Mercy Skilled Nursing Center - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265298
Provider Name
MERCY SKILLED NURSING CENTER
Provider Address
12120 CONWAY ROAD
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
Provider Phone Number
(314) 251-6600
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
84
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERCY HOSPITALS EAST COMMUNITIES
Date First Approved to Provide Medicare and Medicaid services
1985-10-16
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
5
Health Inspection Rating Footnote
QM Rating
3
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
2.38644
Reported LPN Staffing Hours per Resident per Day
1.01441
Reported RN Staffing Hours per Resident per Day
3.10424
Reported Licensed Staffing Hours per Resident per Day
4.11864
Reported Total Nurse Staffing Hours per Resident per Day
6.50509
Reported Physical Therapist Staffing Hours per Resident Per Day
0.44068
Expected CNA Staffing Hours per Resident per Day
2.26729
Expected LPN Staffing Hours per Resident per Day
0.70925
Expected RN Staffing Hours per Resident per Day
1.51928
Expected Total Nurse Staffing Hours per Resident per Day
4.49582
Adjusted CNA Staffing Hours per Resident per Day
2.58265
Adjusted LPN Staffing Hours per Resident per Day
1.18712
Adjusted RN Staffing Hours per Resident per Day
1.52670
Adjusted Total Nurse Staffing Hours per Resident per Day
5.83239
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-29
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
5.33300
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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