Hearth Record

Traditions Health

A hospice in Overland Park, Kansas 66210

7500 College Blvd., Floor 5, Overland Park, Kansas 66210. (913) 340-6389.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 8 deficiencies in 1 month of the last 36. Last cited Jan 2024. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean2
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

8 deficiencies cited in the last three years

The middle of the 31 hospices serving ZIP code 66210 had 4.

The last inspection on record was on Jan 19, 2024: an initial inspection by The Joint Commission.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

When those deficiencies happened

8 deficiencies in 1 month of the last 36. Last cited Jan 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

8 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Jan 19, 2024: initial inspection by The Joint Commission8 deficiencies
  • Content of comprehensive assessment (42 CFR 418.54(c)(7))

    “Observed in Record Review. In 5 of 10 patient records reviewed, for active patients, the surveyor noted that the initial bereavement risk assessment was not completed as part of the initial assessment as noted for RRHV#3, (4 days late), RRNHV#1 (8 days late), RRNHV#3 (4 days late), RRNHV#4 (not yet completed), and RRNHV#5. Findings were verified by the Administrator and the Clinical Team Lead.”

    Rule L0531. Standard-level.

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 102 words

    “Observed in Record Review. In 10 of 10 patient records reviewed, for active hospice patients the nurse surveyor noted that the goals were not consistently measurable. For example, “Patient exhibits reduction/relief of any cardiopulmonary symptoms,” and “Pain will be managed at a level acceptable to patient”. Additionally, goals were mostly the same from patient to patient with minimal individualization. There were no short-term goals at start of care to address issues of immediate needs such as understanding medication management, symptom management, pain management, or safety. There were no time frames for completion. Findings were discussed with the Administrator and Clinical Team Lead.

”

    Rule L0545. Standard-level.

  • Prevention (42 CFR 418.60(a))

    The inspectors’ words, 315 words

    “Observed in Patient Home. In 2 of 3 home visits conducted, it was observed by the Nurse Surveyor that the organization did not implement the infection prevention and control activities it had planned per policy “Hand Hygiene – IC15 Policy and Procedure”. During RRHV#1 the hospice aide did not perform hand hygiene at any point during the visit to the patient in the nursing facility. She entered the building, signed in at the desk, put updated medication sheets, and plans of care in the patient folder in the facility all without performing hand hygiene. She then went into the linen closet to get clean towels, put them down in the patient room, set up supplies for the bath, went out to the activities room to get the patient and wheeled her into the bathroom, at that point the hospice aide donned gloves, all without ever performing hand hygiene. She then assisted the patient to undress and transferred her to the shower and began to bathe her all with the same gloves on and not performing hand hygiene. During RRHV#2 the chaplain was not observed performing hand hygiene at any point during the visit even though he touched several things in the patient environment, to include his guitar, the patient’s playing cards, and the table. The Administrator was present during the visits and observed the breaks in policy. Observed in Patient Home. In 1 of 3 home visits conducted, it was observed by the nurse surveyor that the nurse did not clean her equipment per agency policy, “Bag Technique - IC60 Policy and Procedure”. For RRHV#2 the nurse cleaned her equipment (BP cuff, stethoscope, thermometer, pulse oximeter) with Super Sani wipes and immediately dropped the items into her bag without allowing them to dry per the recommended product dry time of two minutes. Finding was verified by the Administrator who was present during the home visit.”

    Rule L0579. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 112 words

    “Observed in Record Review. In 2 of 10 patient records reviewed, for active patients with a hospice aide, the nurse surveyor noted that for RRHV#1, the hospice aide care plan did not have information about the patient’s mobility or that she was on PRN oxygen and what to do if she was using it during a visit. Additionally, the care plan listed shampoo every visit, however the hospice aide stated she only washed her hair one time a week. for RRHV#3, the hospice aide care plan did not have any information about the patient’s mobility status, she was bed/wheel chair bound. Findings were verified by the Administrator and the Clinical Team Lead.”

    Rule L0625. Standard-level.

  • Supervision of hospice aides (42 CFR 418.76(h)(1)(i))

    The inspectors’ words, 93 words

    “Observed in Record Review. In 3 of 10 patient records reviewed, For active patients with hospice aides, it was noted by the nurse surveyor that hospice aide supervisory visits were not documented no less frequently than every fourteen days. For RRHV#2, the hospice aide supervisor visit for was done on day fifteen. For RRHV#3, for the last three months, hospice aide supervisory visits were documented every twenty eight days. For RRNHV#3, the last hospice aide supervisory visit was documented on day sixteen. Findings were verified with the Administrator and the Clinical Team Lead.”

    Rule L0629. Standard-level.

  • Cost saving (42 CFR 418.78(d))

    “Observed in Tracer Activities. It was noted by the nurse surveyor that the organization was not able to demonstrate cost savings achieved through the use of volunteers since despite recruitment efforts, they do not have any volunteers. Finding was verified by the Administrator.”

    Rule L0646. Standard-level.

  • Level of activity (42 CFR 418.78(e))

    “Observed in Tracer Activities. It was noted by the nurse surveyor that volunteers did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff since despite documented recruitment efforts, the hospice did not have any volunteers. Finding was verified by the Administrator.”

    Rule L0647. Standard-level.

  • Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))

    “Observed in Patient Home. In 1 of 3 home visits conducted, it was noted by the nurse surveyor that for RRHV#2 the patient did not have a completed individualized emergency plan in her home folder, the one in her folder was totally blank. Finding was verified by the Administrator who was present during the home visit.”

    Rule L0702. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jan 19, 2024Initial inspection by The Joint Commission8 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Oct 5, 2020.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Who does the caring?

  • From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 13.5 nurse care minutes per routine home care day, 11.9% of skilled nursing minutes at weekends and a visit near death for 96.8% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 41% at home, 18% in assisted living, 41% in a nursing facility, 1% in a skilled nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day13.5 min
Skilled nursing minutes at weekends11.9%
Visits near death96.8% of patients who died

Who owns it?

  • CMS’s ownership file has no owners listed for this hospice.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 69.1% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not rated
Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold10 of 10

How does it compare nearby?

  • Of the 31 hospices CMS’s data show serving patients in ZIP code 66210, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 8.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
  • Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospice

The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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