St Francois Manor
ST FRANCOIS MANOR in FARMINGTON, MO — inspection on November 17, 2025.
Found 2 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
Review of the facility's policy titled, Condition Change, Resident, undated, showed:- The purpose of these guidelines is to observe, record, and report any condition change to the attending physician so that proper treatment can be implemented;- Notify resident's responsible party, notify physician of condition change, need for treatment orders, and/or medication order. 1.
Review of Resident #1's admission Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility), dated 08/28/25, showed:- admission to the facility on [DATE];- Diagnoses of cerebral palsy (a congenital disorder of movement, muscle tone, or posture), seizure disorder (uncontrolled jerking, loss of consciousness, blank stares, or other symptoms caused by abnormal electrical activity in the brain), anxiety disorder (intense, excessive, and persistent worry and fear about everyday situations), and mental disorder (a wide range of conditions that affect mood, thinking, and behavior);- Cognition severely impaired;- The resident with a legal guardian.
Review of the resident's Progress Notes, dated 08/22/25, showed:- At 5:02 A.M., the resident pulled out his/her urinary catheter (a flexible tube inserted into the bladder to drain urine) with the balloon still inflated and blood was on the bed mat;- No documentation the urinary catheter was re-inserted;- No documentation the physician was notified of the urinary catheter removal;- No documentation the guardian was notified of the change in the resident's condition.
During an interview on 09/29/25 at 2:33 P.M., the Director of Nursing (DON) said she would expect staff to contact the physician and guardian if there was a change in the resident's condition.
Complaint #2616588
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
St Francois Manor
1180 Old Jackson Road Farmington, MO 63640
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 09/25/25 at 4:35 P.M., the Administrator said she would expect staff to follow physician orders and for orders to be complete.
She would expect follow up appointments to be scheduled.
During an interview on 09/29/25 at 2:33 P.M., the Director of Nursing (DON) said she would expect staff to follow physician orders.
She did not know why the resident's catheter was not reinserted after it was pulled out.
She would expect urine output to be monitored for a resident with an order for straight catheterization as needed.
Complaint #2616588
Facility ID: