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Excelsior Springs Nursing & Rehab

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About Excelsior Springs Nursing & Rehab

General Information

Legal Business NameExcelsior Springs Nursing And Rehab LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 25, 2008 (8 years)
Capacity108
Residents79
Percent Occupied73%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Excelsior Springs Nursing & Rehab

Excelsior Springs Nursing & Rehab
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Missouri Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 13, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

June 18, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.

April 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

August 27, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

May 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide residents with private access to a telephone.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

March 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Excelsior Springs Nursing & Rehab require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 15min
2hr 5min
ReportedExpected
CNA
15min
35min
ReportedExpected
LPN
55min
55min
ReportedExpected
RN
3hr 25min
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.8%
98.8%
95.2%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
90.7%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Pneumococcal Vaccine
32.0%
29.5%
25.7%
32.9%
Q1 2015Q2 2015Q3 2015MO
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.2%
14.1%
9.2%
20.0%
Q1 2015Q2 2015Q3 2015MO
Received an Antipsychotic Medication
18.9%
15.1%
17.0%
15.4%
Q1 2015Q2 2015Q3 2015MO
Need for Help with ADLs has Increased
2.3%
3.9%
9.2%
8.9%
Q1 2015Q2 2015Q3 2015MO
Self Report Moderate to Severe Pain
4.2%
1.4%
1.4%
7.0%
Q1 2015Q2 2015Q3 2015MO
Lose Too Much Weight
9.8%
14.7%
22.6%
5.9%
Q1 2015Q2 2015Q3 2015MO
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
4.3%
Q1 2015Q2 2015Q3 2015MO
Have Depressive Symptoms
5.6%
5.7%
8.7%
5.6%
Q1 2015Q2 2015Q3 2015MO
With a Urinary Tract Infection
6.8%
4.3%
4.2%
4.0%
Q1 2015Q2 2015Q3 2015MO
Experiencing One or More Falls with Major Injury
0.0%
0.0%
3.7%
2.9%
Q1 2015Q2 2015Q3 2015MO
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.5%
Q1 2015Q2 2015Q3 2015MO
Were Physically Restrained

Quality Measures for Short Stay Residents

92.4%
93.0%
98.6%
77.8%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Pneumococcal Vaccine
92.2%
89.4%
89.4%
78.1%
Q1 2015Q2 2015Q3 2015MO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
18.9%
12.7%
11.8%
18.5%
Q1 2015Q2 2015Q3 2015MO
Self Report Moderate to Severe Pain
0.0%
0.0%
2.2%
2.5%
Q1 2015Q2 2015Q3 2015MO
Newly Received an Antipsychotic Medication
0.0%
2.0%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015MO
With Pressure Ulcers That Are New or Worsened