Kansas Nursing Homes >> Kansas City Nursing Homes >> Providence Place

Providence Place - Kansas City Nursing Home

General Information

UPDATE
Federal Provider Number
175159
Provider Name
PROVIDENCE PLACE
Provider Address
8909 PARALLEL PKY
KANSAS CITY, KS 66112
Provider Phone Number
(913) 596-4200
Provider SSA County
986
Provider County Name
Wyandotte
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
69
Number of Residents in Certified Beds
54
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PROVIDENCE PLACE, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-03-11
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.91389
Reported LPN Staffing Hours per Resident per Day
0.46852
Reported RN Staffing Hours per Resident per Day
1.44167
Reported Licensed Staffing Hours per Resident per Day
1.91019
Reported Total Nurse Staffing Hours per Resident per Day
4.82408
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09815
Expected CNA Staffing Hours per Resident per Day
2.29944
Expected LPN Staffing Hours per Resident per Day
0.62159
Expected RN Staffing Hours per Resident per Day
1.18509
Expected Total Nurse Staffing Hours per Resident per Day
4.10611
Adjusted CNA Staffing Hours per Resident per Day
3.10937
Adjusted LPN Staffing Hours per Resident per Day
0.62561
Adjusted RN Staffing Hours per Resident per Day
0.90898
Adjusted Total Nurse Staffing Hours per Resident per Day
4.73572
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
18
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-06-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
1788
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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