Estates Of St Louis, Llc, The
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
short time because LPN E mainly worked in a different area of the facility. LPN E was unsure who ordered labs after the ARNP or Physician visited. LPN E only made medication or treatment changes. LPN E would order labs if there was a phone order from the ARNP or physician for acute care issues during his/her shift.
Chronic hepatitis C was a condition nursing staff should be aware of. There were several changes in administration over the past year. LPN E thought during that time, the previous Director of Nursing (DON) or Assistant Director of Nursing (ADON) were responsible to review ARNP and Physician orders. 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
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ESTATES OF ST LOUIS, LLC, THE in SAINT LOUIS, 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 LOUIS, 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 ESTATES OF ST LOUIS, LLC, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.