Willowcreek Wellness & Rehabilitation
WILLOWCREEK WELLNESS & REHABILITATION 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
During an interview on 10/29/25 at 12:15 P.M., the Assistant Director of Nursing said staff should order the medication a few days before it runs out.
The resident takes so much medication, a card of 30 runs out very quickly.
The pharmacy wants a new script when they get a new order.
The medication they carry in the e-kit is not the same dosage the resident is prescribed, so they have to contact the physician and get an order for the different dosage before the pharmacy will okay it from the e-kit.
All of this takes time, and sometimes the resident runs out of the medication before they can get it filled.
The staff have offered the resident other non-pharmacological interventions, but he/she will not accept them. He/She is not receptive to taking non-opioid pain relievers.
During an interview on 10/29/25 at 11:30 A.M., the Director of Nursing said staff should call the pharmacy and order the medication several days before it runs out so the resident does not go without it.
The staff can also check the e-kit and pull the medication from there if they have it, to hold the resident over until the medication arrives from the pharmacy.
The resident calls 911 because he/she believes he/she will get a higher dosage of the medication at the hospital.
There have been times when he/she called 911 even after receiving his/her medication.
The EMS personnel are familiar with him/her. He/She refuses all non-pharmacological interventions like position changing, heat and non-opioid medications.
Review of an email sent from the DON on 11/3/25 at 11:30 A.M., showed the resident attended his/her pain clinic appointments in May and June for imaging and injections but refused later appointments, preferring to adhere to his/her current oxycodone pain management as he/she liked this regimen the best.
They spoke to the resident and he/she agreed to go and they scheduled an appointment for 12/1/25.
During an interview on 10/29/25 at 1:30 P.M., the Administrator said the resident should get his/her medication as ordered. He/She should not be in pain for hours because the medication was unavailable.
She expected staff to order it before it ran out or pull it from the e-kit if it did not arrive on time.
During an interview on 10/31/25 at 9:30 A.M., the resident's physician said the resident should not go without his/her pain medication, but there is an issue with the facility staff and the pharmacy.
The facility staff should order the medication on time.
The pharmacy should fill it on time.
They want a script every time and this takes time to call the physician and get one sent over.
He thinks the resident is drug seeking and should see a pain specialist, but the resident has refused to see one in the past. He did not know if anyone approached the resident recently to suggest this again, but they should try to get him/her to go see one. 2646728
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Willowcreek Wellness & Rehabilitation
250 New Florissant Road South Florissant, MO 63031
SUMMARY STATEMENT OF DEFICIENCIES
Review of the Social Services notes, dated [DATE] at 6:35 P.M., showed the SSD noted the resident was admitted to the facility from the hospital, he/she was shot in the back by someone he/she knew. He/She was released on bond and had an ankle monitor. He/She agreed to meet with a behavioral health counselor.
The resident rights, and drug and alcohol policy were reviewed with the resident. He/She scored a 15 (cognitively intact)on the brief interview for mental status (BIMS, a standardized assessment tool to screen cognitive functioning) assessment.
Review of the resident's admission MDS, dated [DATE], showed: -admitted [DATE];-Cognitively intact;-No behaviors exhibited;-Diagnoses included paraplegia (spinal cord injury) and psychoactive substance abuse (the harmful or excessive use of substances that alter brain function and produce psychological effects).
Review of the resident's care plan, in use during the survey, showed:-Problem: The resident had a psychosocial well-being problem due to pain, recent admission, mood, and psychoactive substance abuse (Date Initiated: [DATE])-Goal: He/She will demonstrate adjustm[TRUNCATED]
Facility ID: