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DELHAVEN MANOR - SAINT LOUIS, MO

 



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Address
5460 DELMAR BLVD
SAINT LOUIS, MO, 63112
Phone (make sure to verify first before calling): (314) 361-2902

Number of Certified Beds: 156
Total Number of Residents: 73
Percent of Occupied Beds: 47%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 28.60
Certified Nurse Aides - Part Time: 0.33
Food Service Personnel - Full Time: 9.84
Food Service Personnel - Part Time: 0.79
Licensed Practical/ Vocational Nurses - Full Time: 10.87
Licensed Practical/ Vocational Nurses - Part Time: 1.77
Persons Not Included In Any Other Categories - Full Time: 11.73
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 2.03
Activities Professionals - Full Time: 1.43
Dietitians - Part Time: 0.11
Medical Directors - Part Time: 0.23
Occupational Therapists - Part Time: 0.57
Physical Therapists - Part Time: 0.57
Housekeeping Personnel - Under Contract: 5.74
Persons Not Included In Any Other Categories - Part Time: 0.23
Registered Nurses - Part Time: 1.53
Occupational Therapy Assistants - Part Time: 0.86
Speech Pathologists - Part Time: 0.57
Mental Health Services Personnel - Part Time: 0.11
Medication Aides/ Technicians - Part Time: 0.49
Medication Aides/ Technicians - Full Time: 4.37

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

5.3%
State:

14.0%
Percent of long-stay residents who self-report moderate to severe pain
Here:

7.2%
Missouri:

11.8%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

27.5%
Missouri:

31.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

2.0%
Missouri:

3.7%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

3.1%
Missouri:

7.5%
Percent of long-stay residents who have depressive symptoms
Here:

3.3%
State:

6.3%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

1.6%
Missouri:

3.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

92.2%
State:

95.3%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

96.9%
Missouri:

89.3%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

14.6%
Missouri:

25.1%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.570
Missouri:

0.500
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.740
Missouri:

0.736
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.310
Missouri:

1.236
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.040
Missouri:

0.067
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.040
Missouri:

0.070

Complaint Deficiency

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Few (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

Properly constructed linen or trash chutes: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Many (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Some (Minimal harm or potential for actual harm)

Completely assess the resident at least every twelve months: Few (Minimal harm or potential for actual harm)

Check and assess each resident's assessment at least every 3 months: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Encode and automate the resident's assessment data: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

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: Many (Minimal harm or potential for actual harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Operate and provide services according to Federal, State, and local laws and professional standards: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Potential for minimal harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Potential for minimal harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Maintain 15 months of resident assessments in the resident's active clinical record: Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

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: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Few (Minimal harm or potential for actual harm)

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: Many (Minimal harm or potential for actual harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: Some (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Employ or obtain outside professional resources providing services in the nursing home that meet professional standards: Some (Potential for minimal harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Minimal harm or potential for actual harm)

Hire a qualified full-time social worker in a facility with more than 120 beds: Some (Minimal harm or potential for actual harm)

Assess the resident when the resident enters the nursing home, in a timely manner: Many (Minimal harm or potential for actual harm)

Completely assess the resident at least every twelve months: Many (Minimal harm or potential for actual harm)

Check and assess each resident's assessment at least every 3 months: Many (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Many (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Encode and automate the resident's assessment data: Many (Minimal harm or potential for actual harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

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