WEST COUNTY CARE CENTER

Nursing Home Inspector

312 SOLLEY DRIVE
BALLWIN, MO 63021
St Louis County
Phone: 636-391-0666
Provider Number: 265352
Last Inspection: 03/21/2017

About the Nursing Home

Number of Beds: 137
Number of Residents: 81
Beds Available: 56
Percent Occupancy: 59%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
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

 

47

Facility
30

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

47

2017
26

2016
19

2014

Medicare Ratings

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

 

Details by Inspection Date

3/21/2017 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. Pattern : Minimal 4 5/4/2017
 
Failed To: 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. Isolated : Minimal 3 5/4/2017
 
Failed To: 1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. Pattern : Minimal 4 5/4/2017
 
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 5/4/2017
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Potential 4 5/4/2017
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 5/4/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/9/2017
 
Failed To: Maintain 15 months of resident assessments in the resident's active clinical record. Pattern : Minimal 4 5/4/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/4/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 5/4/2017
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 5/4/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 5/4/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/4/2017
 

1/6/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/1/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 2/19/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 3/24/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 2/19/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/24/2016
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 2/19/2016
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 2/19/2016
 
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 2/19/2016
 

10/10/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 11/23/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 11/23/2014
 
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 11/23/2014
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 11/23/2014
 
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 11/23/2014
 

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 81 96.30 74.26
Registered Nurses 0.83 0.57 0.60
Licensed Practical / Vocational Nurses 0.73 0.78 0.72
Certified Nursing Assistants 2.50 2.53 2.43
Total Staff Hours 4.05 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 7 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 83 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 91 93
of long-stay residents experiencing one or more falls with major injury 4 3 4
of long-stay residents who have depressive symptoms 3 3 3
of long-stay residents who lose too much weight 6 7 7
of long-stay residents who received an antianxiety or hypnotic medication 44 20 26
of long-stay residents who received an antipsychotic medication 19 17 18
of long-stay residents who self-report moderate to severe pain 6 5 7
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 23 16 15
of long-stay residents whose need for help with daily activities has increased 11 15 14
of long-stay residents with a catheter inserted and left in their bladder 3 1 2
of long-stay residents with a urinary tract infection 3 4 4
of low risk long-stay residents who lose control of their bowels or bladder 39 38 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 84 66 74
of short-stay residents who had an outpatient emergency department visit 14 11 12
of short-stay residents who newly received an antipsychotic medication 4 66 68
of short-stay residents who self-report moderate to severe pain 16 2 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78 13 16
of short-stay residents who were rehospitalized after a nursing home admission 18 71 73
of short-stay residents with pressure ulcers that are new or worsened 0 25 22