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SUNSET HILLS HEALTH AND REHABILITATION CENTER - SAINT LOUIS, MO

 



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Address
10954 KENNERLY ROAD
SAINT LOUIS, MO, 63128
Phone (make sure to verify first before calling): (314) 843-4242

Number of Certified Beds: 166
Total Number of Residents: 110
Percent of Occupied Beds: 66%
Sprinkler Status: Fully 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: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 5.71
Administrative Staff - Part Time: 0.57
Certified Nurse Aides - Full Time: 56.00
Certified Nurse Aides - Part Time: 3.43
Food Service Personnel - Full Time: 17.14
Food Service Personnel - Part Time: 0.57
Housekeeping Personnel - Full Time: 16.00
Licensed Practical/ Vocational Nurses - Full Time: 19.43
Mental Health Services Personnel - Under Contract: 0.23
Nurses With Administrative Duties - Full Time: 6.86
Persons Not Included In Any Other Categories - Full Time: 1.14
Physical Therapists - Under Contract: 1.14
Registered Nurses - Full Time: 3.43
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.03
Dietitians - Part Time: 0.57
Medical Directors - Part Time: 0.14
Occupational Therapists - Under Contract: 2.29
Pharmacists - Under Contract: 0.06
Podiatrists - Under Contract: 0.03
Speech Pathologists - Under Contract: 0.57
Housekeeping Personnel - Part Time: 1.14
Occupational Therapy Aides - Under Contract: 1.14
Medication Aides/ Technicians - Part Time: 1.14
Medication Aides/ Technicians - Full Time: 6.86

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Non Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Non 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 Offsite To Residents
  • Physician Services Are Provided Onsite To Non Residents
  • Physician Services Are Provided Onsite 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
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Quality Measures

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

19.4%
State:

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

14.0%
Missouri:

11.8%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

7.0%
Missouri:

6.5%
Percent of long-stay residents who lose too much weight
Here:

3.8%
State:

7.3%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

44.1%
Missouri:

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

1.0%
Missouri:

3.7%
Percent of long-stay residents with a urinary tract infection
Here:

2.9%
State:

7.5%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

2.1%
State:

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

1.9%
State:

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

99.0%
Missouri:

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

96.2%
Missouri:

89.3%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

36.4%
State:

22.4%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

2.9%
Missouri:

1.9%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

55.3%
Missouri:

82.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

57.9%
State:

74.7%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

4.2%
Missouri:

2.5%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

13.4%
Missouri:

25.1%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.480
Missouri:

0.500
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.700
State:

0.736
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.180
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
Here:

0.040
Missouri:

0.070

Complaint Deficiency

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients: Some (Minimal harm or potential for actual harm)

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

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

A properly installed and maintained dumbwaiter or escalator: 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)

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

Keep each resident's personal and medical records private and confidential: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Few (Minimal harm or potential for actual harm)

Provide adequate and comfortable lighting levels in all areas: Some (Minimal harm or potential for actual harm)

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

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: 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)

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

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (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)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

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

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

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

Properly installed hallway dispensers for alcohol-based hand rub: Some (Minimal harm or potential for actual harm)

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

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

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

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

Signs that state that exit doors are to be kept closed: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: 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)

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

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Some (Minimal harm or potential for actual harm)

Keep each resident free from drugs that restrain them, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: 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 (Minimal harm or potential for actual harm)

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

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (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: Few (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)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm)

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