Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Village At Mission during CMS and state inspections, most recent first.
A resident with dementia, impaired cognition, and frequent urine and bowel incontinence was left in a soiled brief and soiled bedding for an extended period despite a care plan directing regular toileting assistance and incontinence checks. Staff entered the room multiple times for meds, meals, and housekeeping but did not ask about toileting or change the brief until later, when the resident was found with urine and feces odor, bright red buttocks, and dried urine on the bedding.
A resident was transferred without a gait belt even though her care plan did not direct staff on the transfer method, and she immediately reported severe knee pain after being moved from her wheelchair to bed; she was later found to have a fractured femur. Another resident with MS, pressure ulcers, and significant transfer dependence was transported in a wheelchair with a bed pillow instead of an appropriate cushion, causing her to slide out of the chair during van transport and sustain bilateral knee hematomas and blisters.
A resident with multiple cardiac and chronic conditions, who was cognitively intact and clearly documented as Full Code in the EMR, care plan, and physician orders, experienced a rapid decline while on hospice services. After the family alerted an RN that the resident might have passed, the RN assessed the resident as pulseless and not breathing but did not verify code status or initiate CPR, apparently assuming DNR due to hospice enrollment. For approximately an hour, staff communicated with hospice and administrative nurses, and only after administrative and consultant nurses confirmed the resident’s Full Code status did the involved nurses begin CPR, shortly before EMS arrival. This delay in providing basic life support to a Full Code resident was cited as an Immediate Jeopardy deficiency.
Failure to Provide Timely Toileting and Incontinence Care
Penalty
Summary
The facility failed to ensure a resident received toileting assistance and incontinence care in accordance with her plan of care. The resident had diagnoses including depression, malaise, osteoarthritis, dementia, anxiety disorder, cognitive communication deficit, and muscle weakness. Her MDS documented moderately impaired cognition, dependence on staff for toileting and dressing, frequent incontinence of urine and bowel, and need for partial to moderate assistance with transfers. Her care plan directed staff to assist her to the bathroom at regular intervals upon rising, before and after meals, at nighttime, and as needed, and to check her frequently for incontinence approximately every two hours. During observations, the resident was found lying in bed with a strong smell of urine and feces in the room, and her brief was saggy and discolored with visible brownish-yellow staining at the peri area. She stated she had been soiled for a while, needed a new brief, and wanted help into the bathroom, but staff were very busy. Over the next several observations, she remained in the same condition with soiled bedding and an unemptied trash can, and she repeatedly stated that no one had come to change her brief, ask if she needed anything, or change her bedding. Staff who entered the room for medication delivery, meal delivery, housekeeping, and brief interactions did not remove the trash, ask about toileting, or address the soiled bedding. Later, staff reviewed the resident’s toileting needs and could not recall when she had last been assisted. One CNA stated he had been assigned to the room but had been told to stay out of it by administrative staff, and he had not returned since breakfast. When administrative staff and a CNA finally entered the room, the resident requested assistance with changing her brief and bedding. Staff then found a strong odor of urine and feces, bright red buttocks, and dried urine on the bedding. An administrative nurse stated the resident should not have been left like this, and administrative staff stated the situation was not acceptable and an investigation had been started to determine why the resident had not been assisted.
Unsafe Transfers and Improper Wheelchair Seating Led to Resident Injuries
Penalty
Summary
The facility failed to provide an environment free from accident hazards when staff transferred a resident without using a gait belt. The resident had diagnoses including malignant neoplasm of the esophagus, hypertension, GERD, and rheumatoid arthritis. Her care plan lacked direction on how staff should transfer her, and the Kardex also did not specify how she was to be transferred. During the evening transfer from wheelchair to bed, the CNA placed the wheelchair beside the bed and pivoted the resident into bed without a gait belt. The resident yelled out immediately after being placed in bed and reported pain in her right knee. After the transfer, the resident reported severe right knee pain rated 10 out of 10. She requested morphine and later stated her knee was very painful and wanted it assessed later. The record documented that hospice was contacted later in the evening, an order was obtained for a two-view X-ray and an increase in morphine, and the resident was sent to the emergency room at the request of her family. The facility record lacked evidence that hospice or the physician was contacted when the resident first reported the new onset severe knee pain. The resident was later admitted to the hospital with a fractured right femur. The facility also failed to provide an appropriate wheelchair cushion for another resident during van transport. That resident had multiple sclerosis, morbid obesity, muscle weakness, pressure ulcers, and required substantial to maximal assistance with several transfers. Her care plan directed staff to use a pressure reduction cushion and appropriate non-slip footwear. Instead, staff placed a bed pillow and a lift sheet on the wheelchair seat. During transport, the resident slid under the seatbelt and out of the wheelchair onto the van floor, requiring EMS assistance and hospital evaluation. The resident later had bilateral knee hematomas and blood-filled blisters, and the record noted the areas on her knees were not described in progress notes for several weeks after the event.
Failure to Initiate Timely CPR for a Full Code Resident on Hospice
Penalty
Summary
The deficiency involves the facility’s failure to provide timely CPR to a resident who had clearly documented Full Code status. The resident was admitted with multiple diagnoses including atherosclerotic heart disease, generalized anxiety disorder, atrial fibrillation, and chronic kidney disease, and had intact cognition per a recent MDS. The resident’s care plan, EMR profile sheet, physician orders, and a recent physician progress note all documented the resident as Full Code, and the care plan directed staff to ensure the resident’s wishes regarding advanced directives were honored and reviewed at least quarterly and with any change in condition. On the day of the incident, the resident was on hospice services and had been declining since around midnight, with hospice and family present much of the day. Shortly before the event, the resident exhibited Cheyne-Stokes respirations and cool skin, and received a dose of morphine from a hospice nurse. At approximately 5:10 p.m., a family member informed a nurse that the resident may have passed. The nurse assessed the resident and documented no audible heart sounds or respirations, but did not check the resident’s code status at that time and did not initiate CPR, despite the resident’s documented Full Code status. Over the next 45–66 minutes, multiple staff interactions occurred without CPR being started. The nurse contacted a consultant nurse, and hospice was notified and en route. Administrative and consultant nurses later questioned and confirmed the resident’s code status as Full Code in the EMR. Only after being prompted by the hospice nurse and another nurse, and after confirmation of Full Code status by administrative staff, did the involved nurses return to the room and initiate CPR, at approximately 6:10–6:16 p.m. EMS arrived shortly thereafter and pronounced the resident deceased. The lapse between the initial notification of the resident’s presumed death and the initiation of CPR constituted the failure to provide basic life support to a Full Code resident, which surveyors determined placed the resident and all Full Code residents in immediate jeopardy.
Removal Plan
- Suspended the two nurses involved (LN I and LN G) pending investigation (LN G later terminated).
- Completed training for all licensed staff on the advanced directive policy and how to identify a resident's code status in the EMR (signature sheets on file).
- Required all licensed staff to complete the training before working.
- Conducted interviews of nurses by the DON or designee regarding procedures when a resident is found unresponsive and how to identify code status.
- Scheduled mock reviews/audits of checking resident code status (audits on file).
- Reported patterns or trends to the Quality Assurance committee for recommendations and follow-up.
What surveyors are citing around you — mapped
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Prairie Village
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Claridge Court | 1.3 mi | ★★★★★ | 10 | 0 |
| Aspen Health And Wellness | 1.7 mi | ★★★★★ | 0 | 0 |
| Armour Oaks Senior Living Community | 2.3 mi | ★★★★★ | 1 | 1 |
| Hope Care Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Highland Rehabilitation & Health Care Center | 2.9 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.