John Knox Village Care Center - Lees Summit Nursing Home
General Information
UPDATEFederal Provider Number
265095
Provider Name
JOHN KNOX VILLAGE CARE CENTER
Provider Address
600 NW PRYOR ROAD
LEES SUMMIT, MO 64081
LEES SUMMIT, MO 64081
Provider Phone Number
(816) 246-4343
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
353
Number of Residents in Certified Beds
233
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHN KNOX VILLAGE
Date First Approved to Provide Medicare and Medicaid services
1974-07-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73927
Reported LPN Staffing Hours per Resident per Day
0.66052
Reported RN Staffing Hours per Resident per Day
1.62961
Reported Licensed Staffing Hours per Resident per Day
2.29013
Reported Total Nurse Staffing Hours per Resident per Day
5.02940
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07661
Expected CNA Staffing Hours per Resident per Day
2.27800
Expected LPN Staffing Hours per Resident per Day
0.58350
Expected RN Staffing Hours per Resident per Day
0.91678
Expected Total Nurse Staffing Hours per Resident per Day
3.77829
Adjusted CNA Staffing Hours per Resident per Day
2.95054
Adjusted LPN Staffing Hours per Resident per Day
0.93955
Adjusted RN Staffing Hours per Resident per Day
1.32818
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36566
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-15
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
40
Cycle 3 Standard Health Survey Date
2012-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
31.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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