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Shangri La Rehab & Living Center

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About Shangri La Rehab & Living Center

General Information

Legal Business NamePetersen Health Business LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 1, 1994 (22 years)
Capacity120
Residents68
Percent Occupied57%
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 Shangri La Rehab & Living Center

Shangri La Rehab & Living 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

July 27, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
FManyPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
CManyPotential for Minimal 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 InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DFewPotential for HarmHealth InspectionProvide timely notification to the resident before transfer or discharge.
DFewPotential for HarmHealth InspectionGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
BSomePotential for Minimal HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.

September 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
FManyPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
FManyPotential for HarmHealth InspectionHire sufficient dietary support personnel.
ESomePotential for HarmHealth InspectionEncode each residentís assessment data and transmit these data to the State within 7 days of assessment.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
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.
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
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 InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

April 15, 2015 - 2 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.

July 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential 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 InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Shangri La Rehab & Living 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 25min
2hr 10min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
30min
50min
ReportedExpected
RN
3hr 50min
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.7%
93.2%
93.2%
93.2%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
92.8%
88.2%
84.8%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
12.9%
20.6%
19.4%
23.5%
33.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of low risk long-stay residents who lose control of their bowels or bladder
25.4%
30.4%
30.6%
23.7%
27.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
15.2%
10.0%
0.0%
12.2%
15.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose ability to move independently worsened
23.5%
22.6%
20.6%
23.0%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antipsychotic medication
26.8%
19.6%
13.1%
10.2%
14.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose need for help with daily activities has increased
13.5%
8.4%
5.5%
1.5%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who self-report moderate to severe pain
1.4%
1.5%
0.0%
1.5%
6.9%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who lose too much weight
0.0%
2.2%
0.0%
0.0%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of high risk long-stay residents with pressure ulcers
30.4%
34.5%
29.7%
25.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who have depressive symptoms
5.4%
5.9%
6.2%
6.1%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a urinary tract infection
6.7%
7.2%
4.4%
4.5%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents experiencing one or more falls with major injury
3.7%
5.6%
1.5%
3.3%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.7%
1.4%
0.0%
1.5%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

61.9%
45.2%
39.4%
59.5%
74.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
24.4%
38.7%
38.7%
38.7%
74.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
66.5%
Q4 2015Q1 2016Q2 2016Q3 2016MO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
9.5%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents with pressure ulcers that are new or worsened