Bellefontaine Gardens Nursing & Rehab - Saint Louis Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
265709
Provider Name
BELLEFONTAINE GARDENS NURSING & REHAB
Provider Address
9500 BELLEFONTAINE ROAD
SAINT LOUIS, MO 63137
SAINT LOUIS, MO 63137
Provider Phone Number
(314) 388-0796
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELLEFONTAINE GARDENS NURSING & REHAB, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-07-24
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
3
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
2.14262
Reported LPN Staffing Hours per Resident per Day
0.54344
Reported RN Staffing Hours per Resident per Day
0.51066
Reported Licensed Staffing Hours per Resident per Day
1.05410
Reported Total Nurse Staffing Hours per Resident per Day
3.19672
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03525
Expected CNA Staffing Hours per Resident per Day
2.16496
Expected LPN Staffing Hours per Resident per Day
0.59264
Expected RN Staffing Hours per Resident per Day
0.93269
Expected Total Nurse Staffing Hours per Resident per Day
3.69029
Adjusted CNA Staffing Hours per Resident per Day
2.42838
Adjusted LPN Staffing Hours per Resident per Day
0.76109
Adjusted RN Staffing Hours per Resident per Day
0.40910
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49178
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-03-26
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
74
Cycle 2 Total Health Score
222
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
126.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
6825
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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