Mount Carmel Senior Living - St Charles, Llc - Saint Charles Nursing Home
General Information
UPDATEFederal Provider Number
265783
Provider Name
MOUNT CARMEL SENIOR LIVING - ST CHARLES, LLC
Provider Address
723 FIRST CAPITOL DRIVE
SAINT CHARLES, MO 63301
SAINT CHARLES, MO 63301
Provider Phone Number
(636) 946-4140
Provider SSA County
910
Provider County Name
St. Charles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT CARMEL COMMUNITIES, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
3.49831
Reported LPN Staffing Hours per Resident per Day
1.49407
Reported RN Staffing Hours per Resident per Day
0.72881
Reported Licensed Staffing Hours per Resident per Day
2.22288
Reported Total Nurse Staffing Hours per Resident per Day
5.72119
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27881
Expected CNA Staffing Hours per Resident per Day
2.47565
Expected LPN Staffing Hours per Resident per Day
0.67341
Expected RN Staffing Hours per Resident per Day
1.18387
Expected Total Nurse Staffing Hours per Resident per Day
4.33293
Adjusted CNA Staffing Hours per Resident per Day
3.46730
Adjusted LPN Staffing Hours per Resident per Day
1.84149
Adjusted RN Staffing Hours per Resident per Day
0.45999
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32240
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
24
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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