LIFE CARE CENTER OF GRANDVIEW
Address
6301 EAST 125TH ST
GRANDVIEW, MO 64030
(816) 765-7714
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 101
- Certified Beds: 172
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
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 Life Care Center of Grandview. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 9.7% |
ADL Index Range: 6-10 | 11.3% |
ADL Index Range: 0-5 | 29.0% |
Total Percent: | 50.0% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 11.4% |
ADL Index Range: 6-10 | 8.4% |
ADL Index Range: 0-5 | 6.5% |
Total Percent: | 26.3% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 3.2% |
ADL Index Range: 0-5 | 1.1% |
Total Percent: | 4.3% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 1.5% |
ADL Index Range: 6-10 | 2.1% |
ADL Index Range: 0-5 | 1.7% |
Total Percent: | 5.3% |
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: 11-14 - Signs of depression | 3.2% |
ADL Index Range: 6-10 - No Signs of depression | 0.7% |
Total Percent: | 3.9% |
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: 0-1 - No Signs of depression | 1.3% |
Total Percent: | 1.3% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5 - Less restorative nursing | 0.4% |
ADL Index Range: 0-1 - Less restorative nursing | 6.4% |
Total Percent: | 6.8% |
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: 11-14 - Less restorative nursing | 1.5% |
ADL Index Range: 0-1 - Less restorative nursing | 0.6% |
Total Percent: | 2.1% |
Rating Details For Life Care Center of Grandview
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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 1 Hour and 4 Minutes | 1 Hour and 8 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 53 Minutes | 42 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 21 Minutes | 2 Hours and 22 Minutes |
Total Licensed Nurse Hours | 1 Hour and 57 Minutes | 1 Hour and 50 Minutes |
Total Nurse Hours | 4 Hours and 18 Minutes | 4 Hours and 11 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 Facility | Missouri Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Long-Term Stay Deficiencies
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 13% | 10% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 9% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 7% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 10% | 11% |
Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 4% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 5% | 11% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 6% | 9% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 3% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 39% | 38% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 3% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 4% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 88% | 83% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 73% | 87% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | 3% | 4% |
Percent of Short-Stay Residents Who Have Pressure Sores | 14% | 11% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 5% | 20% |
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 01/07/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
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Follow All Laws and Professional Standards.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Quickly Tell the Resident's Doctor the Results of Lab Tests.
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Keep Complete, Dated Lab Records in the Resident's File.
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Keep Accurate and Appropriate Medical Records.
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Train All Employees on What to Do in an Emergency.
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Get Services Outside the Nursing Home That Meet Professional Standards.
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Environmental
Keep Adequate and Comfortable Lighting in All Areas.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
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1) Hire Only People Who Have 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.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
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Get Doctor Orders for the Resident's Immediate Care when Admitted.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
Action Taken | Date | Amount |
Civil Money Penalty (CMP) | 12/16/2009 | $6,500 |
Denial of Payment for New Admission (DPNA) | 12/16/2009 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Life Care Center of Grandview, 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 Complaints | Degree of Harm | Residents Affected |
Environmental
Have Enough Outside Airflow.
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Provide Needed Housekeeping and Maintenance.
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Mistreatment
1) Hire Only People Who Have 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.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give or Get Special Rehabilitation if in the Patient's Plan of Care.
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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 Life Care Center of Grandview 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 01/07/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Building Service Equipment
Properly Protected Cooking Facilities.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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