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DELHAVEN MANOR

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DELHAVEN MANOR VS
Nursing Homes USA
General
City SAINT LOUIS   0.3% Nursing Homes USA have SAINT LOUIS
State attribute explanation MO   3.2% Nursing Homes USA have MO
Street 5460 DELMAR BLVD  
Zip Code 63112  
Phone 3143612902  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
156 
108.94
Total Number of Residents
73 
91.25
Percent of Occupied Beds
47 %
83.65 %
Health Survey Date 10/20/2011  
Fire Survey Date 10/20/2011  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
73 
91.38
Number of RN Hours Per Resident Per Day
0.57 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.74 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.31 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 10/20/2011
date Of Correction: 11/30/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 01/11/2011
date Of Correction: 02/11/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 05/03/2010
date Of Correction: 05/25/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 05/03/2010
date Of Correction: 05/25/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/11/2011
date Of Correction: 02/11/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/11/2011
date Of Correction: 02/11/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.7 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
2 %
16.66 %
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
18.6 (65.5) %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
7.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.8 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
80 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
1.50 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
19.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.7 %
9.22 %
Percent of long-stay residents who lose too much weight
75.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.7 (69.3) %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
5 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
24.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
79.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.5 %
17.34 %

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