Marymount Manor - Eureka Nursing Home
General Information
UPDATEFederal Provider Number
265140
Provider Name
MARYMOUNT MANOR
Provider Address
313 AUGUSTINE RD, PO BOX 600
EUREKA, MO 63025
EUREKA, MO 63025
Provider Phone Number
(636) 938-6770
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARYMOUNT MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1979-03-23
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59954
Reported LPN Staffing Hours per Resident per Day
0.56606
Reported RN Staffing Hours per Resident per Day
0.49817
Reported Licensed Staffing Hours per Resident per Day
1.06422
Reported Total Nurse Staffing Hours per Resident per Day
3.66377
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07202
Expected CNA Staffing Hours per Resident per Day
2.34267
Expected LPN Staffing Hours per Resident per Day
0.60257
Expected RN Staffing Hours per Resident per Day
0.89697
Expected Total Nurse Staffing Hours per Resident per Day
3.84221
Adjusted CNA Staffing Hours per Resident per Day
2.72275
Adjusted LPN Staffing Hours per Resident per Day
0.77971
Adjusted RN Staffing Hours per Resident per Day
0.41499
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84369
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2014-04-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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