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Rancho Manor Healthcare And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 120
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: 04/15/2011

Date of last standard health inspection: 04/15/2011
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, 00/03/2011

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. 00/03/2011 03/00/2011 4 Few

Inspection, 00/08/2008

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. 00/08/2008 02/01/2009 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/08/2008 02/01/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/08/2008 02/01/2009 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/05/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/05/2005 00/09/2007 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2005 00/09/2007 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/05/2005 00/09/2007 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/05/2005 00/09/2007 2 Some
Provide housekeeping and maintenance services. 02/05/2005 00/09/2007 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/05/2005 00/09/2007 2 Some
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. 02/05/2005 00/09/2007 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. 02/05/2005 00/09/2007 2 Some
Store, cook, and serve food in a safe and clean way. 02/05/2005 00/09/2007 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/05/2005 00/09/2007 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 02/05/2005 00/09/2007 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2005 00/09/2008 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/05/2005 00/09/2007 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/05/2005 00/09/2007 2 Some
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 02/05/2005 00/09/2007 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. 02/05/2005 00/09/2007 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/05/2005 00/09/2007 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2005 00/09/2008 3 Few
Assist those residents who need help with eating/drinking 02/05/2005 00/09/2007 Some grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/05/2005 00/09/2007 2 Some
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. 02/05/2005 00/09/2007 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2005 00/09/2007 2 Few

Inspection, 01/05/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/05/2004 03/00/2005 1 Some
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 01/05/2004 03/00/2005 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/05/2004 03/00/2005 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2004 03/00/2005 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/05/2004 03/00/2005 2 Some
Provide housekeeping and maintenance services. 01/05/2004 03/00/2005 2 Some
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, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/05/2004 01/03/2006 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 01/05/2004 03/00/2005 2 Some
Store, cook, and serve food in a safe and clean way. 01/05/2004 03/00/2005 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/05/2004 03/00/2005 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. 01/05/2004 03/00/2005 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2004 03/00/2005 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/05/2004 03/00/2005 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2004 03/00/2005 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. 01/05/2004 03/00/2005 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/05/2004 03/00/2005 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/05/2004 03/00/2005 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. 01/05/2004 03/00/2005 1 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/05/2004 03/00/2005 2 Some

Inspection, 01/04/2003

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug 01/04/2003 03/00/2005 wrong time) to less than 5%. wrong dose

Inspection, 01/09/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 01/09/2001 00/02/2003 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/09/2001 00/02/2003 2 Some
Provide housekeeping and maintenance services. 01/09/2001 00/02/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2001 00/02/2003 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/09/2001 00/02/2003 2 Some
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, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/09/2001 00/02/2003 2 Some
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. 01/09/2001 00/02/2003 2 Some
Store, cook, and serve food in a safe and clean way. 01/09/2001 00/02/2003 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. 01/09/2001 01/00/2003 2 Few
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 01/09/2001 00/02/2003 2 Few
Ensure residents maintain acceptable nutritional status. 01/09/2001 00/02/2003 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/09/2001 00/02/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 01/09/2001 00/02/2003 1 Many
Provide residents with private access to a telephone. 01/09/2001 00/02/2003 2 Some

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 3 out of 5 stars
Total Number of Residents 86 76 83
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 34 minutes 1 hour 3 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 5 hours 49 minutes 28 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 3 minutes 34 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 51 minutes 1 hour 56 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: 04/15/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/15/2011
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, 02/05/2005

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/05/2005 00/09/2007 2 Some
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. 02/05/2005 00/09/2007 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. 02/05/2005 00/09/2007 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/05/2005 00/09/2007 2 Some

Inspection, 01/05/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/05/2004 03/00/2005 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/05/2004 03/00/2005 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/05/2004 03/00/2005 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/05/2004 03/00/2005 2 Some

Inspection, 01/09/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/09/2001 00/02/2003 2 Some
Automatic sprinkler systems that have been maintained in working order. 01/09/2001 00/02/2003 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/09/2001 00/02/2003 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/09/2001 00/02/2003 2 Many
Properly installed electrical wiring and equipment. 01/09/2001 00/02/2003 2 Many
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. 01/09/2001 00/02/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/09/2001 00/02/2003 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of highly flammable decorations. 01/09/2001 00/02/2003 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/09/2001 00/02/2003 2 Some
Emergency lighting that can last at least 1 1/2 hours. 01/09/2001 00/09/2003 2 Many
Properly located and lighted Exit" signs." 01/09/2001 00/02/2003 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/09/2001 00/02/2003 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/09/2001 00/02/2003 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/09/2001 00/02/2003 2 Many
 

615 Rancho Lane
Florissant, MO 63031

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