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PROVIDENCE PLACE LTCU

Overall Rating

Address

8909 Parallel Pky

Kansas City, KS 66112

Contact

9135964200

Certification Date

1987-03-11

Details

CMS Certification Number

175159

Ownership Type

For profit - Corporation

Number of Certified Beds

45

Average Number of Residents per Day

20.7

Provider Type

Medicare and Medicaid

Legal Business Name

Legal Business Name Not Available

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

3

Quality Measure Rating

4

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

Reported LPN Staffing Hours per Resident per Day

Reported RN Staffing Hours per Resident per Day

Reported Total Nurse Staffing Hours per Resident per Day

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

Registered Nurse Hours per Resident per Day on the Weekend

Reported Physical Therapist Staffing Hours per Resident Per Day

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

48.000

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

1

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-11-01

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

10

Number of Complaint Health Deficiencies

0

Health Deficiency Score

60

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

60

Rating Cycle 2

Standard Health Survey Date

2022-03-30

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

9

Number of Complaint Health Deficiencies

8

Health Deficiency Score

40

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

40

Rating Cycle 3

Standard Health Survey Date

2021-02-04

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

9750.00

Number of Payment Denials

0

Total Number of Penalties

1