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Complaint Investigation

St Sophia Health & Rehabilitation Center

October 30, 2025 · Florissant, MO · 936 Charbonier Road
Citations 2
CMS Rating 1/5
Beds 240
Provider ID 265120
Healthcare Facility
St Sophia Health & Rehabilitation Center
Florissant, MO  ·  View full profile →
Inspection Summary

ST SOPHIA HEALTH & REHABILITATION CENTER in FLORISSANT, MO — inspection on October 30, 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

FF0607
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

hospital.

The RNC said the incident was not reported and there is no documentation of an investigation.

The RNC expected the facility's Abuse Prevention Policy to be followed as written.

The Administrator was present at that time and said he agreed with the RNC.

The Administrator did not know why the policy was not followed.

The Administrator said he is responsible for ensuring the policy is followed.

The Administrator said he was aware of the incident but did not know why the incident was not reported.

The Administrator said he is responsible for reporting abuse and neglect allegations.

The Administrator did not know why the investigation was not started.

The Administrator said he is responsible for ensuring the investigation is started. 2649607

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St Sophia Health & Rehabilitation Center

936 Charbonier Road Florissant, MO 63031

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 10/30/25 at 12:08 P.M., Physician D said the resident has been back and forth to the hospital and can be non-compliant with care.

The resident eats well but will refuse meals and has an unstable blood sugar (level of sugar in the bloodstream).

The facility should have identified the weight loss and put interventions in place and the RD should have been notified.

During an interview on 10/30/25 at 8:52 A.M., the Regional Nurse Consultant (RNC) said he/she was not familiar with the resident.

The facility should have looked at the resident's weights during the stand-up morning meeting and put interventions into place to prevent the weight loss, which included contacting the RD and the resident's physician.

The Administrator was present at that time and agreed with the RNC.

During an interview on 11/6/25 at 10:26 A.M., the DON said he/she has only been with the facility for about four days.

The DON said the charge nurse and the unit manager should be reviewing the resident's hospital records for orders and any recommendations.

The DON said the following day he/she or the ADON will review the hospital records as a follow up.

The charge nurse should be contacting the resident's physician and if necessary the RD.

The DON said the meal consumptions should be documented in the EHR by the charge nurse.

The Administrator was present and agrees with the DON. 2648439

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 ST SOPHIA HEALTH & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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