Ssm Depaul Health Center- Anna House - Bridgeton Nursing Home
General Information
UPDATEFederal Provider Number
265842
Provider Name
SSM DEPAUL HEALTH CENTER- ANNA HOUSE
Provider Address
12349 DE PAUL DRIVE
BRIDGETON, MO 63044
BRIDGETON, MO 63044
Provider Phone Number
(314) 209-7979
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SSM HEALTH CARE ST LOUIS
Date First Approved to Provide Medicare and Medicaid services
2012-09-11
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.04255
Reported LPN Staffing Hours per Resident per Day
1.26277
Reported RN Staffing Hours per Resident per Day
0.77979
Reported Licensed Staffing Hours per Resident per Day
2.04255
Reported Total Nurse Staffing Hours per Resident per Day
5.08511
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14468
Expected CNA Staffing Hours per Resident per Day
2.31143
Expected LPN Staffing Hours per Resident per Day
0.55725
Expected RN Staffing Hours per Resident per Day
0.88204
Expected Total Nurse Staffing Hours per Resident per Day
3.75072
Adjusted CNA Staffing Hours per Resident per Day
3.22982
Adjusted LPN Staffing Hours per Resident per Day
1.88085
Adjusted RN Staffing Hours per Resident per Day
0.66058
Adjusted Total Nurse Staffing Hours per Resident per Day
5.46497
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
2014-08-28
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-27
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.66700
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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