EVERGREEN COMMUNITY OF JOHNSON COUNTY

11875 S SUNSET DRIVE, SUITE 100
OLATHE, KS, 66061
9134778227
CCN: 175355
3
Overall
3
Health
4
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
EVERGREEN LIVING INNOVATIONS INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
DWYER, MARKCORPORATE DIRECTORNOT APPLICABLE
DAUGHERTY, DIANNECORPORATE DIRECTORNOT APPLICABLE
GALLAGHER, LINDACORPORATE DIRECTORNOT APPLICABLE
GASH, MARKCORPORATE DIRECTORNOT APPLICABLE
GASH, MARYCORPORATE DIRECTORNOT APPLICABLE
PARISE, BRETTCORPORATE DIRECTORNOT APPLICABLE
SWEARINGEN-LYLES, DEBRACORPORATE DIRECTORNOT APPLICABLE
AMOS, PATRICKCORPORATE OFFICERNOT APPLICABLE
DUPRIEST, JESSICACORPORATE OFFICERNOT APPLICABLE
HOLLAND, CHRISCORPORATE OFFICERNOT APPLICABLE
OSBORN, CHRISTOPHERCORPORATE OFFICERNOT APPLICABLE
PLOWMAN, ANDREACORPORATE OFFICERNOT APPLICABLE
ROBERTS, CHARLACORPORATE OFFICERNOT APPLICABLE
GASH, MARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOLLAND, CHRISOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROBERTS, CHARLAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PARISE, BRETTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SWEARINGEN-LYLES, DEBRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DAUGHERTY, DIANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DWYER, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GALLAGHER, LINDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GASH, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (3)
DateTypeAmount
2024-05-01Fine$13K
2024-05-01Payment Denial3 days
2023-10-03Fine$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/Day
4.96
3.68
RN Hrs/Resident/Day
0.79
0.54
LPN Hrs/Resident/Day
0.78
0.81
CNA Hrs/Resident/Day
3.40
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01