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Delhaven Manor

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 156
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 10/20/2011

Date of last standard health inspection: 10/20/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MO: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MO: 0 - 7

Inspection, 00/01/2011

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/01/2011 03/00/2011 investigation identification
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2011 03/00/2011 4 Few

Inspection, 02/00/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire a qualified full-time social worker in a facility with more than 120 beds. 02/00/2010 03/00/2011 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/00/2010 03/00/2011 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/00/2010 03/00/2011 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/00/2010 03/00/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assess in a timely manner the resident when the resident enters the nursing home. 02/00/2010 03/00/2011 2 Many
Completely assess the resident at least every twelve months. 02/00/2010 03/00/2011 2 Many
Assure that each resident 02/00/2010 03/00/2011 2 Many
Ensure each resident receives an accurate assessment by a qualified health professional. 02/00/2010 03/00/2011 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/00/2010 03/00/2011 2 Many
Encode each resident 02/00/2010 03/00/2011 2 Many
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 02/00/2010 03/00/2011 2 Some
Upon the death of a resident, convey the resident 02/00/2010 03/00/2011 2 Some
Properly hold 02/00/2010 03/00/2011 and manage each resident's personal money which is secure

Inspection, 00/04/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/04/2010 00/09/2011 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 00/04/2010 00/09/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/04/2010 00/09/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/04/2010 00/09/2011 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/04/2010 00/09/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/04/2010 00/09/2011 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/04/2010 00/09/2011 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/04/2010 00/09/2011 2 Some

Inspection, 01/03/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/03/2008 03/00/2009 2 Few
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 01/03/2008 03/00/2009 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2008 03/00/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2008 03/00/2009 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/03/2008 03/00/2009 2 Many
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/03/2008 03/00/2009 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/03/2008 03/00/2009 2 Few
Ensure that residents are safe from serious medication errors. 01/03/2008 03/00/2009 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/03/2008 03/00/2009 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/03/2008 03/00/2009 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2008 03/00/2009 2 Few
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. 01/03/2008 03/00/2009 2 Few
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. 01/03/2008 03/00/2009 2 Few
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. 01/03/2008 03/00/2009 2 Some
Develop policies and procedures for influenza and pneumococcal immunizations. 01/03/2008 03/00/2009 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain 15 months of resident assessments in the resident's active clinical record. 01/03/2008 03/00/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/03/2008 03/00/2009 1 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/03/2008 03/00/2009 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2008 03/00/2009 1 Some

Inspection, 01/06/2005

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/06/2005 01/05/2006 2 Few

Inspection, 00/03/2005

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide residents with private access to a telephone. 00/03/2005 02/05/2005 2 Few
Provide timely notification to the resident before transfer or discharge. 00/03/2005 02/05/2005 2 Few

Inspection, 02/07/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2003 00/09/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2003 01/05/2006 2 Few

Inspection, 01/01/2001

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/01/2001 01/01/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2001 01/01/2002 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2001 01/01/2002 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MO Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 76 68
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 34 minutes 1 hour 18 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 5 hours 49 minutes 19 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 3 minutes 58 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 51 minutes 2 hours 16 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 10/20/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 10/20/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MO: 5
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MO: 0 - 5

Inspection, 02/00/2010

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/00/2010 03/00/2011 2 Many

Inspection, 00/04/2010

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/04/2010 00/09/2011 2 Few

Inspection, 01/03/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly working alarms on sprinkler valves. 01/03/2008 03/00/2009 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/03/2008 03/00/2009 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/03/2008 00/03/2011 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/03/2008 03/00/2009 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/03/2008 03/00/2009 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/03/2008 03/00/2009 2 Few
 

5460 Delmar Blvd
Saint Louis, MO 63112

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