Big River Nursing & Rehabilitation Center
6400 the Cedars Court, Cedar Hill MO 63016 · (636) 274-1777 · 64.6% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Big River Nursing & Rehabilitation Center is a large nursing home located in Cedar Hill, Missouri. This is a subpar facility, with an overall grade of D. This isn't the worse nursing home we found, but we'd still struggle to recommend it. The best thing we can really say about this nursing home is that it did not receive any F's in in any of the major categories. More information about these categories is available below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 150 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we did not rate this place favorably overall, we want to point out its relatively favorable inspections in recent years. We gave it a B+ in this category, which was much better than its overall score. Our inspection grades account for several factors included in a facility's inspection report. One key criteria we weigh heavily is the number and severity of deficiencies. You should avoid facilities with a list of deficiencies flagged. This nursing home received 8 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered to be severe. This indicates that CMS did not consider any of these deficiencies to be an imminent threat to patient health or safety. A few minor deficiencies are not necessarily the end of the world.
Nurse Quality
One of the other reasons we graded this nursing home so highly is that it earned a very impressive nursing rating. In that area, we gave this facility an B. There are a variety of datapoints included in this grade. Many of these datapoints relate to nurse staffing. This particular nursing home provided 3 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can generally be prevented if more nurses aids and better safety protocols are in place.
Long-term Care Quality
Unfortunately, this facility's next best category is long-term care. Nevertheless, with a D in this area, it still fared relatively badly. For prospective residents looking for a permanent residence as opposed to skilled nursing, long-term care is a very important category. In addition to looking at the amount of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility gave the vaccine to 99.7191 percent of its residents, which is higher than the average nursing home. Unfortunately, this nursing home's hospitalization rate was not nearly as favorable. Here we found that this nursing home had 2.29 hospitalizations per 1,000 long-term resident days, which is an alarming rate.
Short-term Care Quality
The next area we assessed is short-term care, which ended up being this nursing home's worst area. We gave this facility a grade of D in this category. Short-term care scores are based in part on the facility's quantity of skilled skilled healthcare professionals. This includes a vast spectrum of services, ranging from registered nurses to physical and speech therapists, not to mention other types of therapy. Based on its poor rating in this category, we were not surprised to find this nursing home provides substantially fewer registered nurse and physical therapist hours per resident than most other facilities. Lastly, we assessed the number of patients that eventually returned home from this facility. This nursing home didn't fare well here either. In fact, we found that just 25.8 percent of this facility's patients were able to return home. This figure was quite a bit off the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Big River Nursing & Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This metric tells you the percentage of long-term residents who are suffering from new or worsened pressure ulcers . We bake this statistic into both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of residents that suffered from a major fall. Falls resulting in major injury are often caused by lower quality nursing care. Better nursing care minimizes the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of patients who sustained a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of nursing care . UTI's are routinely associated with lower quality nursing care. However, this metric could be misleading for some facilities due to inconsistent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of residents given antipsychotic drugs. These medications are sometimes used for several medical conditions, such as Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is an indication of the percent of long-term patients that are prescribed antianxiety medication. These medications are generally prescribed to residents experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term care patients demonstrating symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of residents who received the flu and pneumonia vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percentage of residents who required more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with ADL's may indicate the erosion of a resident's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents that maintained mobility over time. Retaining mobility can be a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per thousand days of patient care. There is generally a correlation between having fewer hospitalizations and the overall quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
Measures the number of rehospitalizations per thousand days of short-term resident care. Avoiding rehospitalizations during rehabilitation is key to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percentage of short-term stay patients that experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better