Above 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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Villa St Francis Catholic Care Center Inc during CMS and state inspections, most recent first.
The facility failed to sanitize shared medical equipment and properly store respiratory equipment, risking infection. Observations revealed a nebulizer mask and nasal cannulas improperly stored, and shared equipment like blood pressure cuffs not sanitized after use. Staff interviews showed inconsistencies in infection control practices, contrary to the facility's policy.
A resident with severe cognitive impairment and multiple medical conditions was at risk for pressure ulcers due to improper settings on their low air-loss mattress. Despite weighing 195.9 lbs, the mattress was set to 350 lbs, contrary to facility policy requiring settings to match the resident's weight. Staff interviews confirmed the need for correct settings, highlighting a deficiency in care.
The facility failed to secure areas containing hazardous materials, placing 28 cognitively impaired, independently mobile residents at risk for preventable injuries and accidents. Unlocked closets and rooms contained hazardous cleaning products and high voltage electrical panels, which were accessible to residents. Staff interviews confirmed that these areas should have been secured, as per the facility's Accidents policy.
A resident with severe cognitive impairment and multiple diagnoses was fed by a nurse standing over her, contrary to the facility's dignity policy. Staff interviews confirmed that proper practice involves sitting at eye level and engaging with residents during feeding. This failure risked the resident's dignity and psychosocial well-being.
A resident with severe cognitive impairment and multiple health issues was found to have her call light out of reach on two occasions, despite her care plan requiring it to be accessible. Staff confirmed that call lights should be within reach, and the facility's policy supports this requirement.
A resident was not provided with the required CMS form 10055 SNF ABN when Medicare coverage ended, leading to potential uninformed treatment decisions and unexpected costs. The facility's policy required the issuance of the SNF ABN when Medicare was not expected to cover services, but Social Services misunderstood the requirement, resulting in a deficiency.
A resident with severe cognitive impairment and multiple medical conditions did not receive proper grooming assistance, as her fingernails were not trimmed and had a dark substance underneath, and her hair was greasy and uncombed. Despite the care plan specifying the need for short nails to prevent self-injury, staff interviews revealed a lack of adherence to the care plan and facility policies, resulting in a deficiency.
A resident with cerebral palsy and other medical conditions was not provided with a washcloth in her hand as specified in her care plan to prevent contracture. Observations showed the resident's hand was closed tight without the washcloth, and staff interviews revealed confusion about care responsibilities and access to the care plan. This deficiency risked the resident's comfort and range of motion.
A facility failed to ensure proper collaboration with hospice services for a resident with severe cognitive impairment and multiple medical diagnoses. The care plan lacked documentation of hospice services, supplies, medications, and equipment. Staff interviews revealed a lack of clarity and communication regarding hospice services, placing the resident at risk for delayed services and uncommunicated care needs.
Inadequate Sanitation and Storage of Medical Equipment
Penalty
Summary
The facility failed to ensure proper sanitation of shared medical equipment and appropriate storage of respiratory equipment, which placed residents at risk for infectious diseases. During an initial walk-through, it was observed that a resident's nebulizer mask was placed directly on a dresser, and a nasal cannula was left on a bedside table without being bagged. Additionally, another resident's nasal tubing was found thrown over a nightstand, not stored in a sanitary manner. These observations indicate a lack of adherence to infection control protocols regarding the storage of respiratory equipment. Furthermore, the facility did not sanitize shared equipment such as blood pressure cuffs, pulse monitors, and oxygen saturation devices after each use. A Certified Medication Aide was observed obtaining a resident's vital signs without sanitizing the equipment before or after use. Interviews with staff revealed inconsistencies in the understanding and implementation of infection control practices, such as the proper storage of nasal cannulas and the sanitization of shared equipment. The facility's infection control policy mandates the establishment and maintenance of an infection prevention and control program to ensure a safe and sanitary environment, which was not adhered to in these instances.
Improper Air Mattress Settings for Resident
Penalty
Summary
The facility failed to ensure that a resident's low air-loss mattress was set to the appropriate weight settings for pressure reduction, which placed the resident at risk for complications related to skin breakdown and pressure ulcers. The resident, who had a significant medical history including dementia, cognitive-communication deficit, muscle weakness, dysphagia, and type two diabetes mellitus, was noted to have severe cognitive impairment and required substantial assistance with activities of daily living. The resident's care plan included instructions for staff to ensure the air mattress was set to the resident's current weight each shift, but observations revealed that the mattress was set incorrectly on multiple occasions. On one occasion, the mattress was set to the maximum weight setting of 350 lbs, despite the resident weighing 195.9 lbs. The facility's policies indicated that pressure settings should be adjusted to match the resident's current weight as closely as possible to prevent pressure injuries and promote comfort. Interviews with staff confirmed that the air mattresses should be set per the resident's current weight, but the failure to adhere to these guidelines resulted in a deficiency in care for the resident.
Failure to Secure Hazardous Areas Puts Residents at Risk
Penalty
Summary
The facility failed to secure areas containing hazardous materials, placing 28 cognitively impaired, independently mobile residents at risk for preventable injuries and accidents. During an inspection, it was observed that closets in the 100-unit, a secured unit for severely cognitively impaired residents, were unlocked and contained hazardous cleaning products such as disinfectant wipes and tile cleaner spray bottles. These products had warnings indicating they were hazardous to humans and should be kept out of reach of children. Additionally, a spray bottle of window cleaner was found in the kitchenette sink of the HM-hallway, and disinfectant wipes were stored in lift storage rooms on the 600 and 700 halls with doors propped open. An unlocked electrical panel room on the 600-hallway was also found, containing high voltage electrical panels and boxed supplies of personal protective equipment. Interviews with facility staff, including Certified Nurse's Aides (CNAs) and a Licensed Nurse (LN), confirmed that chemicals and electrical rooms should be locked and that cleaning materials should not be accessible to residents. The facility's Accidents policy, revised in November 2024, stated that the facility would ensure a safe environment for all residents by assessing potential risks and securing hazardous materials. However, the facility's failure to adhere to this policy resulted in unsecured hazardous areas, posing a risk to the safety of the cognitively impaired residents.
Failure to Maintain Resident Dignity During Feeding
Penalty
Summary
The facility failed to provide services in a dignified manner for a resident diagnosed with cerebral palsy, muscle weakness, dysphagia, anxiety, hyperlipidemia, major depressive disorder, aphasia, respiratory failure, and insomnia. The resident had a severely impaired cognition with a BIMS score of zero and was dependent on staff for activities of daily living, including eating. The resident's care plan required assistance with eating, specifying a pureed diet with pudding thick fluids due to nutritional risks associated with cerebral palsy and dysphagia. During an observation, a licensed nurse stood over the resident while feeding her a pudding cup, which was against the facility's dignity policy. Interviews with staff, including a licensed nurse, a certified nurse aide, and an administrative nurse, confirmed that staff should sit at eye level and engage with residents during feeding, even if the resident cannot communicate. The facility's dignity policy emphasized treating residents with dignity and respect, which includes assisting them in maintaining self-esteem and self-worth. The failure to adhere to these practices placed the resident at risk for impaired dignity and decreased psychosocial well-being.
Resident's Call Light Inaccessibility
Penalty
Summary
The facility failed to ensure that a resident's call light was within reach, which is a deficiency in accommodating the needs and preferences of residents. The resident in question, identified as R16, had multiple diagnoses including Alzheimer's disease, major depressive disorder, anxiety, hypertension, cardiac arrhythmia, edema, and insomnia. The resident was documented as having severely impaired cognition with a BIMS score of zero, indicating that she was rarely or never understood. R16 was dependent on staff for various activities of daily living, including toileting, bathing, dressing, and eating. Her care plan specifically noted the need for the call light to be within her reach due to her risk of falls and impulsive behavior. Observations on two separate occasions revealed that R16's call light was not within her reach, once found dangling off the bed and another time clipped to the room dividing curtain. Interviews with staff, including a licensed nurse, a certified nurse's aide, and an administrative nurse, confirmed that call lights should be within the resident's reach. The facility's Accommodation of Needs policy also emphasized the importance of maintaining a safe and functional environment that meets the needs of each resident. The failure to ensure R16's call light was accessible left her vulnerable to unmet care needs due to her inability to call for staff assistance.
Failure to Provide SNF ABN to Resident
Penalty
Summary
The facility failed to provide a CMS form 10055 Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) to a resident, identified as R117, which is a requirement when Medicare is not expected to cover certain services. R117's Medicare Part A coverage began on October 1, 2024, and ended on October 9, 2024, after which the resident remained in the facility for custodial care. Although R117 was given the CMS form-10123 Notice of Medicare Non-Coverage (NOMNC) on October 7, 2024, the SNF ABN was not issued as required, placing the resident at risk of making uninformed treatment decisions and incurring unexpected costs. The facility's policy, dated November 1, 2024, mandates that the SNF ABN should be provided to residents when Medicare is not expected to pay for extended care items or services ordered by a physician. Social Services X, responsible for issuing ABNs, stated that she had been issuing them except for residents on managed care, as their insurance would send the documents. She also believed that the ABN was not mandatory until after October 31, 2024. This misunderstanding and failure to issue the SNF ABN to R117 resulted in a deficiency, as the resident was not properly informed about the non-coverage of services by Medicare.
Failure to Assist Resident with Grooming and Nail Care
Penalty
Summary
The facility failed to provide adequate grooming assistance to a resident with severe cognitive impairment and multiple medical conditions, including cerebral palsy, muscle weakness, and major depressive disorder. The resident was dependent on staff for activities of daily living (ADLs) such as oral hygiene, toileting, dressing, eating, and showers. Observations revealed that the resident's fingernails were not trimmed short and had a dark substance underneath, and her hair appeared greasy and uncombed on multiple occasions. The care plan specified that the resident's nails should be kept short to prevent self-injury, and her hair should be washed as needed. Interviews with staff indicated a lack of adherence to the care plan and facility policies. A Licensed Nurse acknowledged that staff should have ensured the resident's fingernails were clean and cut short, while a Certified Nurse Aide stated she would only trim nails if instructed by a nurse. The Administrative Nurse confirmed that all nursing staff had access to the care plan and should have monitored residents' grooming needs. The facility's policy required staff to provide care according to individualized care plans to prevent decline in ADLs, but this was not followed, leading to the deficiency.
Failure to Apply Washcloth for Contracture Prevention
Penalty
Summary
The facility failed to ensure that a washcloth was applied to a resident's hand as part of her care plan to prevent contracture. The resident, who has cerebral palsy and other medical conditions, was observed on multiple occasions without the washcloth in her right hand, which was closed tight. The care plan specified that a washcloth should be used daily in place of a splint to maintain the resident's range of motion and prevent further contracture. Interviews with staff revealed a lack of clarity regarding the responsibility for ensuring the washcloth was applied. A licensed nurse stated that all nursing staff were responsible for following the care plan, but there was uncertainty about whether certified nurse aides had full access to the care plan. The administrative nurse confirmed that all staff could access the care plan on their phones, but the charge nurse was responsible for ensuring care was provided as ordered. This deficiency placed the resident at risk for discomfort and decreased range of motion.
Lack of Coordination with Hospice Services for Resident
Penalty
Summary
The facility failed to ensure proper collaboration between the nursing home and hospice services for a resident identified as R66. The resident, who had severe cognitive impairment and multiple medical diagnoses including dementia, muscle weakness, and type two diabetes mellitus, was placed on hospice services. However, the care plan for R66 lacked documentation regarding the specific hospice services, supplies, medications, and equipment provided. The hospice admission form noted the assignment of a hospice nurse, social worker, and health aide, but did not specify the date, time, and frequency of visits, nor did it identify which medications were provided by hospice. Interviews with facility staff revealed a lack of clarity and communication regarding the hospice services provided to R66. A CNA and a licensed nurse both indicated that the care plan should include detailed information about hospice services, medications, visit frequency, and equipment. An administrative nurse stated that care plan meetings with hospice services are held frequently to ensure that each resident's hospice choices are reflected in the care plan, but acknowledged that the care plan should notify staff of hospice service information. The facility's policy indicated a need for coordinated care planning with hospice services, but this was not effectively implemented for R66, placing the resident at risk for delayed services and uncommunicated care needs.
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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 Olathe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aberdeen Village | 1.1 mi | ★★★★★ | 7 | 0 |
| Nottingham Health And Rehabilitation | 1.9 mi | ★★★★★ | 10 | 0 |
| The Plaza Health Services At Santa Marta | 2.1 mi | ★★★★★ | 13 | 0 |
| Colonial Village | 2.7 mi | ★★★★★ | 0 | 0 |
| Stratford Commons Rehab & Health Care Center | 2.9 mi | ★★★★★ | 21 | 1 |
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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 July 2026) and official state health department websites.