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HILLSIDE MANOR HEALTHCARE AND REHAB CENTER

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HILLSIDE MANOR HEALTHCARE AND REHAB CENTER 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 1265 MCLARAN AVENUE  
Zip Code 63147  
Phone 3143884121  
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
208 
108.94
Total Number of Residents
142 
91.25
Percent of Occupied Beds
68 %
83.65 %
Health Survey Date 2/16/2012  
Fire Survey Date 2/16/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully 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? No  45.1% Nursing Homes USA don't 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
17 
7.48
Staff Information
Number of Residents
142 
91.38
Number of RN Hours Per Resident Per Day
0.26 
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
1.01 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 12/16/2011
date Of Correction: 01/25/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 08/16/2010
date Of Correction: 09/23/2010 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/08/2011
date Of Correction: 10/11/2011 
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: 08/08/2011
date Of Correction: 10/11/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 08/16/2010
date Of Correction: 09/13/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Deficiency #6 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Hire A Qualified Full-time Social Worker In A Facility With More Than 120 Beds.
survey Date: 08/16/2010
date Of Correction: 09/13/2010 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 02/01/2010
date Of Correction: 03/16/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.7 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
11.1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 11.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
14.3 %
12.58 %
Percent of long-stay residents who lose too much weight
7.3 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
19.8 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.8 %
15.63 %
Percent of long-stay residents with a urinary tract infection
7.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
60.7 %
83.94 %
Percent of long-stay residents experiencing one or more falls with major injury
1.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
37.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
6.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
12.9 (55.2) %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
14.9-28 %
9.22 %
Percent of long-stay residents who lose too much weight
5.1 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
19.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 2.6 / 3 % 
Percent of long-stay residents with a urinary tract infection
6.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
4.1 %
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
2.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
41 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened 9.4 / 10.4 % 
Percent of short-stay residents who newly received an antipsychotic medication
4.8 %
17.34 %

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