BELLEFONTAINE GARDENS NURSING & REHAB

The information listed below provides an in-depth look into the type and quality of care offered at Bellefontaine Gardens Nursing & Rehab. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

BELLEFONTAINE GARDENS NURSING & REHAB
9500 BELLEFONTAINE ROAD
SAINT LOUIS, MO 63137
(314) 388-0796

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

55%

Number of Residents and Certified Beds

  • Residents: 53
  • Certified Beds: 96

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Bellefontaine Gardens Nursing & Rehab. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-1034.1%
ADL Index Range: 0-519.1%
Total Percent:53.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.3%
ADL Index Range: 6-107.0%
ADL Index Range: 0-54.0%
Total Percent:11.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.8%
ADL Index Range: 6-109.7%
ADL Index Range: 0-57.3%
Total Percent:24.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-102.2%
ADL Index Range: 0-55.1%
Total Percent:7.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 0-1
- No Signs of depression
3.5%
Total Percent:3.5%
 

Rating Details For Bellefontaine Gardens Nursing & Rehab

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours16 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours55 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 53 Minutes2 Hours and 14 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes1 Hour and 35 Minutes
Total Nurse Hours3 Hours and 5 Minutes3 Hours and 49 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious2%11%
Percent of Long-Stay Residents Who Lose Too Much Weight2%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder53%38%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores8%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain24%20%
Percent of Short-Stay Residents Who Have Delirium5%4%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/13/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Hire a Qualified Activities Director.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/15/2010
  • Correction Date: 06/02/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/15/2010
  • Correction Date: 06/02/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Resident Rights

Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)03/15/2010$2,145
Denial of Payment for New Admission (DPNA)03/15/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Bellefontaine Gardens Nursing & Rehab, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/28/2009
  • Correction Date: 07/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/22/2009
  • Correction Date: 07/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/13/2011
  • Correction Date: 06/27/2011

Mistreatment

1) Hire Only People Who Have 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.
  • Complaint Filed: 04/28/2009
  • Correction Date: 07/24/2009
1) Hire Only People Who Have 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.
  • Complaint Filed: 06/22/2009
  • Correction Date: 07/24/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 04/28/2009
  • Correction Date: 06/22/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/28/2009
  • Correction Date: 06/22/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 04/28/2009
  • Correction Date: 07/24/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 06/22/2009
  • Correction Date: 07/24/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 03/15/2010
  • Correction Date: 04/27/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Bellefontaine Gardens Nursing & Rehab had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/13/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/22/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/13/2011
  • Correction Date: 06/27/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 03/15/2010
  • Correction Date: 04/27/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011