Excelsior Springs Nursing & Rehab - Excelsior Springs Nursing Home
General Information
UPDATEFederal Provider Number
265821
Provider Name
EXCELSIOR SPRINGS NURSING & REHAB
Provider Address
1003 MEADOWLARK LANE
EXCELSIOR SPRINGS, MO 64024
EXCELSIOR SPRINGS, MO 64024
Provider Phone Number
(816) 630-3145
Provider SSA County
230
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXCELSIOR SPRINGS NURSING AND REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
2008-06-25
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
2
QM Rating Footnote
Staffing Rating
2
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
1.97917
Reported LPN Staffing Hours per Resident per Day
0.50885
Reported RN Staffing Hours per Resident per Day
0.49167
Reported Licensed Staffing Hours per Resident per Day
1.00052
Reported Total Nurse Staffing Hours per Resident per Day
2.97969
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08333
Expected CNA Staffing Hours per Resident per Day
2.13385
Expected LPN Staffing Hours per Resident per Day
0.63045
Expected RN Staffing Hours per Resident per Day
0.96540
Expected Total Nurse Staffing Hours per Resident per Day
3.72970
Adjusted CNA Staffing Hours per Resident per Day
2.27584
Adjusted LPN Staffing Hours per Resident per Day
0.66991
Adjusted RN Staffing Hours per Resident per Day
0.38054
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22032
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-06-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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