Creve Coeur Manor - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265720
Provider Name
CREVE COEUR MANOR
Provider Address
1127 TIMBER RUN DRIVE
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
Provider Phone Number
(314) 434-8361
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
149
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CREVE COEUR MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
2001-07-10
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.79167
Reported LPN Staffing Hours per Resident per Day
0.66917
Reported RN Staffing Hours per Resident per Day
0.36333
Reported Licensed Staffing Hours per Resident per Day
1.03250
Reported Total Nurse Staffing Hours per Resident per Day
3.82417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01167
Expected CNA Staffing Hours per Resident per Day
1.87100
Expected LPN Staffing Hours per Resident per Day
0.53297
Expected RN Staffing Hours per Resident per Day
0.71742
Expected Total Nurse Staffing Hours per Resident per Day
3.12138
Adjusted CNA Staffing Hours per Resident per Day
3.66110
Adjusted LPN Staffing Hours per Resident per Day
1.04212
Adjusted RN Staffing Hours per Resident per Day
0.37841
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93847
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
164
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
1
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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