DELHAVEN MANOR

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

DELHAVEN MANOR
5460 DELMAR BLVD
SAINT LOUIS, MO 63112
(314) 361-2902

Nursing Home Ratings

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

Percent of Beds Occupied

43%

Number of Residents and Certified Beds

  • Residents: 67
  • Certified Beds: 156

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 "Medium 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 Delhaven Manor. 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: 0-57.8%
Total Percent:7.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.9%
ADL Index Range: 6-101.7%
ADL Index Range: 0-516.4%
Total Percent:28.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.4%
ADL Index Range: 6-109.5%
ADL Index Range: 0-518.4%
Total Percent:30.2%
 

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
2.2%
Total Percent:2.2%
 

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
16.6%
Total Percent:16.6%
 

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
11.9%
Total Percent:11.9%
 

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: 0-1
- Less restorative nursing
3.2%
Total Percent:3.2%
 

Rating Details For Delhaven Manor

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) Hours31 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours32 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 21 Minutes1 Hour and 60 Minutes
Total Licensed Nurse Hours1 Hour and 3 Minutes1 Hour and 37 Minutes
Total Nurse Hours3 Hours and 23 Minutes3 Hours and 36 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 Who Were Assessed and Given Pneumococcal Vaccination48%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season80%93%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder30%38%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%11%
Percent of Long-Stay Residents Who Lose Too Much Weight3%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season88%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination61%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores18%11%
Percent of Short-Stay Residents Who Have Delirium4%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%20%

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 08/13/2010.

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

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Post Nurse Staffing Information.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 08/07/2008
  • Correction Date: 09/19/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
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: 08/13/2010
  • Correction Date: 09/30/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Do an Assessment of the Resident Every Year.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Delhaven Manor, 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

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/19/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/19/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/19/2008

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/18/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/19/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/19/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/11/2011
  • Correction Date: 02/11/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/11/2011
  • Correction Date: 02/11/2011

Resident Rights

Have a Private Telephone Available for Use.
  • Complaint Filed: 05/03/2010
  • Correction Date: 05/25/2010
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 05/03/2010
  • Correction Date: 05/25/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 01/11/2011
  • Correction Date: 02/11/2011

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 Delhaven Manor 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 08/13/2010.

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

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/07/2008
  • Correction Date: 09/19/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/13/2010
  • Correction Date: 11/03/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 08/07/2008
  • Correction Date: 09/19/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 08/07/2008
  • Correction Date: 09/19/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/07/2008
  • Correction Date: 09/19/2008
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/10/2009
  • Correction Date: 10/23/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/30/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011