Carmel Hills Healthcare And Rehabilitation Center - Independence Nursing Home
General Information
UPDATEFederal Provider Number
265727
Provider Name
CARMEL HILLS HEALTHCARE AND REHABILITATION CENTER
Provider Address
810 EAST WALNUT
INDEPENDENCE, MO 64050
INDEPENDENCE, MO 64050
Provider Phone Number
(816) 461-9600
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
194
Number of Residents in Certified Beds
154
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARMEL HILLS HEALTHCARE AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-01-04
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.37045
Reported LPN Staffing Hours per Resident per Day
0.52597
Reported RN Staffing Hours per Resident per Day
0.76656
Reported Licensed Staffing Hours per Resident per Day
1.29253
Reported Total Nurse Staffing Hours per Resident per Day
3.66298
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07825
Expected CNA Staffing Hours per Resident per Day
2.26216
Expected LPN Staffing Hours per Resident per Day
0.62270
Expected RN Staffing Hours per Resident per Day
1.08967
Expected Total Nurse Staffing Hours per Resident per Day
3.97453
Adjusted CNA Staffing Hours per Resident per Day
2.57116
Adjusted LPN Staffing Hours per Resident per Day
0.70106
Adjusted RN Staffing Hours per Resident per Day
0.52564
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71493
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
38
Cycle 1 Total Health Score
114
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
81.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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