Foxwood Springs Living Center - Raymore Nursing Home

General Information

UPDATE
Federal Provider Number
265803
Provider Name
FOXWOOD SPRINGS LIVING CENTER
Provider Address
1500 WEST FOXWOOD DRIVE
RAYMORE, MO 64083
Provider Phone Number
(816) 331-3111
Provider SSA County
180
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CCRC OPCO FOXWOOD SPRINGS LLC
Date First Approved to Provide Medicare and Medicaid services
2006-09-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
4.58953
Reported LPN Staffing Hours per Resident per Day
1.24128
Reported RN Staffing Hours per Resident per Day
0.56919
Reported Licensed Staffing Hours per Resident per Day
1.81047
Reported Total Nurse Staffing Hours per Resident per Day
6.40000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06453
Expected CNA Staffing Hours per Resident per Day
2.57446
Expected LPN Staffing Hours per Resident per Day
0.64740
Expected RN Staffing Hours per Resident per Day
1.02420
Expected Total Nurse Staffing Hours per Resident per Day
4.24606
Adjusted CNA Staffing Hours per Resident per Day
4.37426
Adjusted LPN Staffing Hours per Resident per Day
1.59137
Adjusted RN Staffing Hours per Resident per Day
0.41525
Adjusted Total Nurse Staffing Hours per Resident per Day
6.07569
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
33.33300
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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