Grove at Kirkwood: Antibiotic Monitoring Failures - MO
Federal inspectors found the nursing home had no speech therapist on staff and provided zero speech evaluations or services to residents between September 1, 2025, and January 22, 2026. Therapy records showed completely blank entries for speech therapy minutes during that five-month period.
The facility's Director of Rehab, who started after Thanksgiving, told inspectors most residents needing all three types of therapy — physical, occupational, and speech — were only receiving the first two. "If the resident had orders for all three therapies, PT/OT/ST, they were only getting PT and OT," the director said.
One resident managed to get a speech evaluation through telehealth, but the director explained that "most speech therapists do not feel comfortable doing it via telehealth."
The problems began when new ownership took over and the facility's therapy contract ended. "Therapy continued to happen, but it was light during the transition," the Operations Manager told inspectors. Nursing management tried to handle therapy services after the contracted company left.
Licensed Practical Nurse Z described the breakdown: "There was no PT/OT in the beginning of the transition of the new ownership." The facility had also eliminated its restorative therapy program entirely, with no plans to restart it.
By January, staffing remained skeletal. The facility had just hired a part-time speech therapist and was waiting for a new physical therapist to start in March. A full-time physical therapist had recently quit, leaving residents with reduced services.
Director of Nursing C acknowledged the facility was "looking to hire one therapist" and expected staff to coordinate outside therapy services when needed. But for months, residents requiring speech therapy simply went without.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Grove At Kirkwood, The from 2026-01-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
GROVE AT KIRKWOOD, THE in KIRKWOOD, MO was cited for violations during a health inspection on January 29, 2026.
Therapy records showed completely blank entries for speech therapy minutes during that five-month period.
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.