Kansas City Presbyterian Manor - Kansas City Nursing Home

General Information

UPDATE
Federal Provider Number
175298
Provider Name
KANSAS CITY PRESBYTERIAN MANOR
Provider Address
7850 FREEMAN AVE
KANSAS CITY, KS 66112
Provider Phone Number
(913) 334-3666
Provider SSA County
986
Provider County Name
Wyandotte
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
161
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.61933
Reported LPN Staffing Hours per Resident per Day
0.75924
Reported RN Staffing Hours per Resident per Day
0.92773
Reported Licensed Staffing Hours per Resident per Day
1.68697
Reported Total Nurse Staffing Hours per Resident per Day
4.30630
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05042
Expected CNA Staffing Hours per Resident per Day
2.43509
Expected LPN Staffing Hours per Resident per Day
0.57423
Expected RN Staffing Hours per Resident per Day
0.83527
Expected Total Nurse Staffing Hours per Resident per Day
3.84460
Adjusted CNA Staffing Hours per Resident per Day
2.63934
Adjusted LPN Staffing Hours per Resident per Day
1.09742
Adjusted RN Staffing Hours per Resident per Day
0.82991
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51498
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
19
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-08-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
100.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
17
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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