Northview Village - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265524
Provider Name
NORTHVIEW VILLAGE
Provider Address
2415 NORTH KINGSHIGHWAY
SAINT LOUIS, MO 63113
SAINT LOUIS, MO 63113
Provider Phone Number
(314) 361-1300
Provider SSA County
950
Provider County Name
St. Louis City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
310
Number of Residents in Certified Beds
256
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHVIEW VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-12-07
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52227
Reported LPN Staffing Hours per Resident per Day
0.73320
Reported RN Staffing Hours per Resident per Day
0.15859
Reported Licensed Staffing Hours per Resident per Day
0.89180
Reported Total Nurse Staffing Hours per Resident per Day
3.41406
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01348
Expected CNA Staffing Hours per Resident per Day
1.77826
Expected LPN Staffing Hours per Resident per Day
0.52087
Expected RN Staffing Hours per Resident per Day
0.70168
Expected Total Nurse Staffing Hours per Resident per Day
3.00082
Adjusted CNA Staffing Hours per Resident per Day
3.48031
Adjusted LPN Staffing Hours per Resident per Day
1.16833
Adjusted RN Staffing Hours per Resident per Day
0.16888
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58599
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
143
Cycle 3 Standard Health Survey Date
2013-01-29
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
72
Cycle 3 Total Health Score
215
Total Weighted Health Survey Score
53.83300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
7
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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