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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 (9 years)
Capacity108
Residents82
Percent Occupied76%
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 1 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

October 19, 2016 - 5 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

May 26, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.
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 InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth Inspection1) 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.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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 InspectionEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmHealth InspectionProvide written records when a resident is transferred or discharged.

August 13, 2015 - 2 years ago

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

June 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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 - 3 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.

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.

1hr 35min
2hr 10min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
2hr 50min
3hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.8%
98.7%
98.7%
98.7%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
20.5%
15.8%
23.4%
23.4%
33.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of low risk long-stay residents who lose control of their bowels or bladder
13.8%
16.4%
17.5%
15.6%
27.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.9%
23.0%
22.0%
9.9%
15.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose ability to move independently worsened
11.8%
10.6%
8.6%
9.9%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antipsychotic medication
24.1%
18.2%
11.1%
14.3%
14.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose need for help with daily activities has increased
4.8%
6.1%
10.4%
7.4%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who self-report moderate to severe pain
1.4%
2.9%
1.4%
9.7%
6.9%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who lose too much weight
21.6%
7.5%
18.4%
13.6%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who have depressive symptoms
5.6%
5.7%
7.0%
4.2%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a urinary tract infection
4.1%
7.1%
8.3%
6.8%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents experiencing one or more falls with major injury
4.2%
3.5%
1.4%
1.2%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

98.7%
95.6%
95.4%
97.2%
74.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.4%
97.8%
97.8%
97.8%
74.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
58.3%
67.8%
65.9%
65.0%
66.5%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who made improvements in function
15.4%
14.5%
14.3%
17.2%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who self-report moderate to severe pain
2.0%
0.0%
0.0%
2.2%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
1.3%
1.7%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents with pressure ulcers that are new or worsened