Skilled nursing facility · CMS certification number 175560

COLONIAL VILLAGE

OVERLAND PARK, Kansas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 40

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$12,769,583	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,904,141	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,865,442	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,326,233	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$539,209	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$33,986	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$573,195	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $573,195 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	14,640	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,286	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	3,349	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,537	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	13,172	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	51	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	12	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	102	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	165	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	279.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	79.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433948, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$11,625,453	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,636,458	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,988,995	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,782,648	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$206,347	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,082	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$225,429	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $225,429 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,274	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	129	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	487.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395652, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,646,457	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$894,448	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,752,009	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,315,355	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$563,346	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$49,808	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$513,538	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$513,538 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,250	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	609.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	142.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362505, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,027,794	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$835,796	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,191,998	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,552,457	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$360,459	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$134,895	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$225,564	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$228,302 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,123	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	616.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333028, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,427,668	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,122,060	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,305,608	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,167,254	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$138,354	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$691,111	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$829,465	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $826,696 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,722	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	133	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	764	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302457, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 12 December 2018 to 31 December 2019 — a reporting period of 384 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,190,821	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$715,740	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,475,081	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,342,899	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,867,818	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,994	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,840,824	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,840,824 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,363	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	95	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	231.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	56.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1270855, read from the public cost report file SNF10FY2019.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
ABBY, AMBER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/02/2026
CURANA HEALTH OF MISSOURI-KANSAS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
GULLEDGE, SCOTT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2018
GULLEDGE, TRAVIS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
MARTIN, CAROLINE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/06/2023
PIVOTAL HEALTH CARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/17/2025
SUMMIT CARE, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2018
SCENIC DEVELOPMENT LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/01/2018
SCENIC HOLDINGS LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 07/31/2022
3RK, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2021
5 R CATTLE, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/01/2018
ANDERSON, JORDAN	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 10/01/2021
ANDERSON, MARLENE	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/01/2018
ANDERSON, WAYNE	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/01/2018
CADET INVESTMENT LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/01/2018
GULLEDGE, SCOTT	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/01/2018
GULLEDGE, TRAVIS	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 10/01/2021
HOWARD, STEVEN	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/01/2018
LMRAY, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/01/2018
POKY - 5R LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 07/31/2022
POKY FEEDERS INC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/01/2018
WOOD, GILBERT	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/01/2018
WSG LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 12/01/2018
ABBY, AMBER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/02/2026
ANDERSON, JORDAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
GULLEDGE, SCOTT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2018
GULLEDGE, TRAVIS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
MARTIN, CAROLINE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/06/2023
PIVOTAL HEALTH CARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2018
SCENIC DEVELOPMENT LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2018
WOOD, GILBERT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2018

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CCRC OF OVERLAND PARK LLC (enrollment ID O20180827000065).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
AMBER ABBY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/2/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAROLINE MARTIN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/6/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CURANA HEALTH OF MISSOURI-KANSAS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
PIVOTAL HEALTH CARE LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/17/2025	Private equity company: No Real estate investment trust: No Holding company: No
SCOTT E GULLEDGE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SUMMIT CARE, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
TRAVIS S GULLEDGE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/9/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/9/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
SCENIC DEVELOPMENT LLC	Organization	DIRECT OWNERSHIP INTEREST	22.89	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
SCENIC HOLDINGS LLC	Organization	DIRECT OWNERSHIP INTEREST	76.01	7/31/2022	Private equity company: No Real estate investment trust: No Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	DIRECT OWNERSHIP INTEREST	1.09	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
3RK, LLC	Organization	INDIRECT OWNERSHIP INTEREST	6.12	1/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
5 R CATTLE, LLC	Organization	INDIRECT OWNERSHIP INTEREST	6.13	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
CADET INVESTMENT LLC	Organization	INDIRECT OWNERSHIP INTEREST	10.97	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
GILBERT R WOOD	Individual	INDIRECT OWNERSHIP INTEREST	2.34	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JORDAN R ANDERSON	Individual	INDIRECT OWNERSHIP INTEREST	1.87	10/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LMRAY, LLC	Organization	INDIRECT OWNERSHIP INTEREST	6.34	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
MARLENE A ANDERSON	Individual	INDIRECT OWNERSHIP INTEREST	6.39	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
POKY - 5R LLC	Organization	INDIRECT OWNERSHIP INTEREST	12.25	7/31/2022	Private equity company: No Real estate investment trust: No Holding company: No
POKY FEEDERS INC	Organization	INDIRECT OWNERSHIP INTEREST	6.13	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
SCOTT E GULLEDGE	Individual	INDIRECT OWNERSHIP INTEREST	3.26	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN M HOWARD	Individual	INDIRECT OWNERSHIP INTEREST	11.37	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRAVIS S GULLEDGE	Individual	INDIRECT OWNERSHIP INTEREST	0.93	10/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WAYNE C ANDERSON	Individual	INDIRECT OWNERSHIP INTEREST	6.39	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WSG LLC	Organization	INDIRECT OWNERSHIP INTEREST	17.17	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
AMBER ABBY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/2/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAROLINE MARTIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/6/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GILBERT R WOOD	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JORDAN R ANDERSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PIVOTAL HEALTH CARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	75	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
SCENIC DEVELOPMENT LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
SCOTT E GULLEDGE	Individual	OPERATIONAL/MANAGERIAL CONTROL	75	12/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRAVIS S GULLEDGE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: DAN CHIK no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAN CHIK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN M HOWARD no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POKY FEEDERS INC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMBER ABBY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMBER ABBY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN M HOWARD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POKY FEEDERS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: DAN CHIK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC DEVELOPMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARILYN HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: POKY-5R LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WSG LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARLENE A ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CADET INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCOTT E GULLEDGE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WAYNE C ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: STEVEN M HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAN CHIK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAN CHIK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CAROLINE MARTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CAROLINE MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC DEVELOPMENT LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC DEVELOPMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JORDAN R ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JORDAN R ANDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: 3RK, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUMMIT CARE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRAVIS S GULLEDGE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRAVIS S GULLEDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRAVIS S GULLEDGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LMRAY, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under DIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: POKY - 5R LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WSG LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARLENE A ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: 5 R CATTLE, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CURANA HEALTH OF MISSOURI-KANSAS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CADET INVESTMENT LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC HOLDINGS LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCOTT E GULLEDGE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCOTT E GULLEDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PIVOTAL HEALTH CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WAYNE C ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: STEVEN M HOWARD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: POKY FEEDERS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
31 October 2022: GILBERT R WOOD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: POKY-5R LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: WOODLAND FARMS TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: GILBERT R WOOD appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MARILYN HOWARD appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: POKY-5R LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MARLENE A ANDERSON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SCENIC HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SCOTT E GULLEDGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SCOTT E GULLEDGE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: WAYNE C ANDERSON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: STEVEN M HOWARD appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

1 July 2026: DAN CHIK no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAN CHIK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN M HOWARD no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POKY FEEDERS INC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMBER ABBY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMBER ABBY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN M HOWARD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POKY FEEDERS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: DAN CHIK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC DEVELOPMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARILYN HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: POKY-5R LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WSG LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARLENE A ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CADET INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCOTT E GULLEDGE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WAYNE C ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: STEVEN M HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAN CHIK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAN CHIK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CAROLINE MARTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CAROLINE MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC DEVELOPMENT LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SCENIC DEVELOPMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JORDAN R ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JORDAN R ANDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: 3RK, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: SUMMIT CARE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRAVIS S GULLEDGE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRAVIS S GULLEDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRAVIS S GULLEDGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GILBERT R WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LMRAY, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under DIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	31 October 2024	31 October 2024	10	7
2	8 June 2023	8 June 2023	14	9
3	2 November 2021	2 November 2021	4	8

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

28 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
31 October 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0625	Resident Rights Deficiencies	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.	D	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	G	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0758	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0849	Administration Deficiencies	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.	D	No	Deficient, Provider has date of correction	21 November 2024
31 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	21 November 2024
8 June 2023	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0688	Quality of Life and Care Deficiencies	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.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0758	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	C	No	Deficient, Provider has date of correction	30 June 2023
8 June 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	30 June 2023
2 November 2021	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	30 November 2021
2 November 2021	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	30 November 2021
2 November 2021	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	30 November 2021
2 November 2021	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	30 November 2021

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	CCRC OF OVERLAND PARK LLC
Date First Approved to Provide Medicare and Medicaid Services	2018-12-12
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Johnson
Telephone Number	9137303700
Chain Name	PIVOTAL HEALTH CARE
Chain ID	404
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	40
Average Number of Residents per Day	34.8
Overall Rating	2
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The citable document for COLONIAL VILLAGE

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