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EVERGREEN COMMUNITY OF JOHNSON COUNTY

Overall Rating

Address

11875 S Sunset Drive, Suite 100

Olathe, KS 66061

Contact

9134778227

Certification Date

1996-01-01

Details

CMS Certification Number

175355

Ownership Type

Non profit - Corporation

Number of Certified Beds

112

Average Number of Residents per Day

75.8

Provider Type

Medicare and Medicaid

Legal Business Name

EVERGREEN LIVING INNOVATIONS INC

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

2

Quality Measure Rating

3

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.86478

Reported LPN Staffing Hours per Resident per Day

0.59144

Reported RN Staffing Hours per Resident per Day

0.92868

Reported Total Nurse Staffing Hours per Resident per Day

4.38490

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

3.99066

Registered Nurse Hours per Resident per Day on the Weekend

0.55114

Reported Physical Therapist Staffing Hours per Resident Per Day

0.02692

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

60.000

Number of Facility Reported Incidents

2

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-09-19

Total Number of Health Deficiencies

15

Number of Standard Health Deficiencies

14

Number of Complaint Health Deficiencies

15

Health Deficiency Score

80

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

80

Rating Cycle 2

Standard Health Survey Date

2021-04-29

Total Number of Health Deficiencies

8

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

1

Health Deficiency Score

60

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

60

Rating Cycle 3

Standard Health Survey Date

2019-04-23

Total Number of Health Deficiencies

0

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

0

Health Deficiency Score

0

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

0

Penalties

Number of Fines

2

Total Amount of Fines in Dollars

13308.75

Number of Payment Denials

0

Total Number of Penalties

2