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Sunset Hills Health And Rehabilitation Center

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About Sunset Hills Health And Rehabilitation Center

General Information

Legal Business NameThi Of Missouri At Gravois, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 22, 1988 (28 years)
Capacity166
Residents103
Percent Occupied62%
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 Sunset Hills Health And Rehabilitation Center

Sunset Hills Health And Rehabilitation Center
was reviewed by Medicare to have a rating of 1 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

May 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
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%.
DFewPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
BSomePotential for Minimal HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

February 20, 2015 - 2 years ago

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

January 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$25,350 fine
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

April 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
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 HarmFire Safety InspectionAn elevator that firefighters can control in the event of a fire.
ESomePotential for HarmHealth InspectionMaintain comfortable sound levels.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Sunset Hills Health And Rehabilitation 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.

1hr 55min
2hr 15min
ReportedExpected
CNA
45min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
3hr 20min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

77.8%
75.2%
75.2%
95.2%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Seasonal Influenza Vaccine
64.6%
69.8%
83.3%
90.7%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Pneumococcal Vaccine
29.2%
45.7%
-
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
9.1%
12.9%
8.2%
20.0%
Q1 2015Q2 2015Q3 2015MO
Received an Antipsychotic Medication
17.7%
6.5%
29.3%
15.4%
Q1 2015Q2 2015Q3 2015MO
Need for Help with ADLs has Increased
8.0%
12.1%
-
8.9%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
9.2%
9.5%
3.3%
7.0%
Q1 2015Q2 2015Q3 2015MO
Lose Too Much Weight
6.8%
9.1%
8.6%
5.9%
Q1 2015Q2 2015Q3 2015MO
High Risk Residents With Pressure Ulcers
1.1%
1.1%
0.0%
4.3%
Q1 2015Q2 2015Q3 2015MO
Have Depressive Symptoms
13.3%
12.4%
5.3%
5.6%
Q1 2015Q2 2015Q3 2015MO
With a Urinary Tract Infection
1.0%
3.1%
8.3%
4.0%
Q1 2015Q2 2015Q3 2015MO
Experiencing One or More Falls with Major Injury
1.1%
0.0%
3.8%
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

35.0%
21.7%
17.3%
77.8%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Pneumococcal Vaccine
35.5%
33.8%
33.8%
78.1%
Q1 2015Q2 2015Q3 2015MO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
48.0%
25.0%
-
18.5%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
2.5%
Q1 2015Q2 2015Q3 2015MO
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015MO
With Pressure Ulcers That Are New or Worsened