| General Information: BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | |
|---|---|
| Nursing home name | BEAUVAIS MANOR HEALTHCARE & REHAB CENTER |
| Address | 3625 MAGNOLIA AVENUE SAINT LOUIS, MO 63110 |
| Phone number | (314) 771-2990 |
| Located within a hospital | No |
| Type of ownership | For profit - Corporation |
| Owner operates multiple homes | No |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | RESIDENT |
| Certified number of beds | 184 |
| Total number of residents | 171 |
| Perc of occupied beds | 93 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 09/23/2009 |
| Fire survey date: | 09/23/2009 |
| Ratings Summary: BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | |
|---|---|
| Overall rating |
2 out of 5 stars |
| Nursing Home Staffing |
4 out of 5 stars |
| Registered Nurses only |
3 out of 5 stars |
| Health Inspections |
1 out of 5 stars |
| Quality Measures |
2 out of 5 stars |
| Nursing Home Staffing Info: BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | ||
|---|---|---|
| National Average | BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | |
| Overall staff rating | Not Available. |
4 out of 5 stars |
| Registered Nurses only rating | Not Available |
3 out of 5 stars |
| Total Number of Residents | 94.2 | 171 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.53 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.61 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.92 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.61 hours |
| Health Inpections: BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | |||
|---|---|---|---|
| Inspection Results: 09/23/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 10/30/2009 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | D |
| 10/30/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | J |
| 12/08/2009 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| 10/30/2009 | Resident Assessment Deficiencies | Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. | E |
| 10/30/2009 | Resident Assessment Deficiencies | Keep assessments completed in the preceding 15 months in the resident's active record. | E |
| 10/30/2009 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | D |
| 10/30/2009 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | E |
| 10/30/2009 | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | D |
| 10/30/2009 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
| 10/30/2009 | Resident Assessment Deficiencies | Check and update (if needed) each resident's assessment every 3 months. | E |
| 10/30/2009 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | E |
| 10/30/2009 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| 10/30/2009 | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | D |
| 10/30/2009 | Resident Rights Deficiencies | Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | C |
| 10/30/2009 | Resident Rights Deficiencies | Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | E |
| 10/30/2009 | Resident Rights Deficiencies | Quickly give a resident's personal money to the heads of his or her estate after the resident's death. | B |
| Inspection Results: 07/17/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 08/30/2008 | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | E |
| 08/30/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 08/30/2008 | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D |
| 08/30/2008 | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
| 08/30/2008 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
| 08/30/2008 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 08/30/2008 | Resident Rights Deficiencies | Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | E |
| Inspection Results: 08/20/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 09/27/2007 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | D |
| 09/21/2007 | Environmental Deficiencies | Make sure that staff members wash their hands when needed. | D |
| 09/05/2007 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | D |
| 09/27/2007 | Environmental Deficiencies | Provide needed housekeeping and maintenance. | E |
| 09/21/2007 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
| 09/14/2007 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| Fire Safety Inpections: BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | |||
|---|---|---|---|
| Inspection Results: 09/23/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 10/30/2009 | Smoke Compartmentation and Control Deficiencies | proper construction of ducts through walls designed to prevent smoke passage. | F |
| 10/30/2009 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | F |
| 10/30/2009 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | F |
| 10/30/2009 | Illumination and Emergency Power Deficiencies | emergency lighting that can last at least 1 1/2 hours. | F |
| Inspection Results: 07/17/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 08/30/2008 | Illumination and Emergency Power Deficiencies | emergency lighting that can last at least 1 1/2 hours. | F |
| 08/30/2008 | Fire Alarm Systems Deficiencies | properly maintained smoke detectors. | E |
| 08/30/2008 | Illumination and Emergency Power Deficiencies | properly located and lighted "Exit" signs. | F |
| 08/30/2008 | Automatic Sprinkler Systems Deficiencies | an approved automatic sprinkler system connected to the fire alarm system. | E |
| 08/30/2008 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | E |
| 08/30/2008 | Vertical Openings Deficiencies | exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. | E |
| Inspection Results: 08/20/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 09/27/2007 | Smoke Compartmentation and Control Deficiencies | proper construction of ducts through walls designed to prevent smoke passage. | E |
| 09/27/2007 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | E |
| 09/27/2007 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | E |
| 09/27/2007 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | E |
| 09/21/2007 | Exits and Egress Deficiencies | exits that are accessible at all times. | E |
| Resident Complaints: BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | |||
|---|---|---|---|
| Date Complaint Substantiated: 12/01/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 01/29/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 01/29/2009 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| Quality Measures: BEAUVAIS MANOR HEALTHCARE & REHAB CENTER | ||
|---|---|---|
| Quality Measures | National Average | BEAUVAIS MANOR HEALTHCARE & REHAB CENTER |
| Overall quality rating | Not Available |
2 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 10% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 3% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 12% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 4% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 7% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 11% |
| Percent of long-stay residents who were physically restrained | 3% | 1% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 4% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 10% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 73% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of long-stay residents who lose too much weight | 8% | 13% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 50% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 12% |
| Short-Stay Residents | ||
| Percent of short-stay residents who had moderate to severe pain | 19% | 26% |
| Percent of short-stay residents who have delirium | 2% | 3% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 90+% |
| Percent of short-stay residents who have pressure sores | 13% | 13% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 49% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |