Bentwood Nursing & Rehab
BENTWOOD NURSING & REHAB in FLORISSANT, 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
Observation and interview on 10/21/25 at 11:50 A.M., showed the resident laid in bed on top of a Hoyer sling with the bed approximately 4 feet from the ground.
The resident was not wearing a fall bracelet.
The resident's call light laid on the floor between the bed and the wall.
The resident said he/she was unable to reach the call light and would yell out if he/she needed anything.
Observation on 10/22/25 at 7:15 A.M., showed the resident sat in his/her room in a wheelchair.
The wheelchair had no roll bars on the back of wheelchair.
The resident's call light laid on the floor between the bed and the wall.
During an interview on 10/21/25 at 10:15 A.M., CNA D said the residents who are a fall risk are identified by a fall risk bracelet. CNA D said those residents with the bracelet should have their beds in low position and have a floor mat.
During an interview on 10/21/25 at 3:45 P.M., the Director of Nursing (DON) said she expected staff to follow the facility's Fall Management Policy and Accident and Incident Documentation and Investigation policy.
The DON expected the medical records to accurately reflect the residents' plan of care consistently and accurately documented across the care plan, physician orders and progress notes.
During an interview on 10/22/25 at 11:40 P.M., Licensed Practical Nurse (LPN) J said residents who are high risk will have fall mats, low beds and pillow wedges.
The residents who are high fall risk will have their wheelchairs locked and are kept at the nurses' station or in a common area to keep them safe.
Staff know who is high risk because the resident wears a high risk bracelet and is noted in the resident's care plan.
During an interview on 10/22/25 at 1:40 P.M., the MDS Coordinator said after every resident fall, the resident's intervention(s) are placed on the individuals care plan.
The MDS Coordinator expected interventions such as floor mats, low bed, anti-roll backets be reflected on a resident's care plan.
During an interview on 10/22/25 at 2:45 P.M., the Administrator said she expected staff to follow the facility's Fall Management Policy and Accident and Incident Documentation and Investigation policy. 2636245
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Bentwood Nursing & Rehab
1501 Charbonier Road Florissant, MO 63031
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited BENTWOOD NURSING & REHAB in FLORISSANT, MO for a deficiency under regulatory tag F-F0693 during a complaint investigation conducted on 2025-11-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of BENTWOOD NURSING & REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-17.