Crown Care Center - Harrisonville Nursing Home
General Information
UPDATEFederal Provider Number
265647
Provider Name
CROWN CARE CENTER
Provider Address
3001 EAST ELM
HARRISONVILLE, MO 64701
HARRISONVILLE, MO 64701
Provider Phone Number
(816) 380-6525
Provider SSA County
180
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROWN CARE CENTER OF HARRISONVILLE, L.C.
Date First Approved to Provide Medicare and Medicaid services
1996-06-12
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31532
Reported LPN Staffing Hours per Resident per Day
0.69775
Reported RN Staffing Hours per Resident per Day
0.39099
Reported Licensed Staffing Hours per Resident per Day
1.08874
Reported Total Nurse Staffing Hours per Resident per Day
3.40406
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03198
Expected CNA Staffing Hours per Resident per Day
2.11062
Expected LPN Staffing Hours per Resident per Day
0.60462
Expected RN Staffing Hours per Resident per Day
0.90428
Expected Total Nurse Staffing Hours per Resident per Day
3.61952
Adjusted CNA Staffing Hours per Resident per Day
2.69167
Adjusted LPN Staffing Hours per Resident per Day
0.95785
Adjusted RN Staffing Hours per Resident per Day
0.32307
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79095
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-12-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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