MARYMOUNT MANOR

Nursing Home Inspector

313 AUGUSTINE RD, PO BOX 600
EUREKA, MO 63025
St Louis County
Phone: 636-938-6770
Provider Number: 265140
Last Inspection: 04/28/2017

About the Nursing Home

Number of Beds: 174
Number of Residents: 103
Beds Available: 71
Percent Occupancy: 59%
Insurance Accepted: Medicare & Medicaid
Types of Councils: None
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

22

Facility
30

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

22

2017
10

2016
11

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

4/28/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with 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. Isolated : Minimal 3 5/30/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/30/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/30/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/30/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 5/30/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/30/2017
 

6/16/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/11/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Potential 4 7/11/2016
 
Failed To: Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. Isolated : Minimal 3 7/11/2016
 

5/22/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/18/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/18/2015
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 6/18/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 103 96.30 74.26
Registered Nurses 0.44 0.57 0.60
Licensed Practical / Vocational Nurses 0.85 0.78 0.72
Certified Nursing Assistants 2.19 2.53 2.43
Total Staff Hours 3.48 3.89 3.75

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MO State Avg%
of high risk long-stay residents with pressure ulcers 5 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 41 83 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85 91 93
of long-stay residents experiencing one or more falls with major injury 3 3 4
of long-stay residents who have depressive symptoms 4 3 3
of long-stay residents who lose too much weight 13 7 7
of long-stay residents who received an antianxiety or hypnotic medication 29 20 26
of long-stay residents who received an antipsychotic medication 14 17 18
of long-stay residents who self-report moderate to severe pain 8 5 7
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 11 16 15
of long-stay residents whose need for help with daily activities has increased 12 15 14
of long-stay residents with a catheter inserted and left in their bladder 4 1 2
of long-stay residents with a urinary tract infection 14 4 4
of low risk long-stay residents who lose control of their bowels or bladder 44 38 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 59 66 74
of short-stay residents who had an outpatient emergency department visit 15 11 12
of short-stay residents who made improvements in function 72 66 68
of short-stay residents who newly received an antipsychotic medication 1 2 2
of short-stay residents who self-report moderate to severe pain 34 13 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 67 71 73
of short-stay residents who were rehospitalized after a nursing home admission 40 25 22
of short-stay residents with pressure ulcers that are new or worsened 3 49 50