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Excelsior Springs Medical Center

Details

Type of Ownership Non profit - Other
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 60
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: 06/27/2011

Date of last standard health inspection: 06/27/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MO: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MO: 0 - 7

Inspection, 00/02/2008

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. 00/02/2008 02/07/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/02/2008 02/07/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide residents with private access to a telephone. 00/02/2008 02/07/2009 2 Some

Inspection, 02/07/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/07/2006 00/08/2008 2 Some

Inspection, 00/01/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/01/2004 03/00/2006 1 Many
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. 00/01/2004 03/00/2006 2 Some
Provide housekeeping and maintenance services. 00/01/2004 03/00/2006 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2004 03/00/2006 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/01/2004 03/00/2006 2 Many
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. 00/01/2004 03/00/2006 2 Many
Store, cook, and serve food in a safe and clean way. 00/01/2004 03/00/2006 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/01/2004 03/00/2006 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/01/2004 03/00/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/01/2004 03/00/2006 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2004 03/00/2006 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/01/2004 03/00/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2004 03/00/2006 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/01/2004 03/00/2006 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. 00/01/2004 03/00/2006 2 Few
Ensure residents maintain acceptable nutritional status. 00/01/2004 03/00/2006 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 00/01/2004 03/00/2006 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/01/2004 03/00/2006 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2004 03/00/2006 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2004 03/00/2006 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 00/01/2004 03/00/2006 2 Few
Give residents a notice of rights, rules, services and charges. 00/01/2004 03/00/2006 1 Many
Keep residents' personal and medical records private and confidential. 00/01/2004 03/00/2006 2 Many
Allow residents to easily view the results of the nursing home's most recent inspection. 00/01/2004 03/00/2006 1 Many

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 60
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 34 minutes 58 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 5 hours 49 minutes 15 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 3 minutes 42 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 51 minutes 2 hours 21 minutes

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: 06/27/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 06/27/2011
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, 00/02/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/02/2008 02/07/2009 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/02/2008 02/07/2009 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. 00/02/2008 02/07/2009 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/02/2008 02/07/2009 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. 00/02/2008 02/07/2009 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/02/2008 02/07/2009 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/02/2008 02/07/2009 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper construction of ducts through walls designed to prevent smoke passage. 00/02/2008 02/07/2009 2 Many
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." 00/02/2008 02/07/2009 2 Some

Inspection, 00/01/2004

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/01/2004 03/00/2006 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/01/2004 03/00/2006 2 Some
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. 00/01/2004 03/00/2006 2 Few
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. 00/01/2004 03/00/2006 2 Some
 

1700 Rainbow Boulevard
Excelsior Springs, MO 64024

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