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 ServicesResident ConditionsPercent 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: 11-161.4%
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: 2-100.7%
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: 11-1611.3%
ADL Index Range: 6-1028.2%
ADL Index Range: 0-519.7%
Total Percent:59.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.9%
ADL Index Range: 6-103.0%
ADL Index Range: 0-510.7%
Total Percent:24.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.3%
Total Percent:0.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.8%
ADL Index Range: 6-101.2%
ADL Index Range: 0-51.6%
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 DayReportedExpected
Registered Nurse (RN) Hours26 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours45 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 14 Minutes2 Hours and 11 Minutes
Total Licensed Nurse Hours1 Hour and 11 Minutes1 Hour and 39 Minutes
Total Nurse Hours3 Hours and 25 Minutes3 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 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 Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%11%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%11%
Percent of Long-Stay Residents Who Lose Too Much Weight5%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder39%38%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%
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 Pain5%20%
Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Have Pressure Sores13%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 InspectorsDegree of HarmResidents 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 ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/03/2009
  • Correction Date: 03/23/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/03/2009
  • Correction Date: 03/23/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 09/12/2008
  • Correction Date: 10/27/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 10/08/2009
  • Correction Date: 11/20/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/12/2008
  • Correction Date: 10/27/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 02/03/2009
  • Correction Date: 03/23/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 10/08/2009
  • Correction Date: 11/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/08/2009
  • Correction Date: 11/20/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 03/15/2010
  • Correction Date: 04/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/25/2010
  • Correction Date: 10/08/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/06/2011
  • Correction Date: 05/11/2011

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 Scenic Nursing and Rehabilitation Center, LLC 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 12/20/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/12/2008
  • Correction Date: 10/27/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/20/2010
  • Correction Date: 02/03/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/12/2008
  • Correction Date: 10/27/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/20/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/12/2008
  • Correction Date: 10/27/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 09/12/2008
  • Correction Date: 10/27/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 09/12/2008
  • Correction Date: 10/27/2008
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/20/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/20/2010
  • Correction Date: 02/03/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/12/2008
  • Correction Date: 10/27/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/12/2008
  • Correction Date: 10/27/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 12/20/2010
  • Correction Date: 02/03/2011
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011