Crystal Creek Health And Rehabilitation Center - Florissant Nursing Home
General Information
UPDATEFederal Provider Number
265607
Provider Name
CRYSTAL CREEK HEALTH AND REHABILITATION CENTER
Provider Address
250 NEW FLORISSANT ROAD SOUTH
FLORISSANT, MO 63031
FLORISSANT, MO 63031
Provider Phone Number
(314) 838-2211
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
158
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FLO-GP LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1995-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
1.80748
Reported LPN Staffing Hours per Resident per Day
0.81772
Reported RN Staffing Hours per Resident per Day
0.47598
Reported Licensed Staffing Hours per Resident per Day
1.29370
Reported Total Nurse Staffing Hours per Resident per Day
3.10118
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09331
Expected CNA Staffing Hours per Resident per Day
2.36148
Expected LPN Staffing Hours per Resident per Day
0.66248
Expected RN Staffing Hours per Resident per Day
1.26237
Expected Total Nurse Staffing Hours per Resident per Day
4.28634
Adjusted CNA Staffing Hours per Resident per Day
1.87806
Adjusted LPN Staffing Hours per Resident per Day
1.02449
Adjusted RN Staffing Hours per Resident per Day
0.28173
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91637
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-02-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
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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