Grand Manor Nursing & Rehabilitation Center - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265717
Provider Name
GRAND MANOR NURSING & REHABILITATION CENTER
Provider Address
3645 COOK AVE
SAINT LOUIS, MO 63113
SAINT LOUIS, MO 63113
Provider Phone Number
(314) 531-2352
Provider SSA County
950
Provider County Name
St. Louis City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND MANOR NURSING & REHABILITATION CENTER, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2000-12-18
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
2.30333
Reported LPN Staffing Hours per Resident per Day
0.75714
Reported RN Staffing Hours per Resident per Day
0.37905
Reported Licensed Staffing Hours per Resident per Day
1.13619
Reported Total Nurse Staffing Hours per Resident per Day
3.43952
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05524
Expected CNA Staffing Hours per Resident per Day
2.07204
Expected LPN Staffing Hours per Resident per Day
0.56771
Expected RN Staffing Hours per Resident per Day
0.83186
Expected Total Nurse Staffing Hours per Resident per Day
3.47161
Adjusted CNA Staffing Hours per Resident per Day
2.72760
Adjusted LPN Staffing Hours per Resident per Day
1.10694
Adjusted RN Staffing Hours per Resident per Day
0.34047
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99364
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
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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