Crestwood Health Care Center, Llc
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.
Inspection Findings
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: