FRENE VALLEY OF HERMANN-A STONEBRIDGE COMMUNITY

Nursing Home Inspector

1800 WEIN STREET, PO BOX 468
HERMANN, MO 65041
Gasconade County
Phone: 573-486-3155
Provider Number: 265651
Last Inspection: 02/24/2017

About the Nursing Home

Number of Beds: 118
Number of Residents: 80
Beds Available: 38
Percent Occupancy: 68%
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

 

24

Facility
10

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

24

2017
7

2016
0

2015

Medicare Ratings

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

 

Details by Inspection Date

2/24/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 4/7/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/7/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 4/7/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 4/7/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/7/2017
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 4/7/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/7/2017
 

2/4/2016 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 3/4/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/4/2016
 

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 80 79.67 74.26
Registered Nurses 0.27 0.33 0.60
Licensed Practical / Vocational Nurses 0.54 0.63 0.72
Certified Nursing Assistants 2.15 2.53 2.43
Total Staff Hours 2.97 3.49 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 6 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 93 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 97 93
of long-stay residents experiencing one or more falls with major injury 3 3 4
of long-stay residents who have depressive symptoms 0 4 3
of long-stay residents who lose too much weight 9 9 7
of long-stay residents who received an antianxiety or hypnotic medication 20 21 26
of long-stay residents who received an antipsychotic medication 8 9 18
of long-stay residents who self-report moderate to severe pain 10 8 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 24 21 15
of long-stay residents whose need for help with daily activities has increased 22 18 14
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 1 4 4
of low risk long-stay residents who lose control of their bowels or bladder 30 31 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 79 72 74
of short-stay residents who had an outpatient emergency department visit 5 8 12
of short-stay residents who made improvements in function 80 77 68
of short-stay residents who newly received an antipsychotic medication 6 3 2
of short-stay residents who self-report moderate to severe pain 21 18 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85 80 73
of short-stay residents who were rehospitalized after a nursing home admission 0 13 22
of short-stay residents with pressure ulcers that are new or worsened 0 68 50