Cycle 1
Health 2024-06-12 · Fire 2024-06-12
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Valley Park, MO
Garden View Care Center At Dougherty Ferry
4-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
13612 Big Bend Road, Valley Park, MO
(636) 861-0500
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
66
Certified beds
Average residents
46
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-02-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.60
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.98
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.61
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
5.17
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
6.74
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,128
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.59
Composite VBP score used to determine payment impact.
Payment multiplier
1.0148
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.35
Baseline 17.99% · Performance 18.02% · Measure score 7.35 · Achievement 7.35 · Improvement 0
Healthcare-associated infections
1.68
Baseline 5.89% · Performance 7.33% · Measure score 1.68 · Achievement 1.68 · Improvement 0
Total nurse turnover
4.80
Performance 44.07% · Measure score 4.80 · Achievement 4.80 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Performance 6.27 hours · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.55% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 15.19% · Lower 95% interval 8.71% |
| Discharge to community | 47.37% |
50.57%
3.2 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 41.33% · Lower 95% interval 37.94% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.88% |
95.27%
1.6 pts better
|
Numerator 31 · Denominator 32 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 32 |
| Discharge self-care score | 36.67% |
53.69%
17 pts worse
|
Numerator 11 · Denominator 30 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 10 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 6.25% |
2.29%
4 pts worse
|
Numerator 2 · Denominator 32 · Adjusted rate 5.97% |
| Healthcare-associated infections requiring hospitalization | 7.33% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 3.86% |
| Staff COVID-19 vaccination coverage | 3.66% |
8.2%
4.5 pts worse
|
Numerator 6 · Denominator 164 |
| Staff flu vaccination coverage | 6.75% |
42%
35.2 pts worse
|
Numerator 11 · Denominator 163 |
| Discharge function score | 30% |
56.45%
26.5 pts worse
|
Numerator 9 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30.43% |
25.2%
5.2 pts better
|
Numerator 7 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
84.8%
15.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
4.1%
1 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.4% · Q3 2.4% · Q4 4.9% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
14.7%
11.3 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.8% · Q3 2.6% · Q4 5.1% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 2.4% |
5.5%
3.1 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 6.2% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.5% |
25.3%
19.8 pts better
|
19.6%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 9.7% · Q3 3.4% · Q4 3.0% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
25.0%
8 pts better
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 17.4% · Q3 12.0% · Q4 17.2% · 4Q avg 17.0% · 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 | 24.3% |
20.3%
4 pts worse
|
16.3%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.8% |
19.8%
4 pts better
|
14.9%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 17.2% · Q3 15.4% · Q4 16.1% · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.7% |
1.4%
2.3 pts worse
|
1.0%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 5.6% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.4% |
2.6%
1.8 pts worse
|
1.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.5% · Q3 4.9% · Q4 0.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% |
18.1%
11.5 pts worse
|
19.8%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 32.7% · Q3 18.1% · Q4 31.0% · 4Q avg 29.6% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.0%
3.5 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 2.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
66.4%
31.9 pts better
|
81.7%
16.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 96.7% · Q3 100.0% · Q4 100.0% · 4Q avg 98.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.7% |
13.4%
5.3 pts worse
|
12.0%
6.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 17.1% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
2.2%
1 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.9% |
63.5%
25.4 pts better
|
79.7%
9.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
25.3%
1.1 pts better
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 19.5% · Expected 19.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-11-16 · Fire 2022-11-16
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-07-11 · Fire 2019-07-11
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-06-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-12
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-24
F · Potential for more than minimal harm
2022-11-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-11
F · Potential for more than minimal harm
2022-11-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-11
E · Potential for more than minimal harm
2022-11-16
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 2023-01-11
E · Potential for more than minimal harm
2022-11-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-11
E · Potential for more than minimal harm
2022-11-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-11
F · Potential for more than minimal harm
2019-07-11
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-08-23
F · Potential for more than minimal harm
2019-07-11
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-08-23
E · Potential for more than minimal harm
2019-07-11
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 2019-08-23
E · Potential for more than minimal harm
2019-07-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-08-23
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-06-12
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 2024-07-24
D · Potential for more than minimal harm
2024-06-12
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-24
E · Potential for more than minimal harm
2022-11-16
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-12-26
E · Potential for more than minimal harm
2022-11-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-26
D · Potential for more than minimal harm
2022-11-16
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-12-26
D · Potential for more than minimal harm
2022-11-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-26
D · Potential for more than minimal harm
2022-11-16
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 2022-12-26
E · Potential for more than minimal harm
2019-07-11
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-08-23
E · Potential for more than minimal harm
2019-07-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-08-23
E · Potential for more than minimal harm
2019-07-11
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 2019-08-23
E · Potential for more than minimal harm
2019-07-11
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 2019-08-23
E · Potential for more than minimal harm
2019-07-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-23
D · Potential for more than minimal harm
2019-07-11
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 2019-08-23
D · Potential for more than minimal harm
2019-07-11
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-08-23
Penalties and ownership
What sits behind the stars
Ownership
Larus Corporation
5% Or Greater Direct Ownership Interest · Organization
Choice Rehabilitation LLC
Operational/Managerial Control · Organization
G. William Weier And Patricia R. Weier Trust
5% Or Greater Indirect Ownership Interest · Organization
Larus Corporation
Operational/Managerial Control · Organization
Larus Management Corporation
Operational/Managerial Control · Organization
Litle, Charlotte
Operational/Managerial Control · Individual
Litle, Charlotte
Corporate Officer · Individual
Luaders, Jodi
Operational/Managerial Control · Individual
Luaders, Jodi
Corporate Officer · Individual
Nieves, Courtney
Operational/Managerial Control · Individual
Nieves, Courtney
Corporate Officer · Individual
Patwardhan, Sanjay
Operational/Managerial Control · Individual
Richard Lawrence Winter Trust
5% Or Greater Indirect Ownership Interest · Organization
Santangelo, Alisa
Operational/Managerial Control · Individual
Strickland, Cheryl
Operational/Managerial Control · Individual
Weier, George
5% Or Greater Indirect Ownership Interest · Individual
Weier, George
Operational/Managerial Control · Individual
Weier, George
Corporate Director · Individual
Weier, George
Corporate Officer · Individual
Weier, Patricia R.
5% Or Greater Indirect Ownership Interest · Individual
Winter, Richard
5% Or Greater Indirect Ownership Interest · Individual
Winter, Richard
Operational/Managerial Control · Individual
Winter, Richard
Corporate Director · Individual
Winter, Richard
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Big Bend Woods Healthcare Center
Valley Park, MO
1-star overall rating with 2-star inspections with $185,221 in total fines with 10 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Quarters At Des Peres, The
Des Peres, MO
1-star overall rating with 1-star inspections with $342,743 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Lutheran Senior Services At Meramec Bluffs
Ballwin, MO
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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