All citations for Delmar Gardens of Lenexa

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Delmar Gardens of Lenexa

Last standard health inspection on record

March 18, 2026

Showing 1 to 25 of 28 citations

No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
A waiver was granted (January 11, 2023).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Widespread (many residents). CMS level F.
Fire safety citation K-0255, Egress Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
A waiver was granted (January 11, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2024).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0550, Resident Rights Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2024).
No harm, with potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0623, Resident Rights Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2024).
No harm, with potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Isolated (one or a few residents). CMS level D.
Health citation F-0625, Resident Rights Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2024).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Isolated (one or a few residents). CMS level D.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2024).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Isolated (one or a few residents). CMS level D.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.