EVERGREEN COMMUNITY OF JOHNSON COUNTY
11875 S SUNSET DRIVE, SUITE 100
OLATHE, KS, 66061
9134778227
CCN: 175355
3
Overall3
Health4
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| EVERGREEN LIVING INNOVATIONS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| DWYER, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| DAUGHERTY, DIANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GALLAGHER, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| GASH, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| GASH, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| PARISE, BRETT | CORPORATE DIRECTOR | NOT APPLICABLE |
| SWEARINGEN-LYLES, DEBRA | CORPORATE DIRECTOR | NOT APPLICABLE |
| AMOS, PATRICK | CORPORATE OFFICER | NOT APPLICABLE |
| DUPRIEST, JESSICA | CORPORATE OFFICER | NOT APPLICABLE |
| HOLLAND, CHRIS | CORPORATE OFFICER | NOT APPLICABLE |
| OSBORN, CHRISTOPHER | CORPORATE OFFICER | NOT APPLICABLE |
| PLOWMAN, ANDREA | CORPORATE OFFICER | NOT APPLICABLE |
| ROBERTS, CHARLA | CORPORATE OFFICER | NOT APPLICABLE |
| GASH, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOLLAND, CHRIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROBERTS, CHARLA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PARISE, BRETT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SWEARINGEN-LYLES, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAUGHERTY, DIANNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DWYER, MARK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GALLAGHER, LINDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GASH, MARK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (3)
| Date | Type | Amount |
|---|---|---|
| 2024-05-01 | Fine | $13K |
| 2024-05-01 | Payment Denial | 3 days |
| 2023-10-03 | Fine | $10K |
Health Deficiencies (29)
2024-05-01 · Health
D
F849 · 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.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · 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.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F676 · 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.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2023-10-03 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-09-19 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · 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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F756 · 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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F690 · 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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F688 · 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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F661 · 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.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2021-04-29 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F758 · 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.
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
F756 · 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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F688 · 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.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.96
RN Hrs/Resident/Day0.54
0.79
LPN Hrs/Resident/Day0.81
0.78
CNA Hrs/Resident/Day2.33
3.40
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01