JOHN KNOX VILLAGE CARE CENTER
600 NW PRYOR ROAD
LEES SUMMIT, MO, 64081
8162464343
CCN: 265095
4
Overall4
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| JOHN KNOX VILLAGE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ROBB, CHARLES | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHINNERY, CARL | CORPORATE DIRECTOR | NOT APPLICABLE |
| CLEMENTS, GABRIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEMAREST, DIANE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GROSS, MELVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAM, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| HARRELSON, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| SMITH, TINA | CORPORATE DIRECTOR | NOT APPLICABLE |
| STASI, JOSEPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| KLOCKENGA, RICHARD | CORPORATE OFFICER | NOT APPLICABLE |
| TIMBERLAKE, MARIA | CORPORATE OFFICER | NOT APPLICABLE |
| REXROTH, DANIEL | CORPORATE OFFICER | NOT APPLICABLE |
| COLUMBATTO, ANTHONY | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, LAURIE | CORPORATE OFFICER | NOT APPLICABLE |
| JOHN KNOX VILLAGE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PREMIERLIFE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOVERSTEN, TAMI | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (20)
2025-04-30 · Health
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
2025-01-14 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2024-07-16 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-05 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · Pharmacy Service Deficiencies
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.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2021-08-30 · Health
E
F838 · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · Pharmacy Service Deficiencies
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.
E
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
F638 · Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.14
RN Hrs/Resident/Day0.54
0.80
LPN Hrs/Resident/Day0.81
1.05
CNA Hrs/Resident/Day2.33
2.29
PT Hrs/Resident/Day0.12
0.08
Data as of 2026-03-01