Latest reports, citations, and penalties from CMS data
The missed injury at North Starr PostAcute Care prevented Resident 1 from transferring to an assisted living facility as planned....
She was left alone in the shower room for thirty minutes....
The exchange happened on July 14, 2025, during the 3 p.m....
The day shift nurse, RN #1, told inspectors she first saw the resident complain of shortness of breath and anxiety after lunch, around 12:30 p.m....
The elevator had already been repaired twice that month....
The form had been entered into the facility's electronic records system on August 19....
The resident, identified in inspection records only as Resident #1, had returned from dialysis....
Resident 1 arrived at the local emergency department on June 23 at 1:17 PM, complaining of 10/10 pain at their catheter site....
That happened on July 29, 2025....
Five hours later, a second nurse followed up and noted the pain had dropped to a 5....
The first fall happened on August 17, 2025....
The first incident inspectors observed happened at 9:40 that morning....
They also had an order for oxycodone....
The resident, a man with moderate cognitive impairment recovering from surgery, had a stage 3 pressure ulcer on his coccyx....
Federal inspectors who arrived at the facility on August 18 found out she was right....
Licensed Practical Nurse N found the resident on his right side around 4 p.m....
That's what inspectors documented at Avenir at Mark Twain, a 75-bed facility in Bridgeton, following a complaint inspection completed August 20, 2025....
The aide, identified as NA#8 in inspection records, was hired on April 12, 2024, and had been certified as a nursing aide since March 7, 2023....
The August 13 attack at First Shamrock Care Center left the victim with redness behind their left ear and fearing another assault....
Hospital staff determined surgery was necessary before the resident could return to the facility....