GARRISON CARE CENTER

Nursing Home Inspector

2939 MAGAZINE AVE
SAINT LOUIS, MO 63106
St Louis City County
Phone: 314-531-0500
Provider Number: 265817
Last Inspection: 04/17/2017

About the Nursing Home

Number of Beds: 90
Number of Residents: 47
Beds Available: 43
Percent Occupancy: 52%
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

 

26

Facility
25

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

26

2017
27

2016
24

2015

Medicare Ratings

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

 

Details by Inspection Date

4/17/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 5/31/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 5/31/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/31/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/31/2017
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Minimal 4 5/31/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 5/31/2017
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Potential 4 5/31/2017
 

5/27/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 7/8/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 7/8/2016
 
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 7/8/2016
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 7/8/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 7/8/2016
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 7/8/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 7/8/2016
 

5/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Pattern : Minimal 4 7/1/2015
 
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 7/1/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 7/1/2015
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 7/17/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/1/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 7/17/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 7/1/2015
 

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 47 101.29 74.26
Registered Nurses 0.38 0.46 0.60
Licensed Practical / Vocational Nurses 0.81 0.72 0.72
Certified Nursing Assistants 1.78 2.24 2.43
Total Staff Hours 2.96 3.42 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 10 7 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 70 86 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 89 93
of long-stay residents experiencing one or more falls with major injury 0 2 4
of long-stay residents who have depressive symptoms 0 1 3
of long-stay residents who lose too much weight 7 4 7
of long-stay residents who received an antianxiety or hypnotic medication 14 19 26
of long-stay residents who received an antipsychotic medication 20 17 18
of long-stay residents who self-report moderate to severe pain 9 7 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 6 14 15
of long-stay residents whose need for help with daily activities has increased 4 12 14
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 7 3 4
of low risk long-stay residents who lose control of their bowels or bladder 32 26 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 18 50 74
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 6 11 12
of short-stay residents with pressure ulcers that are new or worsened 0 48 68