Kingswood - Kansas City Nursing Home
General Information
UPDATEFederal Provider Number
265795
Provider Name
KINGSWOOD
Provider Address
10000 WORNALL ROAD
KANSAS CITY, MO 64114
KANSAS CITY, MO 64114
Provider Phone Number
(816) 942-0994
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KANSAS CITY UNITED METHODIST RETIREMENT HOME INC
Date First Approved to Provide Medicare and Medicaid services
2005-04-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.04167
Reported LPN Staffing Hours per Resident per Day
1.34792
Reported RN Staffing Hours per Resident per Day
1.17500
Reported Licensed Staffing Hours per Resident per Day
2.52292
Reported Total Nurse Staffing Hours per Resident per Day
5.56459
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22708
Expected CNA Staffing Hours per Resident per Day
2.51610
Expected LPN Staffing Hours per Resident per Day
0.85852
Expected RN Staffing Hours per Resident per Day
1.62907
Expected Total Nurse Staffing Hours per Resident per Day
5.00369
Adjusted CNA Staffing Hours per Resident per Day
2.96624
Adjusted LPN Staffing Hours per Resident per Day
1.30314
Adjusted RN Staffing Hours per Resident per Day
0.53893
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48275
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
40
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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