Jefferson Health Care - Lees Summit Nursing Home
General Information
UPDATEFederal Provider Number
265377
Provider Name
JEFFERSON HEALTH CARE
Provider Address
615 SW OLDHAM PARKWAY
LEES SUMMIT, MO 64081
LEES SUMMIT, MO 64081
Provider Phone Number
(816) 524-3328
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFERSON HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1989-04-24
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43710
Reported LPN Staffing Hours per Resident per Day
1.72339
Reported RN Staffing Hours per Resident per Day
0.62823
Reported Licensed Staffing Hours per Resident per Day
2.35161
Reported Total Nurse Staffing Hours per Resident per Day
4.78872
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02661
Expected CNA Staffing Hours per Resident per Day
1.98559
Expected LPN Staffing Hours per Resident per Day
0.55909
Expected RN Staffing Hours per Resident per Day
0.82343
Expected Total Nurse Staffing Hours per Resident per Day
3.36810
Adjusted CNA Staffing Hours per Resident per Day
3.01166
Adjusted LPN Staffing Hours per Resident per Day
2.55846
Adjusted RN Staffing Hours per Resident per Day
0.57007
Adjusted Total Nurse Staffing Hours per Resident per Day
5.73108
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
20
Cycle 1 Standard Survey Health Date
2014-11-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
107
Cycle 3 Standard Health Survey Date
2013-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
107
Total Weighted Health Survey Score
45.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
2
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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