Estates Of St Louis, Llc, The

During an interview on 9/3/25 at 12:43 P.M., the DON verified the only labs ordered for the resident were the two labs listed in his/her chart.

She was unaware the resident did not have labs drawn per ARNP and physician orders or that the referral notes for the resident, showed the facility did not follow up on the previous facility's referral on sending the resident to the hepatitis clinic.

She also was not aware staff did not check labs on the resident and failed to follow orders from the ARNP to check blood levels for hepatitis C. He/She said after an ARNP or Physician completed their visit with residents, they should give orders to the nurse they were rounding with.

Some ARNPs and Physicians might enter the orders themselves.

The facility did not have a standard procedure for this because every ARNP and physician was different.

The DON said she was not sure how the previous DON and ADON reviewed ARNP and Physician notes.

However, she ran a 24 hour report every morning and it listed all orders and notes that were entered into the electronic medical records.

She reviewed this report to follow up and confirm orders were completed.

The DON said it was the responsibility of the nursing staff to review ARNP and Physician notes in the system.

She was unaware a nurse staff member did not review progress notes, care plans, and was never responsible for ordering labs after an ARNP or Physician rounded.

The DON said all nursing staff should review progress notes, care plans and orders daily for the residents they were responsible for and was not sure how the previous administration ordered labs.

The DON was also not aware of the new guidance from CDC in July 2023 recommending complete, automatic HCV RNA testing on all HCV antibody reactive samples to minimize patient visits and increase the number of patients diagnosed and treated. 2571771

Facility ID: