Delmar Gardens Of O'fallon - O'fallon Nursing Home
General Information
UPDATEFederal Provider Number
265792
Provider Name
DELMAR GARDENS OF O'FALLON
Provider Address
7068 SOUTH OUTER 364
O'FALLON, MO 63368
O'FALLON, MO 63368
Provider Phone Number
(636) 240-6100
Provider SSA County
910
Provider County Name
Saint Charles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
132
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DELMAR GARDENS OF O'FALLON, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-12-15
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.66553
Reported LPN Staffing Hours per Resident per Day
0.57121
Reported RN Staffing Hours per Resident per Day
0.61136
Reported Licensed Staffing Hours per Resident per Day
1.18258
Reported Total Nurse Staffing Hours per Resident per Day
3.84810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23030
Expected CNA Staffing Hours per Resident per Day
2.28329
Expected LPN Staffing Hours per Resident per Day
0.58239
Expected RN Staffing Hours per Resident per Day
1.07809
Expected Total Nurse Staffing Hours per Resident per Day
3.94378
Adjusted CNA Staffing Hours per Resident per Day
2.86446
Adjusted LPN Staffing Hours per Resident per Day
0.81407
Adjusted RN Staffing Hours per Resident per Day
0.42372
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93311
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
54.66700
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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