Brookdale Overland Park - Overland Park Nursing Home
General Information
UPDATEFederal Provider Number
175517
Provider Name
BROOKDALE OVERLAND PARK
Provider Address
12000 LAMAR
OVERLAND PARK, KS 66209
OVERLAND PARK, KS 66209
Provider Phone Number
(913) 663-2888
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
98
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
BKD HCR MASTER LEASE 3 TENANT LLC
Date First Approved to Provide Medicare and Medicaid services
2010-06-28
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
1.98214
Reported LPN Staffing Hours per Resident per Day
0.69949
Reported RN Staffing Hours per Resident per Day
1.55255
Reported Licensed Staffing Hours per Resident per Day
2.25204
Reported Total Nurse Staffing Hours per Resident per Day
4.23418
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11684
Expected CNA Staffing Hours per Resident per Day
2.40242
Expected LPN Staffing Hours per Resident per Day
0.68696
Expected RN Staffing Hours per Resident per Day
1.30249
Expected Total Nurse Staffing Hours per Resident per Day
4.39187
Adjusted CNA Staffing Hours per Resident per Day
2.02445
Adjusted LPN Staffing Hours per Resident per Day
0.84513
Adjusted RN Staffing Hours per Resident per Day
0.89065
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88617
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
83
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
83
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-10-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
74.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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