Quarters At Des Peres, The
QUARTERS AT DES PERES, THE in DES PERES, MO — inspection on August 29, 2025.
Found 4 citations. 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
progress note.
She expected nursing staff to report if a resident was sent to the hospital. 2571345
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Quarters at Des Peres, The
13230 Manchester Road Des Peres, MO 63131
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 8/28/25 at 1:18 P.M., the DON and Administrator said they expected staff to follow physician orders.
They expected staff to be knowledgeable of and to follow the facility policies.
They expected if staff documented NA in the resident's MAR for a progress note to be entered on why the medication was not administered. On 8/29/25 at 1:23 P.M., the DON and Administrator said if an IV ABT was not administered as ordered, they expected notifications to the physician and RR to be documented in the resident's progress notes. 2593947
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Quarters at Des Peres, The
13230 Manchester Road Des Peres, MO 63131
SUMMARY STATEMENT OF DEFICIENCIES
Review of the progress notes, showed no entries for 8/24/25 and 8/25/25.
Review of the resident's care plan, dated 8/25/25, showed:-Focus: The resident is at risk for falls, confusion, and deconditioning;-Goal: The resident will be free of minor injury;-Interventions: Anticipate and meet the resident's needs; -Encourage the resident to participate in activities that promote exercise, physical activity for strengthening and improved mobility; -Ensure that the resident is wearing appropriate footwear when ambulating or mobilizing in wheelchair; -Family request bed to be placed up against wall; -Low bed with fall mat; -Review information on past falls and attempt to determine cause of falls.
Record possible root causes.
After remove any potential causes if possible.
Educate resident, family, caregiver, Interdisciplinary team (IDT) as to causes; -The resident needs activities that minimize the potential for falls while providing diversion and distraction.
Review of the hospital emergency room record, dated 8/25/25, showed:-Alert and oriented;-Reported he/she fell Friday (8/22/25) and today;-Hematoma/abrasion on left forehead;-Patient reports headache and room is spinning.
During an interview on 8/29/25 at 9:24 A.M., LPN C said if a resident had a fall, neuro checks are completed, regardless if it was witnessed or not.
The Assistant Director of Nursing (ADON) makes sure it is completed.
He/She believed it would be scanned into the medical record.
They also complete pain and skin assessments. If there is an open area, they will notify the physician and receive treatment orders.
During an interview on 8/29/25 at 9:29 A.M., the Administrator said neuro checks are completed on paper.
Once the neuro checks are completed, it is scanned into the medical record.
During an interview on 8/29/25 at 1:33 P.M., the Director of Nursing (DON) said she expected the fall assessment to be completed upon admission.
The admitting nurse on the floor is responsible.
She expected falls to be documented and neuro checks are expected to be completed immediately regardless if it was witnessed or unwitnessed.
The skin and pain assessments are on the form called the fall risk assessment. It should be completed.
The neuro checks are scanned in. It is not in the medical record, it was not scanned in.
She expected staff to offer PRN pain medications and document in the medical record.
She expected physician's orders to be followed and for staff to be knowledgeable of and follow facilities policies. 2599861
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Quarters at Des Peres, The
13230 Manchester Road Des Peres, MO 63131
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 8/28/25 at 1:18 P.M., the Administrator and Director of Nursing (DON) said they expected staff to be knowledgeable of and to follow the facility policies.
They expected physician orders to be followed.
They expected the dialysis communication forms to be completed each day a resident went to dialysis.
They expected the completed dialysis communication forms to be scanned into the resident's medical record.
They expected residents who receive dialysis to have orders and a care plan that lists the location the resident attends dialysis, the chair time the resident would attend dialysis and the days of the week the resident would attend dialysis. 2571345
Facility ID: