Latest reports, citations, and penalties from CMS data
Federal regulations require facilities to immediately notify physicians and family members when residents experience significant changes in condition....
The incident occurred in February 2025 when the CNA disregarded established protocols....
The violations occurred despite facility policies requiring all medications to be stored in locked compartments inaccessible to residents and visitors....
The situation became so concerning that it was **reported to the sheriff's office** for investigation....
Between monitoring checks, the resident successfully cut her right wrist with a microblade razor she had ordered online....
When investigators interviewed Resident 1, they found her call light cord wrapped around the bed frame and completely out of reach....
The resident was subsequently hospitalized and diagnosed with cerebral infarction, hemiparesis affecting the right dominant side, and slurred speech....
The resident, who has been receiving dialysis for many years due to end-stage renal disease, reported concerning gaps in post-treatment monitoring....
In nursing station refrigerators, inspectors discovered numerous unlabeled and undated food items that posed potential health risks to residents....
On October 7, 2024, the resident's blood sugar reached 465 mg/dL at 3:14 p.m., followed by readings of 453 mg/dL at both 5:46 p.m....
Inspectors found that none of the six residents reviewed had proper documentation supporting their antibiotic treatments....
When inspectors arrived on March 20, they discovered the tube site had **thick, mucous drainage with dried dark red discharge** around it....
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....