Villa St Joseph - Overland Park Nursing Home

General Information

UPDATE
Federal Provider Number
175183
Provider Name
VILLA ST JOSEPH
Provider Address
11901 ROSEWOOD
OVERLAND PARK, KS 66209
Provider Phone Number
(913) 345-1745
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARONDELET LONG TERM CARE FACILITIES INC
Date First Approved to Provide Medicare and Medicaid services
1989-03-20
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.49824
Reported LPN Staffing Hours per Resident per Day
0.83529
Reported RN Staffing Hours per Resident per Day
0.66294
Reported Licensed Staffing Hours per Resident per Day
1.49824
Reported Total Nurse Staffing Hours per Resident per Day
3.99647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05647
Expected CNA Staffing Hours per Resident per Day
2.51616
Expected LPN Staffing Hours per Resident per Day
0.60405
Expected RN Staffing Hours per Resident per Day
0.91766
Expected Total Nurse Staffing Hours per Resident per Day
4.03787
Adjusted CNA Staffing Hours per Resident per Day
2.43622
Adjusted LPN Staffing Hours per Resident per Day
1.14774
Adjusted RN Staffing Hours per Resident per Day
0.53980
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98957
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-08-26
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
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
58.00000
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
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