Rehabilitation Center Of Independence, The - Independence Nursing Home
General Information
UPDATEFederal Provider Number
265693
Provider Name
REHABILITATION CENTER OF INDEPENDENCE, THE
Provider Address
1800 S SWOPE DRIVE
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
Provider Phone Number
(816) 257-2566
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE REHABILITATION CENTER OF INDEPENDENCE, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-07-09
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06887
Reported LPN Staffing Hours per Resident per Day
0.93915
Reported RN Staffing Hours per Resident per Day
0.34009
Reported Licensed Staffing Hours per Resident per Day
1.27925
Reported Total Nurse Staffing Hours per Resident per Day
3.34811
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13208
Expected CNA Staffing Hours per Resident per Day
2.27875
Expected LPN Staffing Hours per Resident per Day
0.66714
Expected RN Staffing Hours per Resident per Day
1.19441
Expected Total Nurse Staffing Hours per Resident per Day
4.14029
Adjusted CNA Staffing Hours per Resident per Day
2.22771
Adjusted LPN Staffing Hours per Resident per Day
1.16842
Adjusted RN Staffing Hours per Resident per Day
0.21275
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25965
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
59.33300
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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