FRIENDSHIP VILLAGE SUNSET HILLS Nursing Home


FRIENDSHIP VILLAGE SUNSET HILLS (CCN: 265136) is a Non profit - Corporation facility located in SAINT LOUIS, MO (63127). The facility has an overall rating of 5/5, health inspection rating of 4/5, and a staffing rating of 4/5. It offers 144 certified beds and maintains an average of 135. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.79543 total hours per resident per day. It has been certified since December 19, 1978 and the last listed health inspection was on September 28, 2023, The facility is located in St. Louis county and provides senior and nursing home care.

FRIENDSHIP VILLAGE SUNSET HILLS Summary


Patient Ratings
Please rate how you felt your loved one or yourself have been treated at Friendship Village Sunset Hills below to help others make a more informed decision. Thank you.
Current Rating: Loading...

Provider Name: FRIENDSHIP VILLAGE SUNSET HILLS

Address: 12651 VILLAGE CIRCLE DRIVE, SAINT LOUIS, MO 63127

Phone: (314) 270-7777

County: St. Louis (940)

Ownership Type: Non profit - Corporation

Certified Beds: 144

Average Residents Per Day: 135. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: FRIENDSHIP VILLAGE OF SOUTH COUNTY

First Approved Date: December 19, 1978

Affiliated Entity: ()

Retirement Community: Y, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 4 ()

QM Rating: 5 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.32427, LPN Staff Hours Per Day: 0.9703, RN Staff Hours Per Day: 0.5008, Licensed Staff Hours Per Day: 1.4711

Total Nurse Staff Hours Per Day, per resident: 3.79543

Weekend Nurse Staff Hours: 3.57783, Weekend RN Staff Hours: 0.3022

PT Staff Hours Per Day, per resident: 0.0265

Nurse Staff Turnover: 47.7, Nurse Turnover Note:

RN Turnover: 29.4, RN Turnover Note:

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: 2.0548, Case Mix LPN Hours Per Day: 0.6392, Case Mix RN Hours Per Day: 0.2744

Adjusted Nurse Aide Hours Per Day, per resident: 2.30437, Adjusted LPN Hours Per Day: 1.1202, Adjusted RN Hours Per Day: 0.6876

Total Adjusted Nurse Hours Per Day, per resident: 4.03012

Adjusted Weekend Nurse Hours Per Day, per resident: 3.79906

Health Survey Dates and Scores: Cycle 1: 2023-09-28 (Score: 40), Cycle 2: 2019-08-28 (Score: 32), Cycle 3: 2018-07-16 (Score: 12)

Total Weighted Health Score: 32.667

Reported Incidents: 0, Substantiated Complaints: 4

Infection Control Citations:

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 12651 VILLAGE CIRCLE DRIVE,SAINT LOUIS,MO,63127 (38.5222, -90.405)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-09-28

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-12

Citation on 2023-09-28

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

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-12

Citation on 2023-09-28

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-12

Citation on 2023-09-28

Type: Health, Deficiency: Prepare residents for a safe transfer or discharge from the nursing home.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-12

Citation on 2023-09-28

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

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-12

Citation on 2023-09-28

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-12

Citation on 2023-09-28

Type: Health, Deficiency: Provide safe, appropriate pain management for a resident who requires such services.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-11-12

Citation on 2022-06-01

Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-16

Citation on 2019-08-28

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

Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2019-08-28

Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2019-08-28

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2019-08-28

Type: Health, Deficiency: 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.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2019-08-28

Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2019-08-28

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2018-07-16

Type: Health, Deficiency: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-10

Citation on 2018-07-16

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

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-10


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-08-28

Type: Fire Safety, Tag: 0923, Version: New

Description: Have proper medical gas storage and administration areas.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2018-07-16

Type: Fire Safety, Tag: 0344, Version: New

Description: Have an alternate power supply for its alarm system.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-10

Citation on 2018-07-16

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-10

Citation on 2018-07-16

Type: Fire Safety, Tag: 0753, Version: New

Description: Have restrictions on the use of highly flammable decorations.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-10

Citation on 2018-07-16

Type: Fire Safety, Tag: 0781, Version: New

Description: Have restrictions on the use of portable space heaters.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-10

Citation on 2018-07-16

Type: Fire Safety, Tag: 0923, Version: New

Description: Have proper medical gas storage and administration areas.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-08-10