Evergreen Community Of Johnson County
Olathe, Johnson County, Kansas · CCN 175355 · Non-profit (Corporation) · not part of a chain
CMS rates Evergreen Community Of Johnson County 5 of 5 overall as of August 2026. 44 certified beds, 77 residents a day on average. 24 citations on record from the current inspection cycles, 2 involving actual harm; 2 fines totalling $22,913 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 5.25909 hours per resident per day |
|---|---|
| Registered nurses | 0.81383 hours per resident per day |
| Weekend total | 4.68246 hours per resident per day |
| Nursing staff turnover | 45.3% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-03-30 |
| 2026-02-25 | 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2024-05-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2024-05-01 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-05-31 |
| 2024-05-01 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2024-05-01 complaint survey |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2024-05-01 complaint survey |
Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2024-05-01 complaint survey |
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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2024-05-01 complaint survey |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2023-10-03 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2023-09-29 |
| 2022-09-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · tag F0661 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
| 2022-09-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-31 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-01 | Payment denial for 3 days from 2024-05-28 | — |
| 2024-05-01 | Fine | $12,854 |
| 2023-10-03 | Fine | $10,059 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Evergreen Living Innovations Inc. Organization | 5% or greater direct ownership interest | 100% | 2003-01-01 |
| Roberts, Charla Individual | adp of the snf | — | 2023-10-09 |
| Daugherty, Dianne Individual | corporate director | — | 2018-10-01 |
| Dwyer, Mark Individual | corporate director | — | 2024-01-01 |
| Gallagher, Linda Individual | corporate director | — | 2020-08-20 |
| Gash, Mark Individual | corporate director | — | 2018-04-01 |
| Gash, Mary Individual | corporate director | — | 2018-10-18 |
| Parise, Brett Individual | corporate director | — | 2022-01-01 |
| Swearingen-Lyles, Debra Individual | corporate director | — | 2024-04-23 |
| Amos, Patrick Individual | corporate officer | — | 2022-01-01 |
| Dupriest, Jessica Individual | corporate officer | — | 2024-01-01 |
| Holland, Chris Individual | corporate officer | — | 2019-08-19 |
| Osborn, Christopher Individual | corporate officer | — | 2011-05-01 |
| Plowman, Andrea Individual | corporate officer | — | 2024-01-01 |
| Roberts, Charla Individual | corporate officer | — | 2023-10-09 |
| Daugherty, Dianne Individual | operational/managerial control | — | 2025-01-06 |
| Dwyer, Mark Individual | operational/managerial control | — | 2025-01-06 |
| Gallagher, Linda Individual | operational/managerial control | — | 2025-01-06 |
| Gash, Mark Individual | operational/managerial control | — | 2025-01-06 |
| Gash, Mary Individual | operational/managerial control | — | 2025-01-06 |
| Holland, Chris Individual | operational/managerial control | — | 2025-01-06 |
| Parise, Brett Individual | operational/managerial control | — | 2025-01-06 |
| Roberts, Charla Individual | operational/managerial control | — | 2023-10-09 |
| Swearingen-Lyles, Debra Individual | operational/managerial control | — | 2025-01-06 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Evergreen Community Of Johnson County.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Johnson County.