Hillside Manor Healthcare And Rehab Center - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265585
Provider Name
HILLSIDE MANOR HEALTHCARE AND REHAB CENTER
Provider Address
1265 MCLARAN AVENUE
SAINT LOUIS, MO 63147
SAINT LOUIS, MO 63147
Provider Phone Number
(314) 388-4121
Provider SSA County
950
Provider County Name
St. Louis City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
208
Number of Residents in Certified Beds
156
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSIDE MANOR HEALTHCARE & REHAB. CENTER
Date First Approved to Provide Medicare and Medicaid services
1994-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.50224
Reported LPN Staffing Hours per Resident per Day
1.02692
Reported RN Staffing Hours per Resident per Day
0.40801
Reported Licensed Staffing Hours per Resident per Day
1.43494
Reported Total Nurse Staffing Hours per Resident per Day
3.93717
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01795
Expected CNA Staffing Hours per Resident per Day
1.77856
Expected LPN Staffing Hours per Resident per Day
0.55161
Expected RN Staffing Hours per Resident per Day
0.83678
Expected Total Nurse Staffing Hours per Resident per Day
3.16694
Adjusted CNA Staffing Hours per Resident per Day
3.45210
Adjusted LPN Staffing Hours per Resident per Day
1.54519
Adjusted RN Staffing Hours per Resident per Day
0.36433
Adjusted Total Nurse Staffing Hours per Resident per Day
5.01125
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
2014-02-03
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
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
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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