| Friendship Village Sunset Hills | |
| 12651 Village Circle Drive, Saint Louis, Missouri 63127 | |
| (314) 270-7777 | |
| Name | Friendship Village Sunset Hills |
|---|---|
| Location | 12651 Village Circle Drive, Saint Louis, Missouri |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 144 |
| Occupancy Rate | 90.69% |
| Medicare ID (CCN) | 265136 |
| Legal Business Name | Friendship Village of South County |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1477544104 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Friendship Village of South County |
| Address | 12651 Village Circle Dr, Saint Louis, MO 63127 |
| Phone Number | 314-842-6840 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.6 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.54 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.11 | 0.86 |
| Nurse aide hours per resident per day | 2.95 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.43 | 3.42 |
| RN hours per resident per day on the weekend | 0.37 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 48.1% | 45.8% |
| Registered nurse turnover | 38.9% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $14,433 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 28, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 14, 2025 |
| Jan 28, 2025 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Feb 28, 2025 |
| Jan 28, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 14, 2025 |
| Jan 28, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 14, 2025 |
| Jan 28, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Jan 28, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Jan 28, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Jan 28, 2025 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. F0808, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Jan 28, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Apr 15, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Feb 1, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Feb 23, 2024 |
| Sep 28, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 12, 2023 |
| Sep 28, 2023 | Prepare residents for a safe transfer or discharge from the nursing home. F0624, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 12, 2023 |
| Sep 28, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 12, 2023 |
| Sep 28, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 12, 2023 |
| Sep 28, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 12, 2023 |
| Sep 28, 2023 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 12, 2023 |
| Sep 28, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 12, 2023 |
| Aug 28, 2019 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Oct 4, 2019 |
| Aug 28, 2019 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Oct 4, 2019 |
| Aug 28, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 4, 2019 |
| Aug 28, 2019 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 4, 2019 |
| Aug 28, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Oct 4, 2019 |
| Aug 28, 2019 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Oct 4, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.48 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.29 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.49 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.2 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.16 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.56 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.23 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.21 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.86 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.09 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.74 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.84 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.59 | 15.38 |
Amberwood Estates Nursing and Rehabilitation Location: 5303 Bermuda Drive, Saint Louis, Missouri 63121 Phone: (314) 385-0910 |
Atrium Place Health and Rehabilitation Location: 2600 Redman Road, Saint Louis, Missouri 63136 Phone: (314) 355-8585 |
Barnes-jewish Extended Care Location: 401 Corporate Park Drive, Saint Louis, Missouri 63105 Phone: (314) 725-7447 |
Beauvais Rehab and Healthcare Center Location: 3625 Magnolia Avenue, Saint Louis, Missouri 63110 Phone: (314) 771-2990 |