Indian Creek Healthcare Center - Overland Park Nursing Home
General Information
UPDATEFederal Provider Number
175176
Provider Name
INDIAN CREEK HEALTHCARE CENTER
Provider Address
6515 W 103RD ST
OVERLAND PARK, KS 66212
OVERLAND PARK, KS 66212
Provider Phone Number
9136425545
Provider SSA County
450
Provider County Name
Johnson
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INDIAN CREEK OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1988-09-01
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
2
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
1.98579
Reported LPN Staffing Hours per Resident per Day
0.98368
Reported RN Staffing Hours per Resident per Day
0.51263
Reported Licensed Staffing Hours per Resident per Day
1.49632
Reported Total Nurse Staffing Hours per Resident per Day
3.48210
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03158
Expected CNA Staffing Hours per Resident per Day
2.29387
Expected LPN Staffing Hours per Resident per Day
0.63982
Expected RN Staffing Hours per Resident per Day
1.13447
Expected Total Nurse Staffing Hours per Resident per Day
4.06815
Adjusted CNA Staffing Hours per Resident per Day
2.12416
Adjusted LPN Staffing Hours per Resident per Day
1.27607
Adjusted RN Staffing Hours per Resident per Day
0.33763
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45021
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
2014-03-07
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
16
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2012-11-21
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
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2011-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
124.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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
Nursiong Homes Nearby
Promise Skilled Nursing Facility Of Overland Park,
6505 W 103rd St |
OVERLAND PARK KS 66212 | 0.1 mile away
Manorcare Health Services - Overland Park
5211 W 103rd St |
OVERLAND PARK KS 66207 | 0.9 mile away
Advanced Health Care Of Overland Park
4700 Indian Creek Parkway |
OVERLAND PARK KS 66207 | 1.2 miles away
Brookdale Overland Park
12000 Lamar |
OVERLAND PARK KS 66209 | 1.9 miles away
Villa St Joseph
11901 Rosewood |
OVERLAND PARK KS 66209 | 2.1 miles away
The Forum At Overland Park
3501 W 95th St |
OVERLAND PARK KS 66206 | 2.2 miles away
Village Shalom Inc
5500 West 123rd St |
OVERLAND PARK KS 66209 | 2.3 miles away
Claridge Court
8101 Mission Rd |
PRAIRIE VILLAGE KS 66208 | 3.5 miles away
Delmar Gardens Of Overland Park
12100 W 109th St |
OVERLAND PARK KS 66210 | 3.5 miles away
Delmar Gardens Of Lenexa
9701 Monrovia St |
LENEXA KS 66215 | 3.6 miles away
Overland Park Nursing & Rehab Center Inc
6501 W 75th St |
OVERLAND PARK KS 66204 | 3.7 miles away
Tallgrass Creek Inc
13760 Metcalf Avenue |
OVERLAND PARK KS 66223 | 4.2 miles away
Garden Terrace At Overland Park
7541 Switzer St |
OVERLAND PARK KS 66214 | 4.3 miles away
Brighton Gardens Of Prairie Village
7105 Mission Road |
PRAIRIE VILLAGE KS 66208 | 4.5 miles away
The Plaza Health Services At Santa Marta
13875 W 115th Terr |
OLATHE KS 66062 | 4.7 miles away
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