PROVIDENCE PLACE

KANSAS CITY, KS · 45 beds · For profit - Corporation

77 Trust Score
Grade: B LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star staffing rating
  • No fines or penalties on record

Quick Facts

★★★★☆
CMS Overall
★★★☆☆
Health Inspection
10
1.0x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

August 11, 2025

10 deficiencyies
F0676 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0700 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0851 No Harm Scope/Severity: C

Administration Deficiencies

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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

October 31, 2023

10 deficiencyies
F0558 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0851 Potential Harm Scope/Severity: F

Administration Deficiencies

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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

See full violation history →

Staffing

0.85
RN hrs/res/day
1.13
LPN hrs/res/day
2.01
CNA hrs/res/day
3.25
Weekend hrs/res/day
48%
Total nurse turnover
N/A
RN turnover

A nurse checks on each resident roughly every 6.0 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Chain: THE ENSIGN GROUP
  • GATEWAY HEALTHCARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 06/27/2023

    100% Organization
  • THE ENSIGN GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/27/2023

    100% Organization
  • BROOKS, MICHAEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2023

    Individual
  • BURTON, SPENCER

    CORPORATE DIRECTOR

    Since since 10/01/2023

    Individual
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 10/01/2023

    Individual
  • FITCH, CRAIG

    CORPORATE OFFICER

    Since since 10/01/2023

    Individual
  • LEWIS, CORWIN

    CORPORATE OFFICER

    Since since 10/01/2023

    Individual
  • BROOKS, MICHAEL

    W-2 MANAGING EMPLOYEE

    Since since 10/01/2023

    Individual

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