Corner Brook Place - Kansas City Nursing Home
General Information
UPDATEFederal Provider Number
265830
Provider Name
CORNER BROOK PLACE
Provider Address
12942 WORNALL ROAD
KANSAS CITY, MO 64145
KANSAS CITY, MO 64145
Provider Phone Number
(816) 423-8500
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
180
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE GREENS HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2009-06-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
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
1.72519
Reported LPN Staffing Hours per Resident per Day
0.89302
Reported RN Staffing Hours per Resident per Day
0.62752
Reported Licensed Staffing Hours per Resident per Day
1.52054
Reported Total Nurse Staffing Hours per Resident per Day
3.24573
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03527
Expected CNA Staffing Hours per Resident per Day
1.98010
Expected LPN Staffing Hours per Resident per Day
0.56398
Expected RN Staffing Hours per Resident per Day
0.85953
Expected Total Nurse Staffing Hours per Resident per Day
3.40361
Adjusted CNA Staffing Hours per Resident per Day
2.13782
Adjusted LPN Staffing Hours per Resident per Day
1.31423
Adjusted RN Staffing Hours per Resident per Day
0.54551
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84392
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-04-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
81.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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