Bentwood Nursing & Rehab
BENTWOOD NURSING & REHAB in FLORISSANT, MO — inspection on February 24, 2026.
Found 5 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
During an interview on [DATE] at 2:00 P.M., the Business Office Manager (BOM) said the resident's check was given to the family after they provided receipts for expenses for the resident's funeral.
Review of the resident's trust record, received [DATE], showed:-A check, dated [DATE], in the amount of $4,698.95 to the pay to the resident's family member;-A receipt, dated [DATE], in the amount of $2,591.39 for repast (post funeral reception) at a Banquet Center;-A receipt, dated [DATE], in the amount of $210.50 for a Fossil watch at Macy's department store;-A receipt, dated [DATE], in the amount at $1,663.14 for a jacket ($698.00), blouse ($276.00), and pants ($648.00) at [NAME] Fifth Avenue;-A receipt, dated [DATE], in the amount of $93.92 for a full slip ($69.00) and unidentified item ($18.00) at JC [NAME];-A receipt, dated [DATE], in the amount of $140.00 from a funeral home for obituaries.
During an interview on [DATE] at 8:36 A.M., the Business Office Manager said when a resident expires, the family will request funds for funeral expenses.
Anything that was left they will send to TPL. If a resident has a credit balance, he/she will send it to TPL.
When the resident expired, he/she asked if it was okay to give the resident's money to the family.
The Regional manager said it was fine as long as they provide receipts, and the family submitted the receipts.
They had expenses for the funeral and wanted to purchase clothes to [NAME] to the resident in. He/She said the family wanted the resident to dress fancy; however, he/she did not know why the family purchased a full slip from JC [NAME] if a jacket and pants were also purchased at [NAME] Fifth Avenue.
The BOM checked the receipts when they were submitted but did not have a conversation with corporate BOM about it.
The check was printed at the facility level and given to the resident's family.
The BOM said corporate was not involved at that point.
During an interview on [DATE] at 12:58 P.M, the Administrator said he would expect the BOM to send the resident's funds to TPL if it was not used for funeral expenses. He would expect the money to be sent back to the state.
They were told that the resident was fancy and they wanted the resident to look nice.
Intake number: 1550386 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
265757 02/24/2026
Bentwood Nursing & Rehab 1501 Charbonier Road Florissant, MO 63031
During an interview on 2/23/26 at 7:38
on the left had complicated things. He/she was under the direct care of the surgeon.
She was removed from the case while the resident was under the care of the surgeon.
She was not consulted again on the case until January 28, 2026.
The resident had a complication and went back to the hospital and that was the last time she saw the resident.
Treatments not being done as ordered post-surgical could cause harm to the wound.
During an interview on 2/24/26 at 8:44 A.M., the Assistant Director of Nursing (ADON) said every shift wound treatments should be completed. If the resident refused, staff should notify the medical director, inform the oncoming staff nurse, and place a progress note into the electronical medal record.
Nurses are expected to put in a progress note about the wound dressing when completed. 2721422
265757 02/24/2026
Bentwood Nursing & Rehab 1501 Charbonier Road Florissant, MO 63031
Observation on 2/23/26 at 9:31 A.M., showed the
Observation on 2/23/26 at 10:30 A.M., showed the resident had no protective boots on, and his/her wound dressings were dated Friday 2/20/26 at 6:55 A.M.
The Director of Nursing (DON) reviewed the bed control panel and confirmed the settings at 490 lbs were out of range for the resident's weight.
During an interview on 2/23/26 at 10:30 A.M., the DON said, she would 100% expect the air mattress to be within range of the resident's weight.
She would expect no brief on a resident who had a suprapubic catheter and wound to his/her buttocks. A brief is a contraindication because the resident has wounds and a catheter.
The dressing to the resident's left hip was heavy serosanguinous drainage, and there was heavy drainage coming from his/her left ankle dressing.
The Wound Nurse would now change the dressings and notify the wound doctor of the dressing not changed over the weekend.
The DON expected staff to use protective boots for the resident, since a physician's order was in place.
During an interview on 2/23/2026 at 7:38 A.M., the Wound Physician said the resident's pressure wounds have been present for a while. He/She favored the left side.
His/Her challenge was repositioning.
The Wound Physician said, offloading was very important, and she recommended protective boots as the best practice.
She would expect the air mattress be set at the patient's weight and no higher.
There are new CNAs who are not aware why the beds needed to be at the recommended weight levels.
She wished there was a system for staff to check off loading residents.
The Wound Physician said staff believe placing the air mattress at a higher level or all the way up was good; that is the perception, but that is not accurate.
During an interview on 2/24/26 at 8:44 A.M., the ADON said every shift wound treatments should be completed. If a resident refuses, staff were expected to notify the medical director, oncoming nurse and place a progress note in the record.
Interventions should be followed. If the mattress is too firm, the mattress can cause more pressure to the resident's skin. 2721422
265757 02/24/2026
Bentwood Nursing & Rehab 1501 Charbonier Road Florissant, MO 63031
at 8:08 A.M., the DON said bolus feeding should be administered per the physician's orders.
She would
concern. 271394
265757 02/24/2026
Bentwood Nursing & Rehab 1501 Charbonier Road Florissant, MO 63031
During an interview on 2/24/26 at 9:20 A.M., CMT L said the five rights of medication administration should be followed when giving medications to the residents.
The medication should be given in its entirely. CMTs are allowed to give breathing treatments and inhalers.
With certain eye drops, the staff administering the eye drops should hold the resident's inner canthus for three to five seconds. He/She wasn't sure why it needed to be done that way, or which eye drops required that step. 4.
During an interview on 2/24/26 at 9:30 A.M., Licensed Practical Nurse (LPN) A said the five rights of medication administration should be followed during medication administration. CMTs can give breathing treatments and inhalers.
Medication should be given as ordered in its entirety.
The amount of time that the resident's inner canthus needs to be held after giving eye drops is three to five minutes. LPN A wasn't sure which eye drops required that step or why it needed to be done. 5.
During an interview on 2/24/26 at 10:50 A.M., the Director of Nursing (DON) said she expected staff to follow the five rights of medication administration.
The resident's polyethene glycol should have been prepared with warm water and administered to the resident after the resident complained that the water was cold.
She expected staff to know which eye drops required the inner canthus to be held for the recommended amount of time. CMTs can administer breathing treatments and inhalers. 2721422