Latest reports, citations, and penalties from CMS data
The first incident occurred in August 2020 when a resident with an above-knee amputation was being transported in a wheelchair without proper foot support....
R5 immediately stopped the interaction, saying "No, no....
CHESTERFIELD, MO - A skilled nursing facility affiliated with St....
The incidents escalated on January 8, 2025, when another resident pushed Resident #44 into a wall, causing a hip fracture that required emergency surgery....
Between March 12 and April 8, 2025, inspectors documented at least 10 separate incidents where residents attacked each other due to insufficient oversight....
When questioned by inspectors, the Food Services Supervisor acknowledged the temperature was insufficient and told staff to halt dishwashing operations....
During the inspection, surveyors found expired medical supplies in multiple emergency carts....
This designation is reserved for situations where regulatory violations have caused or are likely to cause serious injury, harm, impairment or death....
On February 8, 2025, a physical altercation occurred between two residents in a hallway near one resident's bedroom....
Inspectors found that licensed nurses failed to properly identify residents before administering medications, violating basic safety protocols....
The most concerning incident involved an activities assistant who incorrectly recorded a resident's meal intake....
Immediate jeopardy determinations are reserved for situations where residents face the risk of serious injury, harm, impairment, or death....
During interviews, the maintenance supervisor disclosed that several critical exit doors had their alarms routinely turned off during business hours....
When state inspectors investigated the complaint, nursing staff were unable to locate the medication anywhere in the facility....
The facility's medication error rate reached **16 percent** - more than three times the maximum allowable rate of 5 percent established by federal regulations....
The most concerning case involved a resident with a left shoulder fracture who experienced an eight-month delay in follow-up orthopedic care....
When patients become anxious, they may fight against the ventilator, leading to inadequate oxygenation and cardiac stress....
When the resident asked the nurse to stop because it was causing pain, the nurse reportedly continued the procedure....
The incident occurred on June 5, 2024, when physical therapy staff applied an e-stim device to a resident's right leg and left the room during treatment....
The violations centered around the facility's failure to recognize, investigate, and report abuse incidents as required by federal regulations....