Ballwin Ridge Health & Rehabilitation - Wildwood Nursing Home
General Information
UPDATEFederal Provider Number
265539
Provider Name
BALLWIN RIDGE HEALTH & REHABILITATION
Provider Address
1441 CHARIC DRIVE
WILDWOOD, MO 63021
WILDWOOD, MO 63021
Provider Phone Number
6363942522
Provider SSA County
940
Provider County Name
St. Louis
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BALLWIN HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1993-06-05
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.95000
Reported LPN Staffing Hours per Resident per Day
0.65962
Reported RN Staffing Hours per Resident per Day
0.55481
Reported Licensed Staffing Hours per Resident per Day
1.21442
Reported Total Nurse Staffing Hours per Resident per Day
3.16443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02885
Expected CNA Staffing Hours per Resident per Day
2.04426
Expected LPN Staffing Hours per Resident per Day
0.59625
Expected RN Staffing Hours per Resident per Day
0.92971
Expected Total Nurse Staffing Hours per Resident per Day
3.57022
Adjusted CNA Staffing Hours per Resident per Day
2.34056
Adjusted LPN Staffing Hours per Resident per Day
0.91821
Adjusted RN Staffing Hours per Resident per Day
0.44590
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57275
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
127
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
127
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
81.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
201630
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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