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
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
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 9 Minutes | 44 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 45 Minutes | 33 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 8 Minutes | 2 Hours and 16 Minutes |
| Total Licensed Nurse Hours | 54 Minutes | 1 Hour and 17 Minutes |
| Total Nurse Hours | 3 Hours and 2 Minutes | 3 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 Facility | Missouri Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 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 Bladder | 1% | 5% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 9% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 12% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 3% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 9% | 10% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 11% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 50% | 38% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 3% | 7% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 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 Inspectors | Degree of Harm | Residents Affected |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
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Post Nurse Staffing Information.
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Environmental
Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Keep Safe, Clean and Homelike Surroundings.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Provide Food in a Way That Meets a Resident's Needs.
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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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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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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.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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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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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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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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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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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.
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Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
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Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
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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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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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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 Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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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 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 Inspectors | Degree of Harm | Residents Affected |
Building Construction
Approved Construction Type or Materials.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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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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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011
