Village Shalom Inc
Village Shalom Inc Information
| Facility Name | Village Shalom Inc |
| Location | 5500 West 123rd St, Overland Park, KS 66209 |
| County (SSA Code) | Johnson (450) |
| Phone Number | 913-317-2600 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 76 |
| Average Number of Residents | 42.3 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | VILLAGE SHALOM, INC |
| Ownership Type | For profit - Individual |
| Date First Approved | 2000-10-31 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 4.10325 |
| Reported LPN Staffing Hours per Resident per Day | 1.5367 |
| Reported RN Staffing - Hours per Resident per Day | 0.98365 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.52035 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.6236 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00793 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.33486 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.63578 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.31022 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.28086 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.4365 |
| Total Weighted Health Survey Score for three cycles | 55.833 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-25 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 84 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-21 |
| Rating cycle 2 - Health Deficiency Score | 84 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-06-15 |
| Rating cycle 3 - Health Deficiency Score | 95 |
| Rating cycle 3 - Total Health Inspection Score | 95 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 12922 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |