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 26 to 50 of 68 citations

  1. 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 May 24, 2021. Found during a standard inspection.

    A waiver was granted (July 28, 2021).

  2. No harm, with potential for more than minimal harm

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2021).

  3. 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 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  4. 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.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

  5. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

  7. 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).

  8. 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).

  9. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

  10. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2021).

  11. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2021).

  12. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2021).

  13. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2021).

  14. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2021).

  15. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of June 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

  16. No harm, with potential for more than minimal harm

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0627, Resident Rights Deficiencies. Inspection of June 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

  17. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  18. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  19. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  20. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  21. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  23. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  24. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  25. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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.