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Nursing HomeMedicaid Investigative

The Healthcare Resort of Leawood - Iron Horse Hlth

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5401 W 143rd Street, Leawood, KS 6622470 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 95 Google reviews

5
4
3
2
1
The Healthcare Resort of Leawood - Iron Horse Hlth Nursing Home in Leawood, KS — Street View
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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (14 vs median 9.0)
  • High staff turnover (55%)

Above average in KS · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

This facility is highly regarded for its physical and occupational therapy programs, making it a strong candidate for short-term rehabilitation. However, families should be aware of recurring reports regarding slow response times to call lights and inconsistent communication. We strongly recommend visiting during off-hours and asking specifically about current staffing ratios on weekends before making a decision.

Google Reviews

Google Reviews

95 reviews on Google
The Healthcare Resort of Leawood receives polarized feedback, with many families praising the high-quality physical and occupational therapy teams and the facility's clean, modern environment. However, a significant number of reviewers report serious concerns regarding chronic understaffing, slow response times to call lights, and poor communication from administration. While many patients have successful rehab outcomes, others describe neglectful care and inadequate food quality.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean8.0Activities5.0Meds3.0MemoryN/AComms3.0Value2.0

Strengths

  • Highly effective physical and occupational therapy
  • Clean, modern, and well-maintained facility
  • Professional and compassionate nursing staff (noted in positive reviews)
  • Strong support for post-surgery recovery

Concerns

  • Slow or non-existent response to call lights and patient needs (mentioned by 9 reviewers)
  • Chronic understaffing leading to neglect (mentioned by 6 reviewers)
  • Poor communication and unresponsiveness from administration (mentioned by 5 reviewers)
  • Poor food quality, cold meals, or inadequate portions (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(5)'20(3)'22(11)'24(4)'26(13)

Distribution · 90 analyzed

5
66
4
4
3
2
2
2
1
16

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the facility's strong reputation for physical and occupational therapy, how do you integrate these recovery programs into a resident's daily routine?
  • 2I noticed some concerns regarding response times to call lights; what specific protocols or technology do you have in place to ensure residents receive timely assistance?
  • 3How does your leadership team approach communication with families, and what is the best way for us to stay updated on our loved one's care?
  • 4We understand that staffing levels can fluctuate; how do you ensure consistent, high-quality care for residents during shift changes and weekends?
  • 5Could you walk us through the dining experience and how you ensure that meals are served at the appropriate temperature and meet the nutritional preferences of the residents?
  • 6With 14 recent state violations, what specific steps or quality improvement initiatives has the facility implemented to address these findings and enhance overall resident safety?

Personalized based on this facility's data


Key Review Excerpts

One night I waited 2 1/2 hours to receive pain medication after buzzing the help alert.

Short-term rehab patient · 2025☆☆☆☆

The therapists that I worked with are masters of their discipline. They are caring and patient focused. They worked with me to establish goals that I wanted to achieve.

Rehab patient · 2023★★★★★

My mom was On the floor bleeding and crying for help and no one came! Luckily her neighbor went to get help! She ended up with 13 stitches in her head and could have died without her neighbor!

Long-term resident's family · 2020☆☆☆☆
Source: 95 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.4%
Worse than Avg
Here
30.4%
US
19.5%
KS
23.2%
Johnson
25.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility84.9%
Worse than Avg
Here
84.9%
US
95.5%
KS
95.5%
Johnson
94.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.4%
KS
18.1%
Johnson
14.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.3%
Worse than Avg
Here
13.3%
US
12.1%
KS
6.1%
Johnson
11.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
14.4%
KS
18.4%
Johnson
16.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
93.4%
KS
91.7%
Johnson
92.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.8%
Better than Avg
Here
94.8%
US
81.8%
KS
75.6%
Johnson
81.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.3%
Better than Avg
Here
80.3%
US
79.7%
KS
73.5%
Johnson
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
KS
2.1%
Johnson
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
1penalties
Above state avg (10.1)
3 complaint-triggered

This facility shows concerning patterns with 63 deficiencies across three surveys, including two complaint-triggered investigations where families reported care issues. The most recurring problems involve fire safety and building maintenance, infection control, and medication management. While all violations have correction dates, several issues persist across multiple surveys, including fire safety concerns, infection control problems, and electrical safety violations, suggesting ongoing challenges with maintaining consistent compliance standards.

Feb 11, 2026Complaint
1
0689Immediate jeopardy · WidespreadResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 6, 2025Routine
18
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0730Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0775Potential for harm · IsolatedCorrected

Administration Deficiencies

Keep complete, dated laboratory records in the resident's record.

0849Potential for harm · IsolatedCorrected

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.

Nov 16, 2023Routine
19
0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nov 16, 2023Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

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.

Mar 7, 2022Routine
24
0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Fine

Feb 11, 2026

$19,105

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Healthcare Resort of Leawood - Iron Horse Hlth

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 173 of 328

Ownership & Management

Key personnel

Bohrer, TracyW-2 Managing EmployeeBurton, SpencerOfficer / DirectorBurnam, SoonOfficer / DirectorFitch, CraigOfficer / DirectorLewis, CorwinOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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