Lutheran Convalescent Home - Webster Groves Nursing Home

General Information

UPDATE
Federal Provider Number
265600
Provider Name
LUTHERAN CONVALESCENT HOME
Provider Address
723 SOUTH LACLEDE STATION RD
WEBSTER GROVES, MO 63119
Provider Phone Number
3149685570
Provider SSA County
940
Provider County Name
St. Louis
Ownership Type
Non profit - Church related
Number of Certified Beds
160
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN SENIOR SERVICES
Date First Approved to Provide Medicare and Medicaid services
1995-01-02
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.95000
Reported LPN Staffing Hours per Resident per Day
0.84424
Reported RN Staffing Hours per Resident per Day
0.68885
Reported Licensed Staffing Hours per Resident per Day
1.53309
Reported Total Nurse Staffing Hours per Resident per Day
4.48309
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05180
Expected CNA Staffing Hours per Resident per Day
2.47676
Expected LPN Staffing Hours per Resident per Day
0.55955
Expected RN Staffing Hours per Resident per Day
0.86517
Expected Total Nurse Staffing Hours per Resident per Day
3.90149
Adjusted CNA Staffing Hours per Resident per Day
2.92253
Adjusted LPN Staffing Hours per Resident per Day
1.25228
Adjusted RN Staffing Hours per Resident per Day
0.59492
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63179
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
20
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-09-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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