Carrie Elligson Gietner Home - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265668
Provider Name
CARRIE ELLIGSON GIETNER HOME
Provider Address
5000 SOUTH BROADWAY
SAINT LOUIS, MO 63111
SAINT LOUIS, MO 63111
Provider Phone Number
3147520000
Provider SSA County
950
Provider County Name
St. Louis City
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NAUFEL, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-03-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.83750
Reported LPN Staffing Hours per Resident per Day
0.64830
Reported RN Staffing Hours per Resident per Day
0.25227
Reported Licensed Staffing Hours per Resident per Day
0.90057
Reported Total Nurse Staffing Hours per Resident per Day
2.73807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00795
Expected CNA Staffing Hours per Resident per Day
1.79247
Expected LPN Staffing Hours per Resident per Day
0.53770
Expected RN Staffing Hours per Resident per Day
0.78419
Expected Total Nurse Staffing Hours per Resident per Day
3.11436
Adjusted CNA Staffing Hours per Resident per Day
2.51534
Adjusted LPN Staffing Hours per Resident per Day
1.00073
Adjusted RN Staffing Hours per Resident per Day
0.24037
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54387
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
8
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
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
60
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
1
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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