Autumn Terrace Health & Rehabilitation - Raytown Nursing Home

General Information

UPDATE
Federal Provider Number
265339
Provider Name
AUTUMN TERRACE HEALTH & REHABILITATION
Provider Address
6124 RAYTOWN ROAD
RAYTOWN, MO 64133
Provider Phone Number
(816) 358-8222
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RAYTOWN HEALTH CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1988-12-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07642
Reported LPN Staffing Hours per Resident per Day
0.73255
Reported RN Staffing Hours per Resident per Day
0.36368
Reported Licensed Staffing Hours per Resident per Day
1.09623
Reported Total Nurse Staffing Hours per Resident per Day
3.17265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06274
Expected CNA Staffing Hours per Resident per Day
2.16601
Expected LPN Staffing Hours per Resident per Day
0.58651
Expected RN Staffing Hours per Resident per Day
0.88557
Expected Total Nurse Staffing Hours per Resident per Day
3.63809
Adjusted CNA Staffing Hours per Resident per Day
2.35221
Adjusted LPN Staffing Hours per Resident per Day
1.03667
Adjusted RN Staffing Hours per Resident per Day
0.30686
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51521
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
247
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
247
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
154.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
13813
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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