Estates Of St Louis, Llc, The - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265712
Provider Name
ESTATES OF ST LOUIS, LLC, THE
Provider Address
2115 KAPPEL DRIVE
SAINT LOUIS, MO 63136
SAINT LOUIS, MO 63136
Provider Phone Number
(314) 867-7474
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH VALLEY NURSING & REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
2001-01-12
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
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
1.95100
Reported LPN Staffing Hours per Resident per Day
1.17900
Reported RN Staffing Hours per Resident per Day
0.25100
Reported Licensed Staffing Hours per Resident per Day
1.43000
Reported Total Nurse Staffing Hours per Resident per Day
3.38100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15100
Expected CNA Staffing Hours per Resident per Day
1.66657
Expected LPN Staffing Hours per Resident per Day
0.49079
Expected RN Staffing Hours per Resident per Day
0.64298
Expected Total Nurse Staffing Hours per Resident per Day
2.80034
Adjusted CNA Staffing Hours per Resident per Day
2.87247
Adjusted LPN Staffing Hours per Resident per Day
1.99386
Adjusted RN Staffing Hours per Resident per Day
0.29168
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86672
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
179
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
179
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
40
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
133.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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