Delmar Gardens Of Overland Park - Overland Park Nursing Home

General Information

UPDATE
Federal Provider Number
175182
Provider Name
DELMAR GARDENS OF OVERLAND PARK
Provider Address
12100 W 109TH ST
OVERLAND PARK, KS 66210
Provider Phone Number
9134694210
Provider SSA County
450
Provider County Name
Johnson
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DELMAR GARDENS OF OVERLAND PARK OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-20
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
2
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
2.57255
Reported LPN Staffing Hours per Resident per Day
0.65147
Reported RN Staffing Hours per Resident per Day
0.57696
Reported Licensed Staffing Hours per Resident per Day
1.22843
Reported Total Nurse Staffing Hours per Resident per Day
3.80098
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.25602
Expected LPN Staffing Hours per Resident per Day
0.62596
Expected RN Staffing Hours per Resident per Day
0.96357
Expected Total Nurse Staffing Hours per Resident per Day
3.84555
Adjusted CNA Staffing Hours per Resident per Day
2.79796
Adjusted LPN Staffing Hours per Resident per Day
0.86382
Adjusted RN Staffing Hours per Resident per Day
0.44740
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98418
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
18
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-02-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-10-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
32
Cycle 3 Standard Health Survey Date
2011-07-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
0
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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