Holmesdale Healthcare And Rehabilitation Center - Kansas City Nursing Home
General Information
UPDATEFederal Provider Number
265758
Provider Name
HOLMESDALE HEALTHCARE AND REHABILITATION CENTER
Provider Address
8033 HOLMES
KANSAS CITY, MO 64131
KANSAS CITY, MO 64131
Provider Phone Number
(816) 363-6222
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLMESDALE HEALTHCARE AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-04-24
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.15597
Reported LPN Staffing Hours per Resident per Day
0.92463
Reported RN Staffing Hours per Resident per Day
0.49403
Reported Licensed Staffing Hours per Resident per Day
1.41866
Reported Total Nurse Staffing Hours per Resident per Day
3.57463
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13507
Expected CNA Staffing Hours per Resident per Day
2.35565
Expected LPN Staffing Hours per Resident per Day
0.61421
Expected RN Staffing Hours per Resident per Day
0.94445
Expected Total Nurse Staffing Hours per Resident per Day
3.91431
Adjusted CNA Staffing Hours per Resident per Day
2.24571
Adjusted LPN Staffing Hours per Resident per Day
1.24948
Adjusted RN Staffing Hours per Resident per Day
0.39085
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68110
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-06-17
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-05-23
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
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
140
Cycle 3 Standard Health Survey Date
2012-02-06
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
70
Cycle 3 Total Health Score
210
Total Weighted Health Survey Score
81.66700
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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