Beauvais Manor Healthcare & Rehab Center - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265699
Provider Name
BEAUVAIS MANOR HEALTHCARE & REHAB CENTER
Provider Address
3625 MAGNOLIA AVENUE
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
Provider Phone Number
(314) 771-2990
Provider SSA County
950
Provider County Name
St. Louis City
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
184
Number of Residents in Certified Beds
173
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAUVAIS MANOR HEALTHCARE & REHAB CENTER
Date First Approved to Provide Medicare and Medicaid services
1999-02-16
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48642
Reported LPN Staffing Hours per Resident per Day
1.07110
Reported RN Staffing Hours per Resident per Day
0.27572
Reported Licensed Staffing Hours per Resident per Day
1.34682
Reported Total Nurse Staffing Hours per Resident per Day
3.83324
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04364
Expected CNA Staffing Hours per Resident per Day
2.32624
Expected LPN Staffing Hours per Resident per Day
0.58472
Expected RN Staffing Hours per Resident per Day
0.89917
Expected Total Nurse Staffing Hours per Resident per Day
3.81013
Adjusted CNA Staffing Hours per Resident per Day
2.62266
Adjusted LPN Staffing Hours per Resident per Day
1.52040
Adjusted RN Staffing Hours per Resident per Day
0.22912
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05535
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
261
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
183
Cycle 2 Total Health Score
444
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
176.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
40041
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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