EDGEWOOD MANOR NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Edgewood Manor Nursing Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

EDGEWOOD MANOR NURSING HOME
11900 JESSICA LANE
RAYTOWN, MO 64138
(816) 358-7858

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 54
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Edgewood Manor Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1615.8%
ADL Index Range: 6-1033.3%
ADL Index Range: 0-537.4%
Total Percent:86.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.3%
ADL Index Range: 6-105.1%
ADL Index Range: 0-54.1%
Total Percent:13.6%
 

Rating Details For Edgewood Manor Nursing Home

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours30 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours27 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 5 Minutes2 Hours and 12 Minutes
Total Licensed Nurse Hours57 Minutes1 Hour and 35 Minutes
Total Nurse Hours3 Hours and 2 Minutes3 Hours and 47 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season87%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder45%38%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased4%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season70%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain31%20%
Percent of Short-Stay Residents Who Have Pressure Sores8%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/08/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 10/08/2008
  • Correction Date: 02/17/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/08/2008
  • Correction Date: 02/17/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Have Enough Outside Airflow.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/23/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 10/08/2008
  • Correction Date: 02/17/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/14/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/08/2008
  • Correction Date: 02/17/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/08/2008
  • Correction Date: 02/17/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/08/2008
  • Correction Date: 02/17/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 10/08/2008
  • Correction Date: 02/17/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Edgewood Manor Nursing Home, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/17/2008
  • Correction Date: 08/15/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 12/03/2008
  • Correction Date: 01/01/1900
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 12/03/2008
  • Correction Date: 01/01/1900
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 12/03/2008
  • Correction Date: 01/01/1900

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Edgewood Manor Nursing Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/08/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Portable Fire Extinguishers.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/23/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009

Laboratories

Emergency Showers.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/15/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/11/2009
  • Correction Date: 10/23/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/21/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011