Promise Skilled Nursing Facility Of Overland Park, - Overland Park Nursing Home
General Information
UPDATEFederal Provider Number
175240
Provider Name
PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK,
Provider Address
6505 W 103RD ST
OVERLAND PARK, KS 66212
OVERLAND PARK, KS 66212
Provider Phone Number
(913) 649-5110
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK INC
Date First Approved to Provide Medicare and Medicaid services
1993-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41795
Reported LPN Staffing Hours per Resident per Day
1.14615
Reported RN Staffing Hours per Resident per Day
0.83205
Reported Licensed Staffing Hours per Resident per Day
1.97821
Reported Total Nurse Staffing Hours per Resident per Day
4.39615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01282
Expected CNA Staffing Hours per Resident per Day
2.68496
Expected LPN Staffing Hours per Resident per Day
1.24641
Expected RN Staffing Hours per Resident per Day
1.73640
Expected Total Nurse Staffing Hours per Resident per Day
5.66777
Adjusted CNA Staffing Hours per Resident per Day
2.20968
Adjusted LPN Staffing Hours per Resident per Day
0.76323
Adjusted RN Staffing Hours per Resident per Day
0.35804
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12653
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
107
Cycle 1 Standard Survey Health Date
2014-09-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
107
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
74.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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