ROYAL CARE CENTER INC - EXCELSIOR SPRINGS, MO

Submitted by:

Kristi Rice, Business Office Manger

Company Name is Excelsior Springs Nursing & Rehab and not Royal Care Center

Institution representatives - add corrected or new information about ROYAL CARE CENTER INC »

Addresss:

1003 MEADOWLARK LANE
EXCELSIOR SPRINGS, MO, 64024

Phone (make sure to verify first before calling): (816) 630-3145

Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 4 Stars

Other nearby nursing homes

EXCELSIOR SPRINGS CITY HOSP AND CONV (2.60 miles)
EXCELSIOR SPRINGS HOSPITAL HOME HEALTH/HOSPICE (0.31 miles)
EXCELSIOR SPRINGS MEDICAL CENTER (0.31 miles)
LAWSON MANOR AND REHAB (LAWSON, 5.65 miles)
VALLEY MANOR AND REHABILITATION CENTER (0.40 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.29

Certified Nurse Aides - Full Time: 32.00

Certified Nurse Aides - Part Time: 2.40

Dietitians - Under Contract: 0.11

Food Service Personnel - Full Time: 8.00

Food Service Personnel - Part Time: 2.14

Housekeeping Personnel - Full Time: 6.86

Licensed Practical/ Vocational Nurses - Full Time: 5.71

Licensed Practical/ Vocational Nurses - Part Time: 1.37

Mental Health Services Personnel - Under Contract: 0.06

Nurses With Administrative Duties - Full Time: 1.14

Persons Not Included In Any Other Categories - Full Time: 3.43

Physical Therapists - Under Contract: 0.43

Registered Nurses - Full Time: 3.43

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 1.14

Activities Professionals - Full Time: 1.14

Dentists - Under Contract: 0.03

Occupational Therapists - Under Contract: 0.43

Pharmacists - Under Contract: 0.06

Podiatrists - Under Contract: 0.06

Speech Pathologists - Under Contract: 0.03

Persons Not Included In Any Other Categories - Part Time: 1.29

Registered Nurses - Part Time: 0.69

Occupational Therapy Assistants - Under Contract: 0.43

Medication Aides/ Technicians - Full Time: 6.86

Number Of Beds

Total: 108

Total Certified: 108

For Disabled Children: 5

For Residents With Huntington's Disease: 2

For Residents With Ventilator/ Resipiratory Care Needs: 10

For Residents With Alzeheimers: 10

For Residents With Specialized Rehab Needs: 60

For Residents Needing Hospice Services: 10

For Residents Needing Dialysis: 6

For Residents With Head Trauma: 5

Provided Services

Activities Services Are Provided Offsite To Residents

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Administration And Storage Of Blood Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Offsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Offsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Offsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Offsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Offsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Offsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Offsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Therapeutic Recrecation Specialist Services Are Provided Offsite To Residents

Vocational Services Are Provided Offsite To Residents

Vocational Services Are Provided Onsite To Residents

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide food in a way that meets a resident's needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Offer other nutritional food to each resident who will not eat the food served
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	23.0%
State:	14.0%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	16.8%
State:	11.8%

Percent of long-stay residents who lose too much weight

This Nursing Home:	1.6%
State:	7.3%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	12.5%
Missouri:	31.8%

Percent of long-stay residents with a urinary tract infection

Here:	12.5%
Missouri:	7.5%

Percent of long-stay residents who have depressive symptoms

Here:	3.2%
State:	6.3%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	98.5%
Missouri:	95.3%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	97.1%
Missouri:	89.3%

Percent of short-stay residents who self-report moderate to severe pain

Here:	23.9%
Missouri:	22.4%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.9%
State:	1.9%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	80.6%
Missouri:	82.3%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	74.6%
State:	74.7%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.1%
Missouri:	2.5%

Percent of long-stay residents who received an antipsychotic medication

Here:	26.3%
Missouri:	25.1%

ROYAL CARE CENTER INC - EXCELSIOR SPRINGS, MO

Complaint Deficiency

Quality Measures

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