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Complaint Investigation

Crestwood Health Care Center, Llc

November 18, 2025 · Florissant, MO · 11400 Mehl Avenue
Citations 2
CMS Rating 1/5
Beds 150
Provider ID 265823
Healthcare Facility
Crestwood Health Care Center, Llc
Florissant, MO  ·  View full profile →
Inspection Summary

CRESTWOOD HEALTH CARE CENTER, LLC in FLORISSANT, MO — inspection on November 18, 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Immediate Jeopardy

Review of Resident #1's quarterly MDS dated [DATE], and located in the EMR, showed: -Makes Self Understood: Understood;-Ability To Understand Others: Understands;-Cognitively intact;-Inattention, Disorganized Thinking, Altered Level of Consciousness: Behavior not exhibited;-Potential Indicators of Psychosis: Delusions;-Physical, Verbal, or Other Behavioral Symptoms: Behaviors not exhibited;-Rejection of Care: Behavior not exhibited;-Diagnoses of anxiety, depression, psychotic disorder and schizophrenia;-High-Risk Drug Classes: Antipsychotics and antianxiety.

Review of the resident's care plan, located in the EMR, showed:-[DATE], Problem: Independent with ADLs.

Goal: Will have no decline in ADL performance.

Interventions: Provide protective oversight

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/18/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Crestwood Health Care Center, LLC

11400 Mehl Avenue Florissant, MO 63033

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on [DATE] at 7:50 A.M., the Director of Nurses (DON) said she would have expected the CMT to hold any antihypertensive medication and tell the nurse immediately of the low BP.

The nurse should check the BP, and if it is that low, then call the physician for any new orders.

This should be documented in the resident's progress notes.

She expects staff to follow facility policies.

During an interview on [DATE] at 9:35 A.M., RN F said that morning (9/17) the resident did not want to get up, which is unusual. He/She spoke to the resident who said he/she did not feel like getting up, but he/she said he/she felt fine.

The CMT did not tell him/her the resident's BP was 78/67.

The CMT should have told him/her.

Had he/she known, he/she would have checked the resident's BP, and if it was that low, he/she would have ensured any antihypertension medications were held, and he/she would have called the physician. He/She would have documented any new order in the progress notes.

During an interview on [DATE] at 12:13 P.M., the resident's physician and facility Medical Director said the CMT should have notified the charge nurse about the resident's BP of 78/67 and hold any antihypertension medications. If the CMT had notified the charge nurse, he would have expected the charge nurse to contact him. He would have ordered intravenous fluids, call emergency medical staff (EMS), and had sent the resident to the hospital for an evaluation. He is not sure had all of those things happened, that it would have changed the outcome for the resident. 2640283

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FLORISSANT, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CRESTWOOD HEALTH CARE CENTER, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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