SSM Health DePaul Anna House: Lift Injury Violation - MO
The aide, identified in inspection records as CNA C, was using a sit-to-stand lift on a resident who had already been reclassified as requiring a Hoyer lift and a two-person assist. CNA C knew the resident had been reclassified. He or she had transferred the resident before, using the Hoyer lift, with a second aide present. This time, CNA C didn't wait.
The resident started moving his or her feet and trying to pull free from the sling. CNA C lowered the resident to the base of the lift. The resident's leg was bent. CNA C screamed for help.
When CNA B entered the room, the resident was hanging from the sit-to-stand lift, knees on the base, arms flailing. "He/She looked like a string puppet," CNA B told inspectors during an interview on October 16. CNA B stepped back out and got RN A. Together, they placed the resident on a Hoyer pad and transferred him or her to bed. The resident's knee was swollen. RN A called the doctor. The doctor ordered an x-ray.
The resident had a history of knee pain but did not complain during the transfer back to bed.
There were no signs posted in the resident's room indicating transfer status. The interim director of nursing, who has worked at the facility for ten months, told inspectors the resident's care plan should have been updated and that transfer statuses are supposed to be communicated shift to shift, with a reference list kept in the shower book. She said CNA C should not have attempted the transfer alone.
The administrator told inspectors he reviewed the care plan and thought it "could be interpreted a couple different ways." He said CNA C was terminated. He held an in-service on lift policies after the incident and said staff reevaluated all residents to confirm proper sling assignments.
The resident's knee had been swollen. The x-ray results are not recorded in the inspection report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ssm Health Depaul Hospital - Anna House from 2025-10-17 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
SSM HEALTH DEPAUL HOSPITAL - ANNA HOUSE in BRIDGETON, MO was cited for violations during a health inspection on October 17, 2025.
CNA C knew the resident had been reclassified.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.