Provider Name: STONEBRIDGE HERMANN
Address: 1800 WEIN STREET,, HERMANN, MO 65041
Phone: (573) 486-3155
County: Gasconade (360)
Ownership Type: For profit - Corporation
Certified Beds: 118
Average Residents Per Day: 59.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: ELDERCARE OF MID-MISSOURI XIII INC.
First Approved Date: July 10, 1996
Affiliated Entity: STONEBRIDGE SENIOR LIVING (494)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.58100, LPN Staff Hours Per Day: 0.4084, RN Staff Hours Per Day: 0.5009, Licensed Staff Hours Per Day: 0.9094
Total Nurse Staff Hours Per Day, per resident: 2.49039
Weekend Nurse Staff Hours: 2.12532, Weekend RN Staff Hours: 0.3337
PT Staff Hours Per Day, per resident: 0.0128
Nurse Staff Turnover: 52.6, Nurse Turnover Note:
RN Turnover: 33.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9884, Case Mix LPN Hours Per Day: 0.6604, Case Mix RN Hours Per Day: 0.2897
Adjusted Nurse Aide Hours Per Day, per resident: 1.61979, Adjusted LPN Hours Per Day: 0.4564, Adjusted RN Hours Per Day: 0.6514
Total Adjusted Nurse Hours Per Day, per resident: 2.67126
Adjusted Weekend Nurse Hours Per Day, per resident: 2.27968
Health Survey Dates and Scores: Cycle 1: 2023-09-08 (Score: 44), Cycle 2: 2022-05-19 (Score: 0), Cycle 3: 2019-04-26 (Score: 0)
Total Weighted Health Score: 22.000
Reported Incidents: 0, Substantiated Complaints: 0
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: 1800 WEIN STREET,,HERMANN,MO,65041 (38.6923, -91.450)
Process Date: 2024-03-01
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:
Type: Health, Deficiency: 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.
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 2023-10-23
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 2023-10-19
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2023-10-27
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2023-10-27
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2023-10-26
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2023-10-24
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:
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 2023-10-05
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
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 2022-06-14
Type: Fire Safety, Tag: 0761, Version: New
Description: To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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 2022-06-14