ST. MARYS MANOR

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 St. Marys Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Clinically Complex

Reduced Physical Function

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 02/09/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/31/2010 Correction Date: 05/15/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Keep All Essential Equipment Working Safely. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 02/09/2011 Correction Date: 03/26/2011
Keep All Essential Equipment Working Safely. Inspection Date: 02/09/2011 Correction Date: 03/28/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/09/2011 Correction Date: 03/25/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/30/2009 Correction Date: 03/13/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/09/2011 Correction Date: 04/08/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/09/2011 Correction Date: 03/26/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 01/30/2009 Correction Date: 03/13/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 02/09/2011 Correction Date: 03/25/2011
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 02/09/2011 Correction Date: 04/08/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 02/09/2011 Correction Date: 03/26/2011

The table below lists incident reports by the nursing staff or administration for St. Marys Manor, as well as complaints by residents or their family in the previous three years.

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: 03/31/2010 Correction Date: 05/15/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 02/22/2010 Correction Date: 03/31/2010

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 St. Marys 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 02/09/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 02/09/2011 Correction Date: 03/23/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 03/31/2010 Correction Date: 04/05/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/30/2009 Correction Date: 02/13/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/09/2011 Correction Date: 03/23/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/30/2009 Correction Date: 02/06/2009
Exits That Are Accessible at All Times. Inspection Date: 02/09/2011 Correction Date: 03/23/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 03/31/2010 Correction Date: 05/15/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/30/2009 Correction Date: 03/13/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 02/09/2011 Correction Date: 03/23/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 01/30/2009 Correction Date: 02/13/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/31/2010 Correction Date: 05/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/09/2011 Correction Date: 03/23/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/31/2010 Correction Date: 05/15/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/09/2011 Correction Date: 03/23/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 03/31/2010 Correction Date: 05/15/2010
Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 02/09/2011 Correction Date: 03/23/2011