1.15per resident day
Weekend nurse hours4.30per resident day
Staff turnover43.1%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 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 rows