Crestwood Health Care Center, Llc - Florissant Nursing Home
General Information
UPDATEFederal Provider Number
265823
Provider Name
CRESTWOOD HEALTH CARE CENTER, LLC
Provider Address
11400 MEHL AVENUE
FLORISSANT, MO 63033
FLORISSANT, MO 63033
Provider Phone Number
(314) 741-3525
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTWOOD HEALTH CARE CENTER, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2008-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94685
Reported LPN Staffing Hours per Resident per Day
0.39091
Reported RN Staffing Hours per Resident per Day
0.24755
Reported Licensed Staffing Hours per Resident per Day
0.63846
Reported Total Nurse Staffing Hours per Resident per Day
2.58531
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00664
Expected CNA Staffing Hours per Resident per Day
1.49047
Expected LPN Staffing Hours per Resident per Day
0.48123
Expected RN Staffing Hours per Resident per Day
0.61417
Expected Total Nurse Staffing Hours per Resident per Day
2.58587
Adjusted CNA Staffing Hours per Resident per Day
3.20502
Adjusted LPN Staffing Hours per Resident per Day
0.67422
Adjusted RN Staffing Hours per Resident per Day
0.30117
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03002
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
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
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-01-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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