DUTCHTOWN CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Dutchtown Care Center. 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

DUTCHTOWN CARE CENTER
3421 GASCONADE
SAINT LOUIS, MO 63118
(314) 832-4700

Nursing Home Ratings

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

Percent of Beds Occupied

73%

Number of Residents and Certified Beds

  • Residents: 88
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not 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 "Very 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 Dutchtown Care Center. 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: 11-1612.0%
ADL Index Range: 6-1022.7%
ADL Index Range: 0-52.4%
Total Percent:37.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.6%
ADL Index Range: 6-1029.9%
ADL Index Range: 0-514.9%
Total Percent:47.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-106.3%
ADL Index Range: 0-54.6%
Total Percent:10.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-100.4%
ADL Index Range: 0-51.1%
Total Percent:1.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.6%
ADL Index Range: 6-10
- No Signs of depression
0.7%
Total Percent:1.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
1.8%
Total Percent:1.8%
 

Rating Details For Dutchtown Care Center

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) Hours25 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours47 Minutes33 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 55 Minutes2 Hours and 12 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes1 Hour and 28 Minutes
Total Nurse Hours3 Hours and 7 Minutes3 Hours and 40 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 Vaccination56%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased1%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores9%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Long-Stay Residents Who Lose Too Much Weight1%7%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder33%38%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination70%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%20%
Percent of Short-Stay Residents Who Have Pressure Sores33%11%

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 12/09/2010.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/17/2009
  • Correction Date: 12/31/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Nutrition and Dietary

Use Properly Trained Paid Feeding Assistants, Provide Licensed Nursing Supervision of the Feeding Assistants, or Properly Monitor the Feeding of Its Residents.
  • Inspection Date: 11/17/2009
  • Correction Date: 12/31/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 11/26/2008
  • Correction Date: 01/09/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 11/26/2008
  • Correction Date: 01/09/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/26/2008
  • Correction Date: 01/09/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 11/26/2008
  • Correction Date: 01/09/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/17/2009
  • Correction Date: 12/31/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/23/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/21/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Dutchtown Care Center, 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

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 08/04/2010
  • Correction Date: 09/17/2010

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: 08/18/2008
  • Correction Date: 09/19/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/19/2010
  • Correction Date: 04/30/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 08/04/2010
  • Correction Date: 09/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/09/2010
  • Correction Date: 01/23/2011

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 Dutchtown Care Center 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 12/09/2010.

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

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/21/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/26/2008
  • Correction Date: 01/09/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/14/2011

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 11/17/2009
  • Correction Date: 12/31/2009
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011