Shawnee Gardens Healthcare & Rehab Ctr - Shawnee Nursing Home
General Information
UPDATEFederal Provider Number
175267
Provider Name
SHAWNEE GARDENS HEALTHCARE & REHAB CTR
Provider Address
6416 LONG ST
SHAWNEE, KS 66216
SHAWNEE, KS 66216
Provider Phone Number
9136312146
Provider SSA County
450
Provider County Name
Johnson
Ownership Type
For profit - Corporation
Number of Certified Beds
145
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHAWNEE GARDENS HEALTHCARE AND REHABILITATION
Date First Approved to Provide Medicare and Medicaid services
1993-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14913
Reported LPN Staffing Hours per Resident per Day
0.74913
Reported RN Staffing Hours per Resident per Day
0.78870
Reported Licensed Staffing Hours per Resident per Day
1.53783
Reported Total Nurse Staffing Hours per Resident per Day
3.68696
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05217
Expected CNA Staffing Hours per Resident per Day
2.38909
Expected LPN Staffing Hours per Resident per Day
0.63462
Expected RN Staffing Hours per Resident per Day
1.08280
Expected Total Nurse Staffing Hours per Resident per Day
4.10651
Adjusted CNA Staffing Hours per Resident per Day
2.20725
Adjusted LPN Staffing Hours per Resident per Day
0.97976
Adjusted RN Staffing Hours per Resident per Day
0.54425
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61908
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
19
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2015-02-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
32
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
29
Cycle 2 Health Deficiency Score
307
Cycle 2 Standard Health Survey Date
2013-10-18
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
154
Cycle 2 Total Health Score
154
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
222.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
31
Number of Fines
1
Total Amount of Fines in Dollars
4908
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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