EXCELSIOR SPRINGS MEDICAL CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Excelsior Springs Medical Center. 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

EXCELSIOR SPRINGS MEDICAL CENTER
1700 RAINBOW BOULEVARD
EXCELSIOR SPRINGS, MO 64024
(816) 630-6081

Nursing Home Ratings

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

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 57
  • Certified Beds: 60

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Lawson | Liberty | Richmond

Rating Details For Excelsior Springs Medical Center

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) Hours9 Minutes44 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours45 Minutes33 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 8 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours54 Minutes1 Hour and 17 Minutes
Total Nurse Hours3 Hours and 2 Minutes3 Hours and 33 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 Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-4%
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 Bladder1%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%38%
Percent of Long-Stay Residents Who Lose Too Much Weight3%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%9%

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 04/01/2010.

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

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/05/2009
Post Nurse Staffing Information.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/05/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/05/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
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: 04/01/2010
  • Correction Date: 06/30/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/05/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/05/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
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: 04/01/2010
  • Correction Date: 06/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
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: 04/01/2010
  • Correction Date: 06/30/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/05/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
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.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Excelsior Springs Medical Center, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/11/2008
  • Correction Date: 02/05/2009

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 Excelsior Springs Medical Center 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 04/01/2010.

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

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 12/06/2007
  • Correction Date: 02/26/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/01/2010
  • Correction Date: 06/30/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011