Carriage Square Rehab And Healthcare Center
Inspection Findings
F-Tag F0690
F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
left side of the perineal area, folded the wipe, then used the same contaminated folded wipe to clean down
the right side of the perineal area.-After perineal care was provided to the resident, CNA A put a new incontinent brief on the resident wearing the same soiled gloves that were used to provide perineal care. 3.
Review of Resident #3's Quarterly MDS, dated [DATE REDACTED], showed:-The resident was always incontinent of bowel and bladder.-The resident required assistance with personal cares and hygiene.Review the resident's Care Plan, revised 6/26/25, showed:-The resident required assistance from nursing staff to perform personal hygiene cares.-The resident had a potential for impairment to his/her skin due to incontinence of bowel and bladder.-The resident was dependent on staff for meeting emotional, physical, and psychosocial needs.Observation on 11/3/25 at 11:34 A.M. showed:-CNA A and CNA B provided perineal care to Resident #3.-CNA A used a wet wipe to clean down the right side of the perineal area, folded the contaminated urine-soaked wipe, then used the folded wipe to clean down the right side of the perineal area.-After perineal care was provided to the resident, CNA A put a new incontinent brief on the resident wearing the same gloves that were used to provide perineal care. During an interview on 11/3/25 at 11:43 A.M. CNA A said, when performing perineal care, he/she cleans down one side of the perineal area then will fold the wipe and clean the other side of the perineal area with the same wipe. He/she will then get a new wipe to clean the middle of the resident's perineal area. During an interview on 11/3/25 at 1:00 P.M.
Certified Medication Technician (CMT) A said:-When performing perineal care, a wipe is to be used once then discarded.-After performing perineal care on a resident, he/she will change gloves before getting a resident dressed.During an interview on 11/3/25 at 2:04 P.M. CNA B said:Wipes are to be used once and then thrown away when performing perineal care on residents.Gloves are to be changed after cleaning a resident and before putting clean clothes on a resident.During an interview on 11/3/25 at 2:40 P.M. The Director of Nursing (DON) said staff are to use a wipe once when providing perineal care then get a new wipe to continue cleaning the resident, using each wipe once.Intake 2652352Intake 2652388
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CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER in SAINT JOSEPH, 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 JOSEPH, 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 CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.