All citations for Westchester Village 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 Westchester Village of Lenexa

Last standard health inspection on record

March 19, 2025

Showing 1 to 25 of 49 citations

No harm, with potential for more than minimal harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Widespread (many residents). CMS level F.
Health citation F-0942, Resident Rights Deficiencies. Inspection of March 19, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
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 July 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 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 July 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 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 July 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 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 July 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Widespread (many residents). CMS level F.
Fire safety citation K-0131, Construction Deficiencies. Inspection of December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
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 December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
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 December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
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 December 30, 2021. Found during a standard inspection.
A waiver was granted (February 17, 2022).
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 December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
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 December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
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 December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
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 December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Provide activities to meet all resident's needs.
Pattern (more than a few residents). CMS level E.
Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of July 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 20, 2023).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
No harm, with potential for more than minimal harm
Meet other general requirements that are deficient.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0300, Egress Deficiencies. Inspection of December 30, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2022).
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 19, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 2, 2025).

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.