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Surrey Place, the 140-bed skilled nursing and assisted living facility owned by
St. Luke's Hospital, was cited by Consumer Reports as one of the top nursing homes in Missouri in its Nursing Home Quality Monitor. Only 11 facilities out of more than 500 across the state were named by the magazine as worthy of "consideration," and Surrey Place was one of only three free-standing facilities in the St. Louis area to be named.
The Nursing Home Quality Monitor named nursing homes that are likely to provide better-quality care, using three dimensions of quality. To earn a spot on the Consumer Reports list of potentially good homes, a facility had to be in the top 10 percent in at least two out of three of the following dimensions of quality.
Deficiencies cited in each nursing home's three most recent state inspection surveys. The magazine examined only those categories that affected specific quality-of-care, such as citations for putting residents in immediate jeopardy or causing actual harm. Different types of deficiencies received different weights, based on the relative importance of each one and how recently they had occurred. More weight was given to more recent deficiencies.
Each nursing home was then ranked according to its aggregate deficiency score. Homes whose scores placed them in the top 10 percent were named as being worthy of "consideration." Those in the bottom 10 percent were identified as potentially poorly performing homes.
Staffing levels. Consumer Reports analyzed data for three types of nursing staff: RNs, LPNs/LVNs and nurse's aides. The magazine developed a weighted sum of nursing hours and measured hours of nurse staffing per resident per day.
Quality indicators. Nursing homes must now report certain quality indicators to the Centers for Medicare and Medicaid Services (CMS). The magazine used the following indicators for its Quality Monitor.
The proportion of residents who:
- Were at high risk for pressure ulcers and who had a pressure ulcer
- Spent most of their time in bed
- Experienced a decline in their ability to move about independently
- Were at low risk for incontinence but became incontinent
- Declined in the activities of daily living between the two most recent assessments available to CMS
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