Lewis & Clark Gardens
Inspection Findings
F-Tag F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
were to offer and assist residents with showers;-Staff followed a shower schedule which consisted of Monday/Thursday and Tuesday/Friday schedule. Wednesday was a makeup date if a resident did not receive a shower on their scheduled shower day;-Staff documented when they completed a shower on the shower sheets and turned them into the nursing office;-The Assistant Director of Nursing (ADON) audited
the shower sheets;-The shower on the COVID isolation unit was not draining properly last week, but staff were to offer a bed bath and/or provide a wash basin for residents to wash off if the shower was down.
During an interview on 09/10/25 at 5:30 P.M., Nurse Assistant (NA) C said the following: -There was a functional shower on the COVID isolation unit;-The shower on the COVID isolation unit was not draining properly last week but was only out of service for a few hours. During an interview on 09/15/25 at 10:30 A.M., CNA A said the following:-He/She started as shower aide on 08/04/25, but was not at the facility on 08/28/25 through 09/08/25;-He/She returned on 09/09/25 and worked in the COVID isolation unit;-He/She was able to complete one shower on 09/09/25 before the shower drain backed up and had to wait for a plumber to repair it; -Resident #1 was on hospice and the hospice aides provided showers for the resident;-Resident #1 asked him/her to assist with a shower when he/she returned on 09/09/25, but the shower was broken, and he/she was unable;-He/She did not know Resident #2;-He/She did not know if Resident #3 received showers while he/she was gone from work (08/28/25 through 09/08/25). During an
interview on 09/15/25 at 10:15 A.M., the Assistant Director of Nursing (ADON) said the following:-Resident #1 and Resident #2 received hospice services. The hospice aide was to assist the residents with showers twice a week. The facility staff could provide a shower to the residents receiving hospice if the residents request a shower or if staff noticed the residents needed a shower. Otherwise, the hospice aide would complete the residents' showers; -The CNAs were responsible to assist residents with showers on the COVID isolation unit even if they were on hospice; -Staff completed shower sheets and gave them to him/her when completed;-She audited the shower sheets daily when she was at the facility, but she had been out of the facility for medical reasons. During an interview on 09/15/25 at 11:20 A.M., the Administrator said the following:-Residents, including residents who resided on the COVID isolation unit, were supposed to receive showers twice a week and as needed/requested;-The shower on the COVID isolation unit was not working properly for two days. Staff reported they gave bed baths during that time, but did not complete shower sheets for the bed baths completed;-Bathing requirement was the same for those residents who received hospice services;-Typically, there was a hospice aide who assisted with bathing. If
the hospice aide did not provide the bath/shower, the facility staff were to complete the baths/showers for
the hospice residents;-To her knowledge, hospice aides provided care while residents were on the COVID unit. Complaint #2610531
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LEWIS & CLARK GARDENS in SAINT CHARLES, 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 SAINT CHARLES, 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 LEWIS & CLARK GARDENS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.