Bethesda Southgate - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265756
Provider Name
BETHESDA SOUTHGATE
Provider Address
5943 TELEGRAPH ROAD
SAINT LOUIS, MO 63129
SAINT LOUIS, MO 63129
Provider Phone Number
(314) 846-2000
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
100
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
2003-04-03
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.81400
Reported LPN Staffing Hours per Resident per Day
1.07850
Reported RN Staffing Hours per Resident per Day
0.83150
Reported Licensed Staffing Hours per Resident per Day
1.91000
Reported Total Nurse Staffing Hours per Resident per Day
4.72400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07800
Expected CNA Staffing Hours per Resident per Day
2.54140
Expected LPN Staffing Hours per Resident per Day
0.65151
Expected RN Staffing Hours per Resident per Day
1.05448
Expected Total Nurse Staffing Hours per Resident per Day
4.24739
Adjusted CNA Staffing Hours per Resident per Day
2.71689
Adjusted LPN Staffing Hours per Resident per Day
1.37397
Adjusted RN Staffing Hours per Resident per Day
0.58920
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48322
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
40
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
40
Total Weighted Health Survey Score
30.00000
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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