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Delmar Gardens Of O'Fallon

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About Delmar Gardens Of O'Fallon

General Information

Legal Business NameDelmar Gardens Of O'Fallon, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 15, 2004 (12 years)
Capacity142
Residents130
Percent Occupied92%
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 Delmar Gardens Of O'Fallon

Delmar Gardens Of O'Fallon
was reviewed by Medicare to have a rating of 2 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

October 15, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
ESomePotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

September 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionEncode each residentís assessment data and transmit these data to the State within 7 days of assessment.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
BSomePotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

June 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Delmar Gardens Of O'Fallon 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 20min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
50min
1hr
ReportedExpected
RN
4hr 15min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.7%
97.6%
97.6%
95.2%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Seasonal Influenza Vaccine
67.5%
61.8%
67.1%
90.7%
Q1 2015Q2 2015Q3 2015MO
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
13.3%
10.8%
15.6%
20.0%
Q1 2015Q2 2015Q3 2015MO
Received an Antipsychotic Medication
14.9%
14.3%
7.7%
15.4%
Q1 2015Q2 2015Q3 2015MO
Need for Help with ADLs has Increased
7.3%
6.1%
6.1%
8.9%
Q1 2015Q2 2015Q3 2015MO
Self Report Moderate to Severe Pain
16.9%
19.7%
7.8%
7.0%
Q1 2015Q2 2015Q3 2015MO
Lose Too Much Weight
5.3%
5.1%
6.9%
5.9%
Q1 2015Q2 2015Q3 2015MO
High Risk Residents With Pressure Ulcers
4.1%
4.3%
2.7%
4.3%
Q1 2015Q2 2015Q3 2015MO
Have Depressive Symptoms
3.9%
1.3%
2.6%
5.6%
Q1 2015Q2 2015Q3 2015MO
With a Urinary Tract Infection
5.2%
2.6%
5.1%
4.0%
Q1 2015Q2 2015Q3 2015MO
Experiencing One or More Falls with Major Injury
2.9%
1.7%
1.6%
2.9%
Q1 2015Q2 2015Q3 2015MO
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.5%
Q1 2015Q2 2015Q3 2015MO
Were Physically Restrained

Quality Measures for Short Stay Residents

80.9%
72.8%
70.4%
77.8%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Pneumococcal Vaccine
89.9%
74.9%
74.9%
78.1%
Q1 2015Q2 2015Q3 2015MO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
16.3%
27.8%
31.1%
18.5%
Q1 2015Q2 2015Q3 2015MO
Self Report Moderate to Severe Pain
1.0%
0.6%
1.3%
2.5%
Q1 2015Q2 2015Q3 2015MO
Newly Received an Antipsychotic Medication
1.4%
0.9%
1.2%
1.3%
Q1 2015Q2 2015Q3 2015MO
With Pressure Ulcers That Are New or Worsened