Meadowbrook Rehabilitation Hospital Ltcu - Gardner Nursing Home
General Information
UPDATEFederal Provider Number
175130
Provider Name
MEADOWBROOK REHABILITATION HOSPITAL LTCU
Provider Address
427 W MAIN ST
GARDNER, KS 66030
GARDNER, KS 66030
Provider Phone Number
(913) 856-8747
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
42
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PINNACLE HEALTH FACILITIES XVIII LP
Date First Approved to Provide Medicare and Medicaid services
1983-08-26
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.54677
Reported LPN Staffing Hours per Resident per Day
0.74677
Reported RN Staffing Hours per Resident per Day
2.16129
Reported Licensed Staffing Hours per Resident per Day
2.90806
Reported Total Nurse Staffing Hours per Resident per Day
5.45483
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16774
Expected CNA Staffing Hours per Resident per Day
2.35477
Expected LPN Staffing Hours per Resident per Day
0.69806
Expected RN Staffing Hours per Resident per Day
1.19678
Expected Total Nurse Staffing Hours per Resident per Day
4.24960
Adjusted CNA Staffing Hours per Resident per Day
2.65377
Adjusted LPN Staffing Hours per Resident per Day
0.88792
Adjusted RN Staffing Hours per Resident per Day
1.34938
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17410
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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