Carondelet Manor - Kansas City Nursing Home
General Information
UPDATEFederal Provider Number
265303
Provider Name
CARONDELET MANOR
Provider Address
621 CARONDELET DRIVE
KANSAS CITY, MO 64114
KANSAS CITY, MO 64114
Provider Phone Number
(816) 943-4777
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
162
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARONDELET LONG TERM CARE FACILITIES INC
Date First Approved to Provide Medicare and Medicaid services
1986-01-10
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40777
Reported LPN Staffing Hours per Resident per Day
0.92039
Reported RN Staffing Hours per Resident per Day
0.55874
Reported Licensed Staffing Hours per Resident per Day
1.47913
Reported Total Nurse Staffing Hours per Resident per Day
3.88690
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03350
Expected CNA Staffing Hours per Resident per Day
2.39937
Expected LPN Staffing Hours per Resident per Day
0.66020
Expected RN Staffing Hours per Resident per Day
1.04857
Expected Total Nurse Staffing Hours per Resident per Day
4.10814
Adjusted CNA Staffing Hours per Resident per Day
2.46229
Adjusted LPN Staffing Hours per Resident per Day
1.15711
Adjusted RN Staffing Hours per Resident per Day
0.39815
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81382
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
160
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
160
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
108
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
108
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
124.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
61133
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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