Surrey Place St Lukes Hosp Skilled Nursing And Rcf - Chesterfield Nursing Home
General Information
UPDATEFederal Provider Number
265414
Provider Name
SURREY PLACE ST LUKES HOSP SKILLED NURSING AND RCF
Provider Address
14701 OLIVE BLVD
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
Provider Phone Number
(314) 542-3300
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1990-01-30
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
4
Health Inspection Rating Footnote
QM Rating
2
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
3.22444
Reported LPN Staffing Hours per Resident per Day
1.32333
Reported RN Staffing Hours per Resident per Day
2.24111
Reported Licensed Staffing Hours per Resident per Day
3.56444
Reported Total Nurse Staffing Hours per Resident per Day
6.78888
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34556
Expected CNA Staffing Hours per Resident per Day
2.52453
Expected LPN Staffing Hours per Resident per Day
0.81719
Expected RN Staffing Hours per Resident per Day
1.62272
Expected Total Nurse Staffing Hours per Resident per Day
4.96445
Adjusted CNA Staffing Hours per Resident per Day
3.13397
Adjusted LPN Staffing Hours per Resident per Day
1.34407
Adjusted RN Staffing Hours per Resident per Day
1.03194
Adjusted Total Nurse Staffing Hours per Resident per Day
5.51226
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-07-24
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
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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