SCENIC NURSING AND REHABILITATION CENTER, LLC

The information listed below provides an in-depth look into the type and quality of care offered at Scenic Nursing and Rehabilitation Center, LLC. 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

SCENIC NURSING AND REHABILITATION CENTER, LLC
1333 SCENIC DRIVE
HERCULANEUM, MO 63048
(636) 931-2995

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

75%

Number of Residents and Certified Beds

Residents: 132
Certified Beds: 176

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Partnership
Offers Both Resident and Family Counseling Services
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Festus | Crystal City | De Soto

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 Scenic Nursing and Rehabilitation Center, LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 11-16	1.4%
Total Percent:	1.4%

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-10	0.7%
Total Percent:	0.7%

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: 11-16	11.3%
ADL Index Range: 6-10	28.2%
ADL Index Range: 0-5	19.7%
Total Percent:	59.1%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	10.9%
ADL Index Range: 6-10	3.0%
ADL Index Range: 0-5	10.7%
Total Percent:	24.5%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	0.3%
Total Percent:	0.3%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	2.8%
ADL Index Range: 6-10	1.2%
ADL Index Range: 0-5	1.6%
Total Percent:	5.5%

Extensive Services

Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-16 - Isolation for active infectious disease	1.6%
Total Percent:	1.6%

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: 6-10 - No Signs of depression	1.6%
Total Percent:	1.6%

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: 15-16 - No Signs of depression	0.4%
ADL Index Range: 11-14 - No Signs of depression	2.2%
ADL Index Range: 0-1 - No Signs of depression	1.8%
Total Percent:	4.4%

Behavioral Symptoms and Cognitive Performance

Cognitive impairment BIMS score less than or equal to 9
CPS great than or equal to 3
Hallucinations or delusions
Physical or verbal behavioral symptoms toward others
Other behavioral symptoms
Rejection of care or wandering
Activities of Daily Living (ADL) score of 5 or less

ADL Index Range: 2-5 - Less restorative nursing	0.4%
ADL Index Range: 0-1 - Less restorative nursing	0.5%
Total Percent:	0.9%

Rating Details For Scenic Nursing and Rehabilitation Center, LLC

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 Day	Reported	Expected
Registered Nurse (RN) Hours	26 Minutes	1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	45 Minutes	38 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 14 Minutes	2 Hours and 11 Minutes
Total Licensed Nurse Hours	1 Hour and 11 Minutes	1 Hour and 39 Minutes
Total Nurse Hours	3 Hours and 25 Minutes	3 Hours and 50 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 Facility

Missouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	9%	9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	11%	10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	8%	5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	6%	9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	4%	3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	7%	11%
Percent of Long-Stay Residents Who Were Physically Restrained	2%	4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	16%	11%
Percent of Long-Stay Residents Who Lose Too Much Weight	5%	7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	39%	38%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	5%	20%
Percent of Short-Stay Residents Who Have Delirium	-	4%
Percent of Short-Stay Residents Who Have Pressure Sores	13%	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 12/20/2010.

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 Inspectors

Degree of Harm

Residents Affected

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 12/20/2010 Correction Date: 02/03/2011

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. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/12/2008 Correction Date: 10/27/2008

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 10/08/2009 Correction Date: 11/20/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.

Inspection Date: 12/20/2010
Correction Date: 02/03/2011

Quality Care

Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 10/08/2009 Correction Date: 11/20/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/20/2010 Correction Date: 02/03/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/20/2010 Correction Date: 02/03/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/20/2010 Correction Date: 02/03/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/20/2010 Correction Date: 02/03/2011
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. Inspection Date: 12/20/2010 Correction Date: 02/03/2011

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.

Inspection Date: 09/12/2008
Correction Date: 10/27/2008

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.

Inspection Date: 09/12/2008
Correction Date: 10/27/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Scenic Nursing and Rehabilitation Center, LLC, 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 Complaints

Degree of Harm

Residents Affected