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Nursing homeFAID #4744

Westchester Village of Lenexa

8505 PFLUMM ROAD, LENEXA, KS, 66215
(913) 307-2000
34 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
34
State license
N046085
CMS facility ID
175536
Care type
Nursing home
Facility name
Westchester Village of Lenexa
Legal entity
Westchester Village of Lenexa
Street address
8505 PFLUMM ROAD
City / state / ZIP
Lenexa, KS 66215
Phone
(913) 307-2000
State license #
N046085

About this facility — Westchester Village of Lenexa

Westchester Village of Lenexa is a Medicare/Medicaid-certified skilled nursing facility in Lenexa, Kansas. It is licensed for 34 beds — below the median for skilled nursing facilities in Kansas (52 beds).

It is one of 15 senior care facilities in Lenexa and 296 skilled nursing facilities across Kansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Westchester Village of Lenexa 49 times across 7 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Pivotal Health Care
Ownership type
For profit - Corporation
Administrator
Clayton Frans

Registered owners & officers

3rk, Llc
Indirect owner — since 2021
5 R Cattle, Llc
Indirect owner — since 2017
Anderson, Jordan
Indirect owner · Operational control — since 2021
Anderson, Marlene
Indirect owner — since 2017
Anderson, Wayne
Indirect owner — since 2017
Cadet Investment Llc
Indirect owner — since 2017
Curana Health of Missouri-kansas Llc
Additional disclosable party — since 2023
Frans, Clayton
Operational control · Additional disclosable party — since 2026
Gulledge, Scott
Indirect owner · Operational control · Additional disclosable party — since 2017
Gulledge, Travis
Indirect owner · Operational control · Additional disclosable party — since 2021
Howard, Steven
Indirect owner — since 2017
Lmray, Llc
Indirect owner — since 2017
Martin, Caroline
Operational control · Additional disclosable party — since 2023
Pivotal Health Care Llc
Operational control · Additional disclosable party — since 2017
Poky - 5r Llc
Indirect owner — since 2019
Poky Feeders Inc
Indirect owner — since 2017
Scenic Development Llc
Direct owner · Operational control — since 2017
Scenic Holdings Llc
Direct owner — since 2019
Summit Care, Llc
Additional disclosable party — since 2017
Wood, Gilbert
Indirect owner · Operational control — since 2017
Wsg Llc
Indirect owner — since 2017

Regulatory standing

Licensed / certified since
2013-06-27
CMS overall rating
4 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-03-19
Nurse staffing
5.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$833 per day (≈ $25,320/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
12% Medicaid · 12% Medicare · 76% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
170% above the KS median of $309/day — full state cost breakdown

Services & coverage

Licensed beds
34
Licensed as
Nursing Facility<BR> Assisted Living Facility
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-03-19Health inspectionComplaint-triggered8 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-02
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-02
F-0625
D · No harm foundFrom a complaint
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.
Corrected 2025-05-02
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-02
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-05-02
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-02
F-0883
D · No harm foundFrom a complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-02
F-0942
F · No harm foundFrom a complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-05-02
2023-07-12Health inspection7 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-20
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-07-20
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-20
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-20
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-07-20
F-0758
D · No harm found
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.
Corrected 2023-07-20
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-07-20
4 earlier / fire-safety inspections (34 citations)
2021-12-30Health inspection7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-01-30
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-01-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-30
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-30
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-01-30
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-01-30
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-01-30
2025-03-19Fire-safety inspection3 citations
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-05-01
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-05-01
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-01
2023-07-12Fire-safety inspection10 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-14
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-09-14
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-14
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-09-14
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-14
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-14
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-09-14
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-14
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-09-14
2021-12-30Fire-safety inspection14 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-02-17
E-0024
F · No harm found
Establish policies and procedures for volunteers.
Corrected 2022-02-17
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2022-02-17
K-0131
F · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2022-02-17
K-0222
F · No harm found
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.
Corrected 2022-02-17
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-17
K-0300
E · No harm found
Meet other general requirements that are deficient.
Corrected 2022-02-17
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-02-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-17
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-02-17
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-02-17
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2022-02-17
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-02-17
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-02-17
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 175536.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 49 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered