14 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Bridgeton, MO
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
12284 Depaul Drive, Bridgeton, MO
(314) 209-8814
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
105
Certified beds
Average residents
89
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ssm Health
Operator or chain grouping
Approved since
2012-09-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
2 facilities
Chain averages 3 overall / 3 health / 3 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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.37
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.36
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.61
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.30
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
5.30
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
882
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.54
Composite VBP score used to determine payment impact.
Payment multiplier
1.0174
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.63
Baseline 22.53% · Performance 18.05% · Measure score 7.63 · Achievement 7.29 · Improvement 7.63
Healthcare-associated infections
8.63
Baseline 6.80% · Performance 5.26% · Measure score 8.63 · Achievement 8.63 · Improvement 8.06
Total nurse turnover
2.12
Baseline 46.94% · Performance 55.00% · Measure score 2.12 · Achievement 2.12 · Improvement 0
Adjusted total nurse staffing
6.63
Baseline 4.31 hours · Performance 4.96 hours · Measure score 6.63 · Achievement 6.63 · Improvement 3.93
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.66% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 223 · Observed rate 5.83% · Lower 95% interval 6.18% |
| Discharge to community | 55.88% |
50.57%
5.3 pts better
|
Better than the National Rate · Eligible stays 241 · Observed rate 51.04% · Lower 95% interval 51.59% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.9% |
95.27%
1.6 pts better
|
Numerator 125 · Denominator 129 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 129 |
| Discharge self-care score | 51.61% |
53.69%
2.1 pts worse
|
Numerator 64 · Denominator 124 |
| Discharge mobility score | 32.26% |
50.94%
18.7 pts worse
|
Numerator 40 · Denominator 124 |
| Pressure ulcers or injuries, new or worsened | 1.55% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 129 · Adjusted rate 2.18% |
| Healthcare-associated infections requiring hospitalization | 5.26% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 124 · Observed rate 1.61% · Lower 95% interval 2.95% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 217 |
| Staff flu vaccination coverage | 86.42% |
42%
44.4 pts better
|
Numerator 140 · Denominator 162 |
| Discharge function score | 44.35% |
56.45%
12.1 pts worse
|
Numerator 55 · Denominator 124 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 98 · Denominator 98 |
| Resident COVID-19 vaccinations up to date | 28% |
25.2%
2.8 pts better
|
Numerator 21 · Denominator 75 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.1
About the same
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.4 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.3
0.1 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.6 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.8% |
84.8%
7 pts better
|
93.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.6% · Q2 100.0% · Q3 97.1% · Q4 86.8% · 4Q avg 91.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.7% |
90.9%
3.8 pts better
|
95.5%
0.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
4.1%
1.4 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.7% · Q3 2.9% · Q4 7.9% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
14.7%
14.7 pts better
|
11.4%
11.4 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 who lose too much weight | 2.9% |
5.5%
2.6 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.1% · Q3 6.1% · Q4 0.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.4% |
25.3%
6.9 pts better
|
19.6%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 17.6% · Q3 20.6% · Q4 18.4% · 4Q avg 18.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
25.0%
16.1 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 6.9% · Q3 9.7% · Q4 9.1% · 4Q avg 8.9% · 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 | 8.1% |
20.3%
12.2 pts better
|
16.3%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 9.4% · Q3 0.0% · Q4 11.0% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
19.8%
11.7 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 15.2% · Q3 6.1% · Q4 11.4% · 4Q avg 8.1% · 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 | 0.7% |
2.6%
1.9 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.4% |
18.1%
13.7 pts better
|
19.8%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 5.5% · Q3 0.0% · Q4 2.3% · 4Q avg 4.4% |
| Percentage of long-stay residents with pressure ulcers | 13.5% |
5.0%
8.5 pts worse
|
5.1%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 20.8% · Q3 8.6% · Q4 18.4% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.5% |
66.4%
0.9 pts worse
|
81.7%
16.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 69.6% · Q2 62.5% · Q3 62.9% · Q4 67.4% · 4Q avg 65.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.7% |
13.4%
0.3 pts worse
|
12.0%
1.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 12.2% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.1% |
63.5%
9.4 pts worse
|
79.7%
25.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
25.3%
2.7 pts better
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 18.4% · Expected 19.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-08
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-06-26
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-06-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-26
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-07-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-06-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-26
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-26
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-06-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-06-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-26
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-08
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-08
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-08
Health
Assess the resident when there is a significant change in condition
Corrected 2024-11-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-08
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 2024-11-08
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 2024-11-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-08
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-11-08
Health
Post nurse staffing information every day.
Corrected 2024-11-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-23
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-23
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-06-26
Health
Post nurse staffing information every day.
Corrected 2023-06-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-09
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 2023-06-26
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-26
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 2019-11-26
Health
Respond appropriately to all alleged violations.
Corrected 2019-11-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-11-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-11-26
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2019-12-05
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Contracted Managing Employee · Individual
Nearby options
Bridgeton, MO
1-star overall rating with 1-star inspections with $195,310 in total fines with 29 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Maryland Heights, MO
1-star overall rating with 2-star inspections with $22,778 in total fines with 30 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Bridgeton, MO
3-star overall rating with 3-star inspections with $21,801 in total fines with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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