Rancho Rehab And Healthcare Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
not seen in the emergency room (ER) because he/she was not in pain, there was no infection, no drainage and his/her vital signs were stable. This happened on Monday morning before breakfast. The resident got his/her hot water from another resident. To her understanding, staff poured the hot water and let it sit for 15 minutes. The staff member did not know the hot water was for another resident. She found out the resident spilled the water when the resident told staff. Staff told the wound nurse, and the wound nurse went to see
the resident. Staff were made aware after it happened, immediately after. The DON looked at the resident's progress notes and said she would have to find out where the measurements were documented. She would expect the medical record to be complete and accurate. She did not know if the facility had the documentation somewhere else. Other staff will know about the issues if it is not documented in the progress note because it is written on the report sheet and staff have shift to shift report. After the initial assessment is completed, the nurse should complete the treatment per order and monitor the site daily to ensure the dressing is intact and to check the skin around the dressing to be sure it is good. This is documented in the progress notes. The treatment change is done by the wound nurse. When the wound nurse is not at the facility, the nurse on the floor would check it. Staff also assessed the resident for pain.
During an interview on 9/10/25 at 5:05 P.M., the Regional Nurse Consultant (RNC) said she expected staff to follow the facility's policy for coffee temperatures which were to serve coffee at temperatures greater than 135 degrees F. It was just an accident. Residents have the right to have hot coffee. On 9/11/25 at 12:45 P.M., the RNC said the 24-hour nurse report was for Quality Assurance only. No copy would be provided to
the state surveyors. The DON made a mistake by saying they were available.
Event ID:
Facility ID:
If continuation sheet
RANCHO REHAB AND HEALTHCARE CENTER in FLORISSANT, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 RANCHO REHAB AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.