CareWitness
Federal record · CMS Care Compare · CCN 175441 · Processed JUN 1 2026
CareWitnessKansasOverland ParkNursing HomesVillage Shalom Inc

Village Shalom Inc

5500 West 123Rd St, Overland Park, KS, 66209

Type
Nursing home
Medicare/Medicaid certified · CCN 175441Continuing-care retirement communityNonprofit

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall4 / 5
Health inspections2 / 5
Staffing5 / 5
Quality measures5 / 5

Facility & Staffing

Ownership
Non profit - Other
Certified beds
66 · avg 55 residents/day
Total nursing staff turnover
58.8%higher than most Kansas nursing homesKansas avg: 49.1% · National avg: 46.1% · per CMS Care Compare
RN turnover
30.8%lower than most Kansas nursing homesKansas avg: 41.9% · National avg: 43.3% · per CMS Care Compare
Administrators who left
1 departednear the Kansas averageKansas avg: 0.3 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $16,153 total
Payment denials
1 denial

Medicare certification

CMS Certification Number
175441
Certified beds
66 beds · avg 55 residents/day
Ownership type
Non profit - Other
Continuing-care community
Yes

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Village Shalom, Inc

CMS Care Compare, processing date June 1, 2026

Federal ownership record

Non-profitCorporation

Disclosed owners (19 on record)

  • Baker Tilly Advisory Group, lp

    Adp of The Snf · since 2025

  • Forvis Mazars Llp

    Adp of The Snf · since 2025

  • Bradley h Koffman

    Corporate Director · since 2024

  • Jessica n Lee

    Adp of The Snf · since 2024

  • Mark Campbell

    Adp of The Snf · since 2023

  • Steven b Geduldig

    Corporate Director · since 2023

+ 13 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.

Federal inspection record

32 health citations on file1 from complaints1 federal fine totalling $16K1 payment denial

Recent health-deficiency citations (most recent 8 of 32)

  • D0947·Jun 4, 2025

    Nursing and Physician Services Deficiencies

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  • E0880·Jun 4, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • F0812·Jun 4, 2025

    Nutrition and Dietary Deficiencies

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

  • D0808·Jun 4, 2025

    Nutrition and Dietary Deficiencies

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

  • D0761·Jun 4, 2025

    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.

  • D0760·Jun 4, 2025

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

  • D0757·Jun 4, 2025

    Pharmacy Service Deficiencies

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

  • D0756·Jun 4, 2025

    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.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20231 fine · $16K · 1 payment denial

Most recent events

  • Oct 19, 2023Payment denial · 6 days · starting Nov 14, 2023
  • Oct 19, 2023Fine · $16K

Fire-safety citations

35 Life-Safety-Code citations on file. Most recent: Jun 4, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Village Shalom Incinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.