Villas-a Stonebridge Community, The - De Soto Nursing Home
General Information
UPDATEFederal Provider Number
265772
Provider Name
VILLAS-A STONEBRIDGE COMMUNITY, THE
Provider Address
1550 VILLAS DRIVE
DE SOTO, MO 63020
DE SOTO, MO 63020
Provider Phone Number
(636) 586-6559
Provider SSA County
490
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELDERCARE OF MID-MISSOURI IV, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-10-20
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
2
Health Inspection Rating Footnote
QM Rating
4
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
2.40306
Reported LPN Staffing Hours per Resident per Day
0.52653
Reported RN Staffing Hours per Resident per Day
0.61633
Reported Licensed Staffing Hours per Resident per Day
1.14286
Reported Total Nurse Staffing Hours per Resident per Day
3.54592
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02143
Expected CNA Staffing Hours per Resident per Day
2.10100
Expected LPN Staffing Hours per Resident per Day
0.57188
Expected RN Staffing Hours per Resident per Day
0.82286
Expected Total Nurse Staffing Hours per Resident per Day
3.49574
Adjusted CNA Staffing Hours per Resident per Day
2.80647
Adjusted LPN Staffing Hours per Resident per Day
0.76418
Adjusted RN Staffing Hours per Resident per Day
0.55966
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08876
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
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
24
Cycle 2 Standard Health Survey Date
2014-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
59.33300
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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