CARONDELET MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Carondelet Manor. 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

CARONDELET MANOR
621 CARONDELET DRIVE
KANSAS CITY, MO 64114
(816) 943-4777

Nursing Home Ratings

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

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 139
  • Certified Beds: 162

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Grandview | Raytown | Lees Summit

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 "Very 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 Carondelet Manor. 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

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.0%
ADL Index Range: 2-102.3%
Total Percent:3.4%
 

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: 11-163.4%
ADL Index Range: 6-1023.2%
ADL Index Range: 0-52.1%
Total Percent:28.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.0%
ADL Index Range: 6-1026.6%
ADL Index Range: 0-516.3%
Total Percent:47.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.7%
ADL Index Range: 6-104.8%
ADL Index Range: 0-54.1%
Total Percent:11.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.0%
ADL Index Range: 6-102.6%
ADL Index Range: 0-50.5%
Total Percent:4.1%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.8%
Total Percent:0.8%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.5%
Total Percent:0.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.6%
Total Percent:0.6%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.2%
ADL Index Range: 2-5
- No Signs of depression
0.7%
Total Percent:0.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
1.6%
Total Percent:1.6%
 

Rating Details For Carondelet Manor

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) Hours40 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours59 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 32 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 39 Minutes1 Hour and 59 Minutes
Total Nurse Hours4 Hours and 10 Minutes4 Hours and 28 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 Who Were Assessed and Given Pneumococcal Vaccination85%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season83%93%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder43%38%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%11%
Percent of Long-Stay Residents Who Lose Too Much Weight9%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain42%20%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%
Percent of Short-Stay Residents Who Have Delirium10%4%

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 09/01/2010.

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

Follow All Laws and Professional Standards.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/01/2010
  • Correction Date: 11/19/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Have Enough Outside Airflow.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/01/2010
  • Correction Date: 11/19/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
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: 09/01/2010
  • Correction Date: 10/16/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
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: 09/10/2008
  • Correction Date: 10/24/2008
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: 09/10/2008
  • Correction Date: 10/24/2008
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
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: 11/10/2009
  • Correction Date: 12/24/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
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: 11/10/2009
  • Correction Date: 12/24/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
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: 09/01/2010
  • Correction Date: 10/16/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010
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: 09/01/2010
  • Correction Date: 11/19/2010
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/24/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 09/01/2010
  • Correction Date: 11/19/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 09/01/2010
  • Correction Date: 11/19/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 09/01/2010
  • Correction Date: 11/19/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Carondelet Manor, 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

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 09/10/2008
  • Correction Date: 10/24/2008

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 03/22/2011
  • Correction Date: 05/13/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/10/2009
  • Correction Date: 12/24/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 11/10/2009
  • Correction Date: 12/24/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 11/10/2009
  • Correction Date: 12/24/2009

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 Carondelet Manor 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 09/01/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/16/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/24/2009
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011