Lutheran Senior Services At Meramec Bluffs - Ballwin Nursing Home
General Information
UPDATEFederal Provider Number
265805
Provider Name
LUTHERAN SENIOR SERVICES AT MERAMEC BLUFFS
Provider Address
50 MERAMEC TRAILS DRIVE
BALLWIN, MO 63021
BALLWIN, MO 63021
Provider Phone Number
(636) 861-0600
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
58
Number of Residents in Certified Beds
22
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
2007-01-01
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.18636
Reported LPN Staffing Hours per Resident per Day
0.52045
Reported RN Staffing Hours per Resident per Day
1.64091
Reported Licensed Staffing Hours per Resident per Day
2.16136
Reported Total Nurse Staffing Hours per Resident per Day
5.34772
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10455
Expected CNA Staffing Hours per Resident per Day
2.61647
Expected LPN Staffing Hours per Resident per Day
0.79483
Expected RN Staffing Hours per Resident per Day
1.54555
Expected Total Nurse Staffing Hours per Resident per Day
4.95685
Adjusted CNA Staffing Hours per Resident per Day
2.98814
Adjusted LPN Staffing Hours per Resident per Day
0.54348
Adjusted RN Staffing Hours per Resident per Day
0.79330
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34875
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-11
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
2
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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