Claridge Court - Prairie Village Nursing Home
General Information
UPDATEFederal Provider Number
175343
Provider Name
CLARIDGE COURT
Provider Address
8101 MISSION RD
PRAIRIE VILLAGE, KS 66208
PRAIRIE VILLAGE, KS 66208
Provider Phone Number
(913) 383-2085
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
40
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LIFESPACE COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
1995-03-30
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
3
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
3.03625
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
0.96500
Reported Licensed Staffing Hours per Resident per Day
1.71500
Reported Total Nurse Staffing Hours per Resident per Day
4.75125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07375
Expected CNA Staffing Hours per Resident per Day
2.44814
Expected LPN Staffing Hours per Resident per Day
0.60344
Expected RN Staffing Hours per Resident per Day
0.87720
Expected Total Nurse Staffing Hours per Resident per Day
3.92878
Adjusted CNA Staffing Hours per Resident per Day
3.04315
Adjusted LPN Staffing Hours per Resident per Day
1.03159
Adjusted RN Staffing Hours per Resident per Day
0.82199
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87475
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-10-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-08-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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