Lutheran Senior Services At Hidden Lake - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265735
Provider Name
LUTHERAN SENIOR SERVICES AT HIDDEN LAKE
Provider Address
11728 HIDDEN LAKE DRIVE
SAINT LOUIS, MO 63138
SAINT LOUIS, MO 63138
Provider Phone Number
(314) 355-8833
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
67
Number of Residents in Certified Beds
50
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
2002-02-26
Continuing Care Retirement Community
Y
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.43000
Reported LPN Staffing Hours per Resident per Day
0.74700
Reported RN Staffing Hours per Resident per Day
1.22500
Reported Licensed Staffing Hours per Resident per Day
1.97200
Reported Total Nurse Staffing Hours per Resident per Day
5.40200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02100
Expected CNA Staffing Hours per Resident per Day
2.57035
Expected LPN Staffing Hours per Resident per Day
0.60153
Expected RN Staffing Hours per Resident per Day
0.87071
Expected Total Nurse Staffing Hours per Resident per Day
4.04260
Adjusted CNA Staffing Hours per Resident per Day
3.27434
Adjusted LPN Staffing Hours per Resident per Day
1.03071
Adjusted RN Staffing Hours per Resident per Day
1.05123
Adjusted Total Nurse Staffing Hours per Resident per Day
5.38637
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-27
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
20
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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