Covenant Place Of Lenexa Inc - Lenexa Nursing Home
General Information
UPDATEFederal Provider Number
175556
Provider Name
COVENANT PLACE OF LENEXA INC
Provider Address
8505 PFLUMM ROAD
LENEXA, KS 66215
LENEXA, KS 66215
Provider Phone Number
(913) 307-2000
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
34
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2013-06-27
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
4
Health Inspection Rating Footnote
QM Rating
2
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
3.62222
Reported LPN Staffing Hours per Resident per Day
1.22407
Reported RN Staffing Hours per Resident per Day
0.88519
Reported Licensed Staffing Hours per Resident per Day
2.10926
Reported Total Nurse Staffing Hours per Resident per Day
5.73148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21111
Expected CNA Staffing Hours per Resident per Day
2.42800
Expected LPN Staffing Hours per Resident per Day
0.59701
Expected RN Staffing Hours per Resident per Day
1.10011
Expected Total Nurse Staffing Hours per Resident per Day
4.12512
Adjusted CNA Staffing Hours per Resident per Day
3.66055
Adjusted LPN Staffing Hours per Resident per Day
1.70179
Adjusted RN Staffing Hours per Resident per Day
0.60123
Adjusted Total Nurse Staffing Hours per Resident per Day
5.60057
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
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
2013-06-25
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
43.20000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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