West County Care Center - Ballwin Nursing Home
General Information
UPDATEFederal Provider Number
265352
Provider Name
WEST COUNTY CARE CENTER
Provider Address
312 SOLLEY DRIVE
BALLWIN, MO 63021
BALLWIN, MO 63021
Provider Phone Number
6363910666
Provider SSA County
940
Provider County Name
St. Louis
Ownership Type
For profit - Corporation
Number of Certified Beds
137
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEST COUNTY CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-01-18
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
3.33882
Reported LPN Staffing Hours per Resident per Day
0.70588
Reported RN Staffing Hours per Resident per Day
0.94588
Reported Licensed Staffing Hours per Resident per Day
1.65176
Reported Total Nurse Staffing Hours per Resident per Day
4.99058
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06706
Expected CNA Staffing Hours per Resident per Day
2.24029
Expected LPN Staffing Hours per Resident per Day
0.57429
Expected RN Staffing Hours per Resident per Day
0.79289
Expected Total Nurse Staffing Hours per Resident per Day
3.60747
Adjusted CNA Staffing Hours per Resident per Day
3.65687
Adjusted LPN Staffing Hours per Resident per Day
1.02019
Adjusted RN Staffing Hours per Resident per Day
0.89137
Adjusted Total Nurse Staffing Hours per Resident per Day
5.57635
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
42.66700
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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