Timberlake Care Center - Kansas City Nursing Home
General Information
UPDATEFederal Provider Number
265637
Provider Name
TIMBERLAKE CARE CENTER
Provider Address
12110 HOLMES ROAD
KANSAS CITY, MO 64145
KANSAS CITY, MO 64145
Provider Phone Number
8169413006
Provider SSA County
470
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MISSION LAKE CONVELESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1996-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.24244
Reported LPN Staffing Hours per Resident per Day
0.81512
Reported RN Staffing Hours per Resident per Day
0.44767
Reported Licensed Staffing Hours per Resident per Day
1.26279
Reported Total Nurse Staffing Hours per Resident per Day
3.50523
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09884
Expected CNA Staffing Hours per Resident per Day
2.18970
Expected LPN Staffing Hours per Resident per Day
0.59874
Expected RN Staffing Hours per Resident per Day
0.97586
Expected Total Nurse Staffing Hours per Resident per Day
3.76430
Adjusted CNA Staffing Hours per Resident per Day
2.51280
Adjusted LPN Staffing Hours per Resident per Day
1.12995
Adjusted RN Staffing Hours per Resident per Day
0.34277
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75348
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
40
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
100.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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
Nursiong Homes Nearby
Bridgewood Health Care Center
11515 Troost |
KANSAS CITY MO 64131 | 0.7 mile away
Corner Brook Place
12942 Wornall Road |
KANSAS CITY MO 64145 | 1.3 miles away
Carondelet Manor
621 Carondelet Drive |
KANSAS CITY MO 64114 | 2.1 miles away
Blue River Rehabilitation Center
10425 Chestnut Dr |
KANSAS CITY MO 64137 | 2.5 miles away
Kingswood
10000 Wornall Road |
KANSAS CITY MO 64114 | 2.8 miles away
Life Care Center Of Grandview
6301 East 125th St |
GRANDVIEW MO 64030 | 3.7 miles away
Hope Care Center
115 East 83rd Street |
KANSAS CITY MO 64114 | 4.7 miles away
Armour Oaks Senior Living Community
8100 Wornall Road |
KANSAS CITY MO 64114 | 5 miles away
Holmesdale Healthcare And Rehabilitation Center
8033 Holmes |
KANSAS CITY MO 64131 | 5.1 miles away
Jeanne Jugan Center
8745 James A Reed Rd |
KANSAS CITY MO 64138 | 6.5 miles away
Highland Rehabilitation & Health Care Center
904 East 68th Street |
KANSAS CITY MO 64131 | 6.7 miles away
Gregory Ridge Living Center
7001 Cleveland Avenue |
KANSAS CITY MO 64132 | 6.7 miles away
Swope Ridge Geriatric Center
5900 Swope Parkway |
KANSAS CITY MO 64130 | 7.9 miles away
Westridge Gardens Rehab & Health Care Center
11901 Jessica Lane |
RAYTOWN MO 64138 | 9 miles away
Edgewood Manor Nursing Home
11900 Jessica Lane |
RAYTOWN MO 64138 | 9.1 miles away
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