FRIENDSHIP VILLAGE CHESTERFIELD
Address
15201 OLIVE BOULEVARD
CHESTERFIELD, MO 63017
(636) 733-0199
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 77
- Certified Beds: 99
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- Part of a Continuing Care Retirement Community (CCRC)
- 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 "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 Friendship Village Chesterfield. 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
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 6-10 | 13.1% |
ADL Index Range: 0-5 | 63.7% |
Total Percent: | 76.8% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 6-10 | 12.3% |
ADL Index Range: 0-5 | 3.7% |
Total Percent: | 15.9% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-5 | 0.8% |
Total Percent: | 0.8% |
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: 6-10 - No Signs of depression | 1.0% |
ADL Index Range: 0-1 - No Signs of depression | 0.8% |
Total Percent: | 1.8% |
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 | 4.7% |
Total Percent: | 4.7% |
Rating Details For Friendship Village Chesterfield
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 | 34 Minutes | 1 Hour |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 57 Minutes | 36 Minutes |
Certified Nursing Assistant (CNA) Hours | 3 Hours and 41 Minutes | 2 Hours and 13 Minutes |
Total Licensed Nurse Hours | 1 Hour and 31 Minutes | 1 Hour and 37 Minutes |
Total Nurse Hours | 5 Hours and 12 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 Who Were Assessed and Given Pneumococcal Vaccination | 87% | 88% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | - | 5% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 10% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 2% | 7% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 3% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 7% | 11% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 41% | 38% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 10% | 9% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 5% | 9% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 6% | 11% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 83% | 83% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90% | 87% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 3% | 11% |
Percent of Short-Stay Residents Who Have Delirium | - | 4% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 14% | 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 04/14/2011.
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
Post Nurse Staffing Information.
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1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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Get Services Outside the Nursing Home That Meet Professional Standards.
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Environmental
Keep Safe, Clean and Homelike Surroundings.
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Provide Needed Housekeeping and Maintenance.
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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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Put Firmly Secured Handrails on Each Side of Hallways.
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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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Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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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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Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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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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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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Make Sure That Each Resident's Nutritional Needs Were Met.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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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.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
Action Taken | Date | Amount |
Denial of Payment for New Admission (DPNA) | 04/14/2009 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Friendship Village Chesterfield, 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 Safe, Easy to Use, Clean and Comfortable.
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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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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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 Friendship Village Chesterfield 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 04/14/2011.
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
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Properly Working Alarms on Sprinkler Valves.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
Approved Construction Type or Materials.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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A Separate and Independent Backup Electrical Power Source.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
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
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Restrictions on the Use of Flammable Curtains.
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Illumination and Emergency Power
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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