Valley Manor And Rehabilitation Center - Excelsior Springs Nursing Home

General Information

UPDATE
Federal Provider Number
265356
Provider Name
VALLEY MANOR AND REHABILITATION CENTER
Provider Address
1410 HOSPITAL DRIVE
EXCELSIOR SPRINGS, MO 64024
Provider Phone Number
(816) 637-1010
Provider SSA County
230
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXCELSIOR SPRINGS 1 INC
Date First Approved to Provide Medicare and Medicaid services
1989-03-01
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
2
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
2.57411
Reported LPN Staffing Hours per Resident per Day
0.69821
Reported RN Staffing Hours per Resident per Day
0.44018
Reported Licensed Staffing Hours per Resident per Day
1.13839
Reported Total Nurse Staffing Hours per Resident per Day
3.71250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03571
Expected CNA Staffing Hours per Resident per Day
2.28384
Expected LPN Staffing Hours per Resident per Day
0.65609
Expected RN Staffing Hours per Resident per Day
1.06983
Expected Total Nurse Staffing Hours per Resident per Day
4.00975
Adjusted CNA Staffing Hours per Resident per Day
2.76556
Adjusted LPN Staffing Hours per Resident per Day
0.88329
Adjusted RN Staffing Hours per Resident per Day
0.30743
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73208
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
100
Cycle 3 Standard Health Survey Date
2013-02-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
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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