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Advance Nursing Center

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About Advance Nursing Center

General Information

Legal Business NameN & R Of Advance, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 1, 1993 (23 years)
Capacity70
Residents29
Percent Occupied41%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Advance Nursing Center

Advance Nursing Center
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Missouri Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 11, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
FManyPotential for HarmFire Safety InspectionProperly protected cooking facilities.
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
ESomePotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
ESomePotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmHealth InspectionOperate and provide services according to Federal, State, and local laws and professional standards.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

August 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Advance Nursing Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 50min
2hr 30min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
50min
55min
ReportedExpected
RN
4hr 15min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
95.2%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
90.7%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
32.9%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
20.0%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
15.4%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.9%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
7.0%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
5.9%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
4.3%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
5.6%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
4.0%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
2.9%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
0.5%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
71.4%
77.8%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
78.1%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
18.5%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.5%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
0.0%
1.3%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened