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Alexian Bros Sherbrooke Village

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About Alexian Bros Sherbrooke Village

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 20, 1990 (27 years)
Capacity167
Residents127
Percent Occupied76%
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 Alexian Bros Sherbrooke Village

Alexian Bros Sherbrooke Village
was reviewed by Medicare to have a rating of 4 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 22, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential 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.
ESomePotential for HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 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.
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.

October 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

August 3, 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.
DFewPotential for HarmComplaintDevelop 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.

January 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

November 19, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$4,388 fine
---Payment DenialPayment denial for 1 days
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential 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 InspectionEnsure services provided by the nursing facility meet professional standards of quality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Alexian Bros Sherbrooke Village 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 45min
2hr 20min
ReportedExpected
CNA
25min
35min
ReportedExpected
LPN
55min
55min
ReportedExpected
RN
4hr 5min
3hr 50min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

100.0%
95.4%
95.4%
96.3%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.5%
98.1%
100.0%
100.0%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.7%
43.6%
51.2%
45.9%
33.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of low risk long-stay residents who lose control of their bowels or bladder
15.3%
12.8%
13.1%
8.5%
27.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
16.2%
8.0%
8.0%
6.0%
15.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose ability to move independently worsened
9.7%
12.0%
9.1%
7.7%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antipsychotic medication
13.8%
10.9%
8.2%
8.7%
14.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose need for help with daily activities has increased
8.4%
8.0%
10.1%
6.4%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who self-report moderate to severe pain
7.4%
11.8%
7.1%
5.5%
6.9%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who lose too much weight
3.3%
3.0%
4.1%
1.4%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of high risk long-stay residents with pressure ulcers
3.2%
1.0%
1.8%
1.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who have depressive symptoms
2.1%
4.9%
6.2%
6.4%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a urinary tract infection
1.0%
1.9%
1.8%
1.8%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents experiencing one or more falls with major injury
2.2%
2.3%
1.8%
0.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

22.2%
27.7%
33.8%
41.5%
74.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.7%
25.7%
25.7%
25.3%
74.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
70.0%
62.3%
68.0%
72.8%
66.5%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who made improvements in function
15.3%
11.4%
5.8%
6.2%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who self-report moderate to severe pain
0.4%
0.8%
1.8%
0.9%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who newly received an antipsychotic medication
0.2%
0.2%
0.0%
0.0%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents with pressure ulcers that are new or worsened