Grove At Kirkwood, The
GROVE AT KIRKWOOD, THE in KIRKWOOD, MO — inspection on November 26, 2025.
Found 1 citation. 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 11/25/25 at 5:23 P.M., Licensed Practical Nurse (LPN) C said he/she works for the agency and worked at the facility on 11/14/25, from 7:00 P.M. until 7:00 A.M. He/She said no one reported anyone in pain and he/she doesn't know who the resident is.
When asked if he/she had access to the Pixus, LPN C said only facility nurses have access to the Pixus. If he/she needed medication he/she would have to ask one of the facility nurses to get it out.
During an interview on 11/24/25 at 11:23 A.M., LPN D said he/she was the dayshift nurse on 11/15/25. He/She was called into work and arrived at approximately 10:00 A.M.
There wasn't a nurse on the floor when he/she arrived.
Staff reported a resident was in pain and requested something for pain.
Staff reported the night nurse failed to give the resident a narcotic because he/she didn't have access to the Pixus. He/She went to the assess the resident, who was crying and said he/she had asked for pain medication several times throughout the night but hadn't received it. LPN D checked the resident's order for oxycodone.
The medication wasn't on the medication cart, so he/she had to ask another facility nurse to access the Pixus for the oxycodone 10 mg. He/She administered it at that time. He/She doesn't know why the night nurse didn't administer the pain medication.
Agency nurses are to ask a facility nurse to access the Pixus.
During an interview on 11/25/25 at 4:24 P.M., the DON said staff called her on 11/15/25 regarding the resident's oxycodone.
She instructed the staff to pull the medication from the Pixus.
Agency staff does not have access to the Pixus; only facility staff nurses.
She was not aware the resident was crying out in pain and asking for pain medication until the morning of 11/15/25. It was at that time she instructed staff to pull the medication from the Pixus.
She was not aware the agency nurse refused to administer medication.
The nurse didn't notify the DON that the medication was unavailable. If a medication is unavailable or staff can't access the medication, she expects staff to contact the physician for an alternative pain medication until the other medication was available.
During an interview on 11/25/25 at 4:36 P.M., the Administrator said if a resident complains of pain, she expects the nurse to assess the resident and administer their pain medication. If the resident's medication is unavailable, she expects the staff to call the on-call manager or the DON so they can access the Pixus.
During an interview on 11/25/25 at 3:10 P.M., the resident's physician/facility's Medical Director said she was not aware the resident had problems receiving his/her pain medication.
She would have expected staff to notify her.
When residents are admitted , staff are to call and verify medications. If a resident has an order for a narcotic, she would make sure a script is sent to the pharmacy so the medication can be sent to the facility. 2672560
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