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Complaint Investigation

Stonebridge Florissant

August 22, 2025 · Florissant, MO · 6768 North Highway 67
Citations 2
CMS Rating 2/5
Beds 120
Provider ID 265365
Healthcare Facility
Stonebridge Florissant
Florissant, MO  ·  View full profile →
Inspection Summary

STONEBRIDGE FLORISSANT in FLORISSANT, MO — inspection on August 22, 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

FF0635
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During an interview on 8/22/25 at 3:13 P.M., the Administrator said the admission assessment should be completed upon admission.

The Regional Nurse said any residents' documents should be part of the medical records.

During an interview on 8/22/25 at 4:30 P.M., the Regional Nurse said the resident was here for a very short time.

They talked with the staff and the resident did not bring in any paperwork with physician orders. He/She brought a bag with his/her medications in it. If the physician changed the medications when they were verified, the old order would not be on the physician order sheet.

The nurse did an assessment when the resident was admitted and it was documented in the progress notes.

Review of the progress notes, dated 7/24/25 at 7:30 P.M., showed the patient is [AGE] years old with past medical history of diabetes, anoxic brain injury, polysubstance abuse, stroke history, seizure disorder, hyperlipidemia, hypertension and chronic end stage renal failure.

Patient is here at the facility for respite care 7/24 through 7/28.

Daughter takes care of patient at home regularly.

Patient arrived at the facility in the hour of 1300.

Resident was given a lunch tray and insulin was given after intake of 100%.

Patient was calm and toileted soon after. In the hour of 1700 patient became combative and repeatedly trying to get out of chair without assistance.

The nurse and other nursing staff tried to redirect patient, patient was not directable.

The nurse tried to call family and let them know that patient was not taking the change of environment well.

Family stated, what do you expect me to do.

This nurse stated that, we do not want your (father/mother) to fall, what are some alternatives that you try at home to help redirect (him/her).

Family stated to give patient his/her atarax, the nurse proceeded to give patient medication along with trazodone.

Patient refused to sit down in the chair and threated to hit this nurse, and verbally got violent with the nurse, patient stood up and urinated on the floor in front of the nurse.

Patient presumed to walk to down the hall and had a fall, and it was unwitnessed.

Patient then was redirected to have a seat, where he/she then fell again by the central bathroom.

Patient refused initial vital signs, the nurse, redirected patient, patient is now sitting at the nurse's station, no further report at this time 2573803

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/22/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Stonebridge Florissant

6768 North Highway 67 Florissant, MO 63034

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 8/22/25 at 11:35 A.M., the physician said he could not recall if the facility called to report the resident's medications were not administered.

During an interview on 8/22/25 at 11:52 A.M., the Administrator said residents who are admitted on respite care usually bring their medications from home.

He expected staff to follow physician orders. If staff was unable to follow the orders, they should notify the physician and document it.

Fingerstick blood sugars results should be documented.

During an interview on 8/22/25 at 3:13 P.M., the Director of Nursing (DON) said she expected staff to notify the physician if medications were held or not given and to document appropriately.

The Regional Nurse said fingerstick results should be documented anywhere in the residents' medical record, typically in the MAR.

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 STONEBRIDGE FLORISSANT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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