The Plaza Health Services At Santa Marta - Olathe Nursing Home
General Information
UPDATEFederal Provider Number
175503
Provider Name
THE PLAZA HEALTH SERVICES AT SANTA MARTA
Provider Address
13875 W 115TH TERR
OLATHE, KS 66062
OLATHE, KS 66062
Provider Phone Number
(913) 906-0990
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
33
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2008-08-08
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.65909
Reported LPN Staffing Hours per Resident per Day
1.13182
Reported RN Staffing Hours per Resident per Day
0.77424
Reported Licensed Staffing Hours per Resident per Day
1.90606
Reported Total Nurse Staffing Hours per Resident per Day
4.56515
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13485
Expected CNA Staffing Hours per Resident per Day
2.38170
Expected LPN Staffing Hours per Resident per Day
0.55440
Expected RN Staffing Hours per Resident per Day
0.85255
Expected Total Nurse Staffing Hours per Resident per Day
3.78866
Adjusted CNA Staffing Hours per Resident per Day
2.73948
Adjusted LPN Staffing Hours per Resident per Day
1.69446
Adjusted RN Staffing Hours per Resident per Day
0.67856
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85704
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-04-24
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-15
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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