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Carrie Elligson Gietner: Recipe Violations - MO
The facility's own recipe called for specific measurements....
Latest reports, citations, and penalties from CMS data
The facility's own recipe called for specific measurements....
The September 23 complaint inspection triggered the most serious level of regulatory response....
The drugs were completely unsecured....
Resident #1 managed to leave the secured facility even though staff knew he posed an elopement risk and had implemented hourly visual checks....
CNA #101's confession came during a September complaint investigation that revealed weeks of abandoned restorative care at Hudson Elms Nursing Center....
The resident routinely refused medications and services, requiring staff to redirect her and offer alternative caregivers when needed....
The incident occurred July 30 at Deerfield Nursing and Rehabilitation Center when S9CNA finished helping Resident #7 with dinner around 4:30 p.m....
Federal inspectors found the facility violated requirements to thoroughly investigate alleged violations and prevent further abuse or neglect....
The resident, who takes Coumadin to prevent strokes caused by atrial fibrillation, should have received the blood thinner daily....
The resident was admitted to Creekside Post-Acute with chronic venous hypertension and ulcers on both lower legs....
The missed monitoring left a critical gap in care for someone whose medical conditions demanded close attention....
The brain-injured resident, identified as Resident #3, was admitted in June 2025 with chronic respiratory failure and anoxic brain damage....
The violations began August 12, when the resident's evening glucose reading hit 213 mg/dl....
The September 12 incident at Oak Ridge Rehabilitation & Healthcare Center went unreported to administrators for nearly two weeks....
Federal inspectors observed the lunch service on September 23 and found staff failed to honor basic food requests for residents identified as R9, R10, and R11....
Staff watched condensation build up on hallway and dining room floors but failed to notify management or maintenance for hours....
Near the nurses' station, CNA #2 asked if she had brought food for staff....
The certified nursing assistant reported it was a staff-witnessed fall from the Hoyer lift....
The facility houses 41 residents....
The resident had a standing physician's order from August 2025 for one hydrocodone-acetaminophen tablet every eight hours as needed for pain....