Manorcare Health Services - Overland Park - Overland Park Nursing Home
General Information
UPDATEFederal Provider Number
175180
Provider Name
MANORCARE HEALTH SERVICES - OVERLAND PARK
Provider Address
5211 W 103RD ST
OVERLAND PARK, KS 66207
OVERLAND PARK, KS 66207
Provider Phone Number
(913) 383-2569
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
223
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF OVERLAND PARK KS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-12
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.58409
Reported LPN Staffing Hours per Resident per Day
1.02443
Reported RN Staffing Hours per Resident per Day
0.96420
Reported Licensed Staffing Hours per Resident per Day
1.98864
Reported Total Nurse Staffing Hours per Resident per Day
4.57272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02841
Expected CNA Staffing Hours per Resident per Day
2.46324
Expected LPN Staffing Hours per Resident per Day
0.65600
Expected RN Staffing Hours per Resident per Day
1.00694
Expected Total Nurse Staffing Hours per Resident per Day
4.12618
Adjusted CNA Staffing Hours per Resident per Day
2.57408
Adjusted LPN Staffing Hours per Resident per Day
1.29614
Adjusted RN Staffing Hours per Resident per Day
0.71549
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46712
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
28
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2015-03-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
184
Cycle 2 Standard Health Survey Date
2013-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
184
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
24
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
164.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
56
Number of Fines
1
Total Amount of Fines in Dollars
16200
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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