Life Care Center Of St Louis - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265610
Provider Name
LIFE CARE CENTER OF ST LOUIS
Provider Address
3520 CHOUTEAU AVE
SAINT LOUIS, MO 63103
SAINT LOUIS, MO 63103
Provider Phone Number
(314) 771-2100
Provider SSA County
950
Provider County Name
St. Louis City
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
100
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
C.M.C. EXTENDED CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-04-06
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36884
Reported LPN Staffing Hours per Resident per Day
1.21087
Reported RN Staffing Hours per Resident per Day
1.17174
Reported Licensed Staffing Hours per Resident per Day
2.38261
Reported Total Nurse Staffing Hours per Resident per Day
4.75145
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30725
Expected CNA Staffing Hours per Resident per Day
2.50709
Expected LPN Staffing Hours per Resident per Day
0.75025
Expected RN Staffing Hours per Resident per Day
1.48281
Expected Total Nurse Staffing Hours per Resident per Day
4.74014
Adjusted CNA Staffing Hours per Resident per Day
2.31839
Adjusted LPN Staffing Hours per Resident per Day
1.33959
Adjusted RN Staffing Hours per Resident per Day
0.59045
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04051
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
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
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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