Florissant, MO

Bentwood Nursing & Rehab

1-star overall rating with 2-star inspections with abuse icon flag with $107,465 in total fines with 17 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle

1501 Charbonier Road, Florissant, MO

(314) 921-2700

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

116

Certified beds

Average residents

87

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mgm Healthcare

Operator or chain grouping

Approved since

2003-04-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

30 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.53

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.74

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

3.22

CMS adjusted total nurse staffing hours

Case-mix index

1.59

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

70%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,503

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.57

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.39

Baseline 21.15% · Performance 20.32% · Measure score 2.39 · Achievement 2.39 · Improvement 1.52

Healthcare-associated infections

2.04

Baseline 6.14% · Performance 7.22% · Measure score 2.04 · Achievement 2.04 · Improvement 0

Total nurse turnover

2.19

Baseline 82.56% · Performance 67.02% · Measure score 2.19 · Achievement 0 · Improvement 2.19

Adjusted total nurse staffing

0

Baseline 2.87 hours · Performance 2.45 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.87%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 79 · Observed rate 8.86% · Lower 95% interval 6.83%
Discharge to community 39.1%
50.57%
11.5 pts worse
No Different than the National Rate · Eligible stays 51 · Observed rate 23.53% · Lower 95% interval 26.7%
Medicare spending per beneficiary 1.11
1.02
0.1 pts worse
Drug regimen review with follow-up 81.48%
95.27%
13.8 pts worse
Numerator 44 · Denominator 54
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 54
Discharge self-care score 50%
53.69%
3.7 pts worse
Numerator 15 · Denominator 30
Discharge mobility score 40%
50.94%
10.9 pts worse
Numerator 12 · Denominator 30
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 54 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.22%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 57 · Observed rate 10.53% · Lower 95% interval 4.42%
Staff COVID-19 vaccination coverage 1.15%
8.2%
7 pts worse
Numerator 1 · Denominator 87
Staff flu vaccination coverage 22.09%
42%
19.9 pts worse
Numerator 38 · Denominator 172
Discharge function score 40%
56.45%
16.5 pts worse
Numerator 12 · Denominator 30
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 23 · Denominator 23
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
2.1
0.5 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.0 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
2.3
0.1 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 3.0 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 37.6%
84.8%
47.2 pts worse
93.4%
55.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.7% · Q2 38.2% · Q3 48.1% · Q4 35.9% · 4Q avg 37.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 33.3%
90.9%
57.6 pts worse
95.5%
62.2 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 33.3%
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
4.1%
0.7 pts better
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.9% · Q3 3.9% · Q4 3.8% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 49.6%
14.7%
34.9 pts worse
11.4%
38.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 62.0% · Q2 58.7% · Q3 31.7% · Q4 42.6% · 4Q avg 49.6%
Percentage of long-stay residents who lose too much weight 3.7%
5.5%
1.8 pts better
5.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 1.4% · Q3 0.0% · Q4 4.1% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.8%
25.3%
5.5 pts better
19.6%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 19.7% · Q3 21.1% · Q4 23.0% · 4Q avg 19.8%
Percentage of long-stay residents who received an antipsychotic medication 25.3%
25.0%
0.3 pts worse
16.7%
8.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 22.6% · Q3 27.8% · Q4 30.4% · 4Q avg 25.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 9.2%
20.3%
11.1 pts better
16.3%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 15.7% · Q3 6.9% · Q4 6.6% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.3%
19.8%
12.5 pts better
14.9%
7.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 9.2% · Q3 6.2% · Q4 6.0% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.4%
1.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.3%
2.6%
2.3 pts better
1.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.1%
18.1%
3 pts better
19.8%
4.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 20.3% · Q3 16.1% · Q4 15.0% · 4Q avg 15.1%
Percentage of long-stay residents with pressure ulcers 6.2%
5.0%
1.2 pts worse
5.1%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 3.9% · Q3 3.7% · Q4 7.2% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 17.5%
66.4%
48.9 pts worse
81.7%
64.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 20.8% · Q3 10.7% · Q4 11.0% · 4Q avg 17.5%
Percentage of short-stay residents who had an outpatient emergency department visit 8.4%
13.4%
5 pts better
12.0%
3.6 pts better
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 9.8% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
2.2%
0.4 pts better
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 2.5% · Q4 2.6% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 13.9%
63.5%
49.6 pts worse
79.7%
65.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 13.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.8%
25.3%
1.5 pts better
23.9%
0.1 pts better
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 31.7% · Expected 31.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-15 · Fire 2024-05-15

17 health deficiencies

Top issue: Resident Rights (5 deficiencies)

16 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2022-05-06 · Fire 2022-05-06

29 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2019-11-21 · Fire 2019-11-21

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-05-15

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-05-15

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-05-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-05-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-05-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-05-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-05-15

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-19

E · Potential for more than minimal harm 2023-07-18

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2023-07-28

E · Potential for more than minimal harm 2023-07-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-24

F · Potential for more than minimal harm 2022-05-06

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2022-06-15

F · Potential for more than minimal harm 2022-05-06

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-06-15

F · Potential for more than minimal harm 2022-05-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-06-15

F · Potential for more than minimal harm 2022-05-06

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-06-15

F · Potential for more than minimal harm 2022-05-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-09-15

E · Potential for more than minimal harm 2022-05-06

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-09-15

E · Potential for more than minimal harm 2022-05-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-05-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-05-06

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-09-15

E · Potential for more than minimal harm 2022-05-06

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-06-15

E · Potential for more than minimal harm 2019-11-21

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2020-01-06

E · Potential for more than minimal harm 2019-11-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-17

D · Potential for more than minimal harm 2025-11-17

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-12-17

D · Potential for more than minimal harm 2024-09-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-26

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-10-29

G · Actual harm 2024-05-15

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-05-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-15

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-05-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-15

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-03-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-03-06

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-02-28

D · Potential for more than minimal harm 2024-03-06

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-02-28

J · Immediate jeopardy 2024-02-02

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-02-28

D · Potential for more than minimal harm 2024-01-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-28

K · Immediate jeopardy 2022-05-06

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2022-06-15

G · Actual harm 2022-05-06

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-06-15

F · Potential for more than minimal harm 2022-05-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-06-15

F · Potential for more than minimal harm 2022-05-06

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-06-15

E · Potential for more than minimal harm 2022-05-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2022-06-15

D · Potential for more than minimal harm 2022-05-06

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2022-06-15

B · Minimal harm 2022-05-06

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-06-15

E · Potential for more than minimal harm 2019-11-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-01-06

E · Potential for more than minimal harm 2019-11-21

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2020-01-06

E · Potential for more than minimal harm 2019-11-21

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2020-01-06

D · Potential for more than minimal harm 2019-11-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2020-01-06

D · Potential for more than minimal harm 2019-11-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2020-01-06

D · Potential for more than minimal harm 2019-11-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-01-06

D · Potential for more than minimal harm 2019-11-21

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2020-01-06

Penalties and ownership

What sits behind the stars

$73,450 2024-05-15

Fine

Fine · fine $73,450

Fine

$0 2024-05-15

Payment Denial

Payment Denial · denial start 2024-06-21 · 4 days

4 day denial

$34,015 2024-01-23

Fine

Fine · fine $34,015

Fine

Ownership

Bienstock, Judah

5% Or Greater Indirect Ownership Interest · Individual

61% 19 facilities 2022-12-31
Yb Acquisition LLC

5% Or Greater Direct Ownership Interest · Organization

61% 2 facilities 2022-12-31
Jeremias, Baruch

5% Or Greater Direct Ownership Interest · Individual

39% 29 facilities 2019-05-31
Bienstock, Judah

Corporate Director · Individual

0% 19 facilities 2012-08-01
Lewis, Tonya

W-2 Managing Employee · Individual

0% 1 facilities 2023-02-21
Riggins, Michael

W-2 Managing Employee · Individual

0% 2 facilities 2022-06-28

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2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $97,920 in total fines with 32 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

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#3

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1-star overall rating with 1-star inspections with $28,060 in total fines with 17 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

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1 / 5
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Staffing
1 / 5
Fines
$28,060

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