Monterey Park Rehabilitation & Health Care Center - Independence Nursing Home
General Information
UPDATEFederal Provider Number
265579
Provider Name
MONTEREY PARK REHABILITATION & HEALTH CARE CENTER
Provider Address
4600 LITTLE BLUE PARKWAY
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
Provider Phone Number
(816) 795-7888
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTEREY PARK NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.62337
Reported LPN Staffing Hours per Resident per Day
0.89891
Reported RN Staffing Hours per Resident per Day
0.66467
Reported Licensed Staffing Hours per Resident per Day
1.56359
Reported Total Nurse Staffing Hours per Resident per Day
4.18695
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04022
Expected CNA Staffing Hours per Resident per Day
2.39076
Expected LPN Staffing Hours per Resident per Day
0.61824
Expected RN Staffing Hours per Resident per Day
0.94222
Expected Total Nurse Staffing Hours per Resident per Day
3.95122
Adjusted CNA Staffing Hours per Resident per Day
2.69244
Adjusted LPN Staffing Hours per Resident per Day
1.20680
Adjusted RN Staffing Hours per Resident per Day
0.52710
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27138
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
32
Cycle 2 Standard Health Survey Date
2014-04-16
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
25.33300
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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