THE ABBEY CARE CENTER
The information listed below provides an in-depth look into the type and quality of care offered at The Abbey 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
THE ABBEY CARE CENTER
5303 BERMUDA ROAD
SAINT LOUIS, MO 63121
(314) 385-0910
5303 BERMUDA ROAD
SAINT LOUIS, MO 63121
(314) 385-0910
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
59%Number of Residents and Certified Beds
- Residents: 74
- Certified Beds: 126
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
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 The Abbey Care Center. 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 |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 57.6% |
| ADL Index Range: 0-5 | 13.2% |
| Total Percent: | 70.8% |
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: 11-14 - No Signs of depression | 4.2% |
| ADL Index Range: 2-5 - No Signs of depression | 19.4% |
| Total Percent: | 23.6% |
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: 0-1 - Less restorative nursing | 5.6% |
| Total Percent: | 5.6% |
Rating Details For The Abbey 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 14 Minutes | 58 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 56 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 10 Minutes | 2 Hours and 3 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 11 Minutes | 1 Hour and 34 Minutes |
| Total Nurse Hours | 3 Hours and 21 Minutes | 3 Hours and 38 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 | 88% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 84% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 4% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 9% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 3% | 11% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 11% | 11% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 12% | 10% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 47% | 38% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 4% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 7% | 9% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 7% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 5% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 88% | 83% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 88% | 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 | 5% | 4% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 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 06/01/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Hire a Qualified Social Worker; or in Homes with More Than 120 Beds, Hire a Qualified Full-Time Social Worker.
|  |  |
Follow All Laws and Professional Standards.
|  |  |
Environmental
Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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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.
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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.
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Provide Food in a Way That Meets a Resident's Needs.
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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.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Provide Activities to Meet the Needs of Each Resident.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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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.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Resident Assessment
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Resident Rights
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Send and Promptly Deliver Unopened Mail to Residents.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for The Abbey 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 Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Provide Needed Housekeeping and Maintenance.
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Keep Safe, Clean and Homelike Surroundings.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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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.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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Quality Care
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Resident Assessment
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
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Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
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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 The Abbey 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 06/01/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Signs That State That Exit Doors Are to Be Kept Closed.
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Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Properly Located and Lighted "Exit" Signs.
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Medical Gases and Anesthetizing Areas
No-Smoking Signs Where Oxygen is Used.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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Proper Stairway Enclosures and Vertical Shafts.
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Proper Stairway Enclosures and Vertical Shafts.
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Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011
