Bishop Spencer Place, Inc, The - Kansas City Nursing Home
General Information
UPDATEFederal Provider Number
265768
Provider Name
BISHOP SPENCER PLACE, INC, THE
Provider Address
4301 MADISON AVENUE
KANSAS CITY, MO 64111
KANSAS CITY, MO 64111
Provider Phone Number
(816) 931-4277
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
57
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE BISHOP SPENCER PLACE INC
Date First Approved to Provide Medicare and Medicaid services
2003-11-07
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09216
Reported LPN Staffing Hours per Resident per Day
1.58725
Reported RN Staffing Hours per Resident per Day
1.32647
Reported Licensed Staffing Hours per Resident per Day
2.91373
Reported Total Nurse Staffing Hours per Resident per Day
6.00588
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11373
Expected CNA Staffing Hours per Resident per Day
2.45428
Expected LPN Staffing Hours per Resident per Day
0.64061
Expected RN Staffing Hours per Resident per Day
1.18276
Expected Total Nurse Staffing Hours per Resident per Day
4.27765
Adjusted CNA Staffing Hours per Resident per Day
3.09143
Adjusted LPN Staffing Hours per Resident per Day
2.05651
Adjusted RN Staffing Hours per Resident per Day
0.83799
Adjusted Total Nurse Staffing Hours per Resident per Day
5.65944
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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