Alexian Bros Sherbrooke Village - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265417
Provider Name
ALEXIAN BROS SHERBROOKE VILLAGE
Provider Address
4005 RIPA AVENUE
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
Provider Phone Number
(314) 544-1111
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
89
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALEXIAN BROTHERS SHERBROOKE VILLAGE
Date First Approved to Provide Medicare and Medicaid services
1990-02-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.85600
Reported LPN Staffing Hours per Resident per Day
0.56067
Reported RN Staffing Hours per Resident per Day
1.18400
Reported Licensed Staffing Hours per Resident per Day
1.74467
Reported Total Nurse Staffing Hours per Resident per Day
4.60067
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12067
Expected CNA Staffing Hours per Resident per Day
2.53477
Expected LPN Staffing Hours per Resident per Day
0.75433
Expected RN Staffing Hours per Resident per Day
1.44105
Expected Total Nurse Staffing Hours per Resident per Day
4.73015
Adjusted CNA Staffing Hours per Resident per Day
2.76466
Adjusted LPN Staffing Hours per Resident per Day
0.61691
Adjusted RN Staffing Hours per Resident per Day
0.61392
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92056
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
24
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
4388
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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