Bethesda Dilworth - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265764
Provider Name
BETHESDA DILWORTH
Provider Address
9645 BIG BEND BLVD
SAINT LOUIS, MO 63122
SAINT LOUIS, MO 63122
Provider Phone Number
(314) 968-5460
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
272
Number of Residents in Certified Beds
178
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHESDA LONG TERM CARE INC
Date First Approved to Provide Medicare and Medicaid services
2003-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
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
2.92809
Reported LPN Staffing Hours per Resident per Day
1.23090
Reported RN Staffing Hours per Resident per Day
0.81994
Reported Licensed Staffing Hours per Resident per Day
2.05084
Reported Total Nurse Staffing Hours per Resident per Day
4.97893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13090
Expected CNA Staffing Hours per Resident per Day
2.45095
Expected LPN Staffing Hours per Resident per Day
0.60259
Expected RN Staffing Hours per Resident per Day
0.98823
Expected Total Nurse Staffing Hours per Resident per Day
4.04177
Adjusted CNA Staffing Hours per Resident per Day
2.93138
Adjusted LPN Staffing Hours per Resident per Day
1.69542
Adjusted RN Staffing Hours per Resident per Day
0.61995
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96553
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-07
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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