Garden Valley Nursing & Rehabilitation Center - Kansas City Nursing Home
General Information
UPDATEFederal Provider Number
265697
Provider Name
GARDEN VALLEY NURSING & REHABILITATION CENTER
Provider Address
8575 NORTH GRANBY AVE
KANSAS CITY, MO 64154
KANSAS CITY, MO 64154
Provider Phone Number
(816) 436-8575
Provider SSA County
820
Provider County Name
Platte
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PGVN, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-02-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.90185
Reported LPN Staffing Hours per Resident per Day
0.83611
Reported RN Staffing Hours per Resident per Day
0.39120
Reported Licensed Staffing Hours per Resident per Day
1.22731
Reported Total Nurse Staffing Hours per Resident per Day
4.12916
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04769
Expected CNA Staffing Hours per Resident per Day
2.26836
Expected LPN Staffing Hours per Resident per Day
0.59692
Expected RN Staffing Hours per Resident per Day
0.96386
Expected Total Nurse Staffing Hours per Resident per Day
3.82914
Adjusted CNA Staffing Hours per Resident per Day
3.13895
Adjusted LPN Staffing Hours per Resident per Day
1.16259
Adjusted RN Staffing Hours per Resident per Day
0.30326
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34672
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
48
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
115.33300
Number of Facility Reported Incidents
1
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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