Ssm Health Depaul Hospital - Anna House
SSM HEALTH DEPAUL HOSPITAL - ANNA HOUSE in BRIDGETON, MO — inspection on October 17, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 10/16/25 at 1:19 P.M., CNA B said him/her and RN A were eating lunch at the nurse's station.
They heard screaming. CNA B saw the resident's door closed. He/She entered the resident's room, and he/she was hanging from the sit to stand lift.
His/her knees were on the base of the lift, and his/her arms were flinging in the air. He/She looked like a string puppet. CNA C was standing next to the lift when CNA B entered the room. CNA B stepped out of the room and asked RN A for assistance. CNA B and RN A removed the resident from the sling, put the Hoyer pad underneath him/her and transferred him/her to bed.
The resident always complained of knee pain.
He/She did not complain of pain during the Hoyer transfer.
The resident's knee was swollen, and RN A called the doctor.
The doctor requested an x-ray.
The resident used to be a sit to stand.
The resident moved his/her feet around and the sit to stand was no longer safe. CNA C knew the resident was a Hoyer lift. CNA B and CNA C have transferred the resident together with the Hoyer lift. CNA C should not have transferred the resident by him/herself. CNA C did not ask CNA B for assistance.
After the incident, staff discussed ways for staff to know a resident's transfer status.
During an interview on 10/16/25 at 2:07 P.M., the interim DON said she has worked at the facility for ten months.
The resident was a two person assist.
The resident was a Hoyer lift when she started working at the facility.
The resident's care plan should have been updated.
There is a list of the residents' transfer status in the shower book.
Staff should be getting report from the previous shift.
Staff can also ask the nurse if they are unsure of a transfer status.
There must always be two people for a lift transfer.
CNA C should not have transferred the resident by him/herself.
During an interview on 10/17/25 at 8:25 A.M., the administrator said CNA C was terminated.
Staff communicate transfer statuses from shift to shift.
The nurse should ensure each shift is giving report. He does not think they document when report was given. He reviewed the resident's care plan and thinks it could be interpreted a couple different ways. He in-serviced staff immediately about the lift policies and two-person requirement.
Staff reevaluated all the residents to ensure they are using the proper sling. 2618785
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.