Manor Grove, Incorporated - Kirkwood Nursing Home
General Information
UPDATEFederal Provider Number
265833
Provider Name
MANOR GROVE, INCORPORATED
Provider Address
711 SOUTH KIRKWOOD ROAD
KIRKWOOD, MO 63122
KIRKWOOD, MO 63122
Provider Phone Number
(314) 965-0864
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR GROVE, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.11912
Reported LPN Staffing Hours per Resident per Day
0.54412
Reported RN Staffing Hours per Resident per Day
1.24706
Reported Licensed Staffing Hours per Resident per Day
1.79118
Reported Total Nurse Staffing Hours per Resident per Day
4.91030
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06765
Expected CNA Staffing Hours per Resident per Day
2.41446
Expected LPN Staffing Hours per Resident per Day
0.57860
Expected RN Staffing Hours per Resident per Day
0.98959
Expected Total Nurse Staffing Hours per Resident per Day
3.98266
Adjusted CNA Staffing Hours per Resident per Day
3.16981
Adjusted LPN Staffing Hours per Resident per Day
0.78053
Adjusted RN Staffing Hours per Resident per Day
0.94160
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96978
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
2014-12-18
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-13
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
22.00000
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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