Bentleys Extended Care - Overland Nursing Home
General Information
UPDATEFederal Provider Number
265732
Provider Name
BENTLEYS EXTENDED CARE
Provider Address
3060 ASHBY ROAD
OVERLAND, MO 63114
OVERLAND, MO 63114
Provider Phone Number
(314) 426-0433
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASHBY ROAD INC
Date First Approved to Provide Medicare and Medicaid services
2002-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
3.94590
Reported LPN Staffing Hours per Resident per Day
1.00738
Reported RN Staffing Hours per Resident per Day
0.63197
Reported Licensed Staffing Hours per Resident per Day
1.63934
Reported Total Nurse Staffing Hours per Resident per Day
5.58525
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14016
Expected CNA Staffing Hours per Resident per Day
2.34850
Expected LPN Staffing Hours per Resident per Day
0.59163
Expected RN Staffing Hours per Resident per Day
0.86598
Expected Total Nurse Staffing Hours per Resident per Day
3.80610
Adjusted CNA Staffing Hours per Resident per Day
4.12265
Adjusted LPN Staffing Hours per Resident per Day
1.41327
Adjusted RN Staffing Hours per Resident per Day
0.54529
Adjusted Total Nurse Staffing Hours per Resident per Day
5.91513
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-03-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
30
Cycle 3 Total Health Score
90
Total Weighted Health Survey Score
64.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
5623
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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