Village North Retirement And Health Center - Saint Louis Nursing Home
General Information
UPDATEFederal Provider Number
265174
Provider Name
VILLAGE NORTH RETIREMENT AND HEALTH CENTER
Provider Address
11160 VILLAGE NORTH DRIVE
SAINT LOUIS, MO 63136
SAINT LOUIS, MO 63136
Provider Phone Number
(314) 355-8010
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE NORTH INC
Date First Approved to Provide Medicare and Medicaid services
1982-09-23
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.60270
Reported LPN Staffing Hours per Resident per Day
0.86622
Reported RN Staffing Hours per Resident per Day
0.75676
Reported Licensed Staffing Hours per Resident per Day
1.62297
Reported Total Nurse Staffing Hours per Resident per Day
4.22568
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04595
Expected CNA Staffing Hours per Resident per Day
2.20099
Expected LPN Staffing Hours per Resident per Day
0.67960
Expected RN Staffing Hours per Resident per Day
1.32529
Expected Total Nurse Staffing Hours per Resident per Day
4.20588
Adjusted CNA Staffing Hours per Resident per Day
2.90154
Adjusted LPN Staffing Hours per Resident per Day
1.05792
Adjusted RN Staffing Hours per Resident per Day
0.42666
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04988
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-06-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
2012-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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