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Cherry Hills Community & Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 150
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 11/14/2011

Date of last standard health inspection: 11/14/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in MO: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MO: 0 - 7
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 01/04/2012 00/09/2002 and serve food in a safe and clean way. cook
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/04/2012 00/09/2002 Few grooming and personal and oral hygiene.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 01/04/2012 00/09/2002 and manage each resident's personal money which is secure

Inspection, 01/04/2012

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/04/2012 00/09/2002 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2012 00/09/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/04/2012 00/09/2002 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/04/2012 00/09/2002 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2012 00/09/2002 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/04/2012 00/09/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2012 00/09/2002 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/04/2012 00/09/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/04/2012 00/09/2002 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2012 00/09/2002 2 Few

Inspection, 01/04/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/04/2011 00/04/2001 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/04/2011 00/04/2001 2 Some
Dispose of garbage and refuse properly. 01/04/2011 00/04/2001 2 Many
Have a program that investigates, controls and keeps infection from spreading. 01/04/2011 00/04/2001 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/04/2011 00/04/2001 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/04/2011 00/04/2001 2 Some
Provide food in a way that meets a resident's needs. 01/04/2011 00/04/2001 2 Some
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/04/2011 00/04/2001 2 Some
Store, cook, and serve food in a safe and clean way. 01/04/2011 00/04/2001 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/04/2011 00/04/2001 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/04/2011 00/04/2001 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2011 00/04/2001 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/04/2011 00/04/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/04/2011 00/04/2001 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2011 00/04/2001 2 Some

Inspection, 00/06/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/06/2009 01/04/2010 Few controls and keeps infection from spreading.

Inspection, 03/01/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 03/01/2007 02/08/2009 1 Some
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 03/01/2007 02/08/2009 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 03/01/2007 02/08/2009 2 Some
Post nurse staffing information/data on a daily basis. 03/01/2007 02/08/2009 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 03/01/2007 02/08/2009 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/01/2007 02/08/2009 4 Few
Have a program that investigates, controls and keeps infection from spreading. 03/01/2007 02/08/2009 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 03/01/2007 02/08/2009 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 03/01/2007 02/08/2009 2 Some
Provide a safe 03/01/2007 02/08/2009 comfortable and home-like environment; and allow r clean
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/01/2007 02/08/2009 4 Few
Make sure that the nursing home area is safe 03/01/2007 02/08/2009 clean and comfortable for residents easy to use
Make sure there is a pest control program to prevent/deal with mice 03/01/2007 02/08/2009 or other pests. insects
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 03/01/2007 02/08/2009 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 03/01/2007 02/08/2009 2 Some
Store, cook, and serve food in a safe and clean way. 03/01/2007 02/08/2009 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 03/01/2007 02/03/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 03/01/2007 02/03/2010 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 03/01/2007 02/08/2009 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/01/2007 02/08/2009 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 03/01/2007 02/08/2009 2 Some
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 03/01/2007 02/08/2009 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 03/01/2007 02/08/2009 2 Few
Ensure residents maintain acceptable nutritional status. 03/01/2007 02/08/2009 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 03/01/2007 02/08/2009 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 03/01/2007 02/08/2009 2 Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 03/01/2007 02/08/2009 2 Some
Provide routine and 24-hour emergency dental care for each resident. 03/01/2007 02/08/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/01/2007 02/08/2009 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 03/01/2007 02/08/2009 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 03/01/2007 02/08/2009 2 Few
Conduct initial and periodic assessments of each resident's functional capacity. 03/01/2007 02/08/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 03/01/2007 02/08/2009 2 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 03/01/2007 02/08/2009 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 03/01/2007 02/08/2009 2 Some
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 03/01/2007 02/08/2009 2 Some

Inspection, 02/03/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/03/2006 00/02/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 02/03/2006 00/02/2008 Few grooming and personal and oral hygiene.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 02/03/2006 00/02/2008 2 Few

Inspection, 00/04/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/04/2005 00/02/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 00/04/2005 00/02/2008 Few grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/04/2005 02/03/2006 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 00/04/2005 00/02/2008 2 Few

Inspection, 02/07/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2004 02/07/2005 4 Few

Inspection, 03/01/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/01/2003 00/00/0000 4 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 03/01/2003 00/00/0000 2 Few

Inspection, 02/09/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2003 02/02/2005 2 Few
Assist those residents who need help with eating/drinking 02/09/2003 02/02/2005 Few grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/09/2003 02/02/2005 2 Some

Inspection, 02/00/2002

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2002 02/02/2005 3 Few
Assist those residents who need help with eating/drinking 02/00/2002 02/02/2005 Few grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/00/2002 02/02/2005 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MO Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 76 88
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 34 minutes 1 hour 27 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 5 hours 49 minutes 18 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 3 minutes 1 hour 9 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 51 minutes 2 hours 1 minute

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 11/14/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/14/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MO: 5
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MO: 0 - 5

Inspection, 01/04/2012

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/04/2012 00/09/2002 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/04/2012 00/09/2002 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/04/2012 00/09/2002 2 Some

Inspection, 01/04/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/04/2011 00/04/2001 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/04/2011 00/04/2001 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/04/2011 01/08/2001 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/04/2011 00/04/2001 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors or aisles that are unobstructed and are at least 8 feet in width. 01/04/2011 00/04/2001 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/04/2011 00/04/2001 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/04/2011 00/04/2001 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/04/2011 00/04/2001 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/04/2011 00/04/2001 2 Few

Inspection, 03/01/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/01/2007 02/08/2009 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 03/01/2007 02/08/2009 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 03/01/2007 02/08/2009 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 03/01/2007 02/08/2009 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 03/01/2007 02/08/2009 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 03/01/2007 02/08/2009 2 Some
Record of quarterly fire drills for each shift under varying conditions. 03/01/2007 02/08/2009 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 03/01/2007 02/08/2009 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 03/01/2007 02/08/2009 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 03/01/2007 02/08/2009 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 03/01/2007 02/08/2009 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 03/01/2007 02/08/2009 2 Many
 

724 Northeast 79th Terrace
Kansas City, MO 64118

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