Latest reports, citations, and penalties from CMS data
## Inspection Reveals Documentation Gaps The August 13, 2024 inspection was conducted in response to a complaint filed against the nursing facility....
The violations centered on kitchen staff's failure to follow established recipes for specialized diets....
CHESTERFIELD, MO - A skilled nursing facility affiliated with St....
These temperatures far exceed the facility's own policy, which mandates water temperatures not exceed 120 degrees Fahrenheit in resident areas....
Documentation shows the resident first appeared before the facility's nutrition committee in May 2024 after losing 11 pounds in April alone....
On May 9, 2025, at approximately 6:30 AM, staff witnessed what appeared to be a physical altercation between two residents in the hallway....
**Resident 110 reported that a certified nursing assistant (CNA) kissed them and attempted to climb into their bed**....
The incidents escalated on January 8, 2025, when another resident pushed Resident #44 into a wall, causing a hip fracture that required emergency surgery....
Most concerning was the presence of ants both inside the glass jar and crawling on the floor around the resident's bed area....
Between March 12 and April 8, 2025, inspectors documented at least 10 separate incidents where residents attacked each other due to insufficient oversight....
On the morning of November 9, 2024, Resident 117 arrived by bicycle and entered through a back door after being discharged the previous day....
When questioned by inspectors, the Food Services Supervisor acknowledged the temperature was insufficient and told staff to halt dishwashing operations....
The pattern began in February 2022 when staff witnessed the male resident kissing another resident....
## Critical Insulin Administration Failures The most serious violations centered on the facility's mishandling of insulin therapy for diabetic residents....
During the inspection, surveyors found expired medical supplies in multiple emergency carts....
The medical consequences of this setup were predictable and preventable....
On December 28, 2024, staff placed the resident in a wheelchair near the nursing station around 8:30 a.m....
More concerning was the treatment of a second resident with diabetes, kidney disease, and infection-related swelling....
The resident, identified as Resident #3, had been admitted just two days earlier for short-term rehabilitation following a syncope episode....
Daily fluid intake records revealed alarming deficiencies....