Charlevoix Healthcare Center - Saint Charles Nursing Home
General Information
UPDATEFederal Provider Number
265160
Provider Name
CHARLEVOIX HEALTHCARE CENTER
Provider Address
1221 BOONSLICK ROAD
SAINT CHARLES, MO 63301
SAINT CHARLES, MO 63301
Provider Phone Number
(636) 946-6140
Provider SSA County
910
Provider County Name
St. Charles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF ST CHARLES LLC
Date First Approved to Provide Medicare and Medicaid services
1982-02-17
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.72009
Reported LPN Staffing Hours per Resident per Day
0.75402
Reported RN Staffing Hours per Resident per Day
0.70357
Reported Licensed Staffing Hours per Resident per Day
1.45759
Reported Total Nurse Staffing Hours per Resident per Day
4.17768
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05089
Expected CNA Staffing Hours per Resident per Day
2.41145
Expected LPN Staffing Hours per Resident per Day
0.57387
Expected RN Staffing Hours per Resident per Day
0.92278
Expected Total Nurse Staffing Hours per Resident per Day
3.90810
Adjusted CNA Staffing Hours per Resident per Day
2.76775
Adjusted LPN Staffing Hours per Resident per Day
1.09055
Adjusted RN Staffing Hours per Resident per Day
0.56970
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30895
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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