Lansdowne Village
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
was left wet after pressing the call light for assistance. It happens more during evening and night shifts.
During an observation and interview on 9/26/25 at 5:30 A.M., the resident lay in bed on his/her back. The resident said he/she pressed the call light, and no one answered. He/She said he/she was soiled. An odor of urine was present in the resident's room. The resident said he/she had been waiting for an hour. The call light was not on upon arrival to the resident's room. The resident was asked to press his/her call light again at 5:31 A.M. The resident pushed the call light and said he/she was upset because this always happened at night. At 5:39 A.M., CNA I responded to the resident's call light. Observation and interview on 9/26/25 at 5:40 A.M., showed CNA I entered the resident's room with some washcloths and an incontinence brief.
When CNA I removed the brief, it was soaked with urine. CNA I wiped the resident's groin areas and buttocks with wet washcloths and applied a clean brief. The resident said it felt better after being soaked wet for a while. During an interview on 9/26/25 at approximately 5:55 A.M., CNA I said he/she was responsible for about 20 residents during the night shift. He/She would answer call lights within five minutes. Twenty residents were manageable. The resident relied on staff for all toileting needs. 4. During an
interview on 9/30/25 at 7:48 A.M., Licensed Practical Nurse (LPN) O said regarding incontinence care, staff were provided in-service training a couple weeks ago. Staff had a skills day. Direct care staff were required to demonstrate providing care and they were quizzed. 5. During an interview on 9/30/25 at 12:24 P.M., the Director of Nursing (DON) said residents who are incontinent of bowel and bladder should be checked every two hours. If residents are left wet for too long, there is an increased risk of skin breakdown. If a resident was left wet long enough for the cotton on the brief to stick to the skin and to saturate the brief and bedding, that is too long. 2595043
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Lansdowne Village
4624 Lansdowne Avenue Saint Louis, MO 63116
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0803
F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
oatmeal into two different steamtable pans. The oatmeal appeared watery. A sample taste of the oatmeal showed it was thin and watery and the oats not fully cooked. There was no flavor. A greasy feel could be felt
on the lips from the added butter, but no butter flavor tasted. [NAME] J said he/she would have preferred to cook it longer, but he/she was pressed for time. He/She covered both with plastic wrap and placed the pans onto the steam table. [NAME] J did not puree any of the oatmeal. At 7:18 A.M., [NAME] J stirred the oatmeal. It continued to appear thin and watery. At 7:28 A.M., [NAME] J began meal service. He/She served up one hall cart at a time. Other dietary staff read out the meal tickets as he/she served the trays.
He/She placed the oatmeal on trays for regular diets and puree diets. During an interview on 9/30/25 at 11:30 A.M., with the DM and Administrator, the DM said for residents on a puree diet, the oatmeal should be pureed. Recipes should be followed. 5. Review of Resident #24's meal ticket, dated 10/1/25, showed regular diet:-Breakfast notes: Two fresh fruit;-Lunch note: Two fresh fruit;-Dinner note: Two fresh fruit and a small salad with one slice of tomato and one slice of onion. Observation and interview on 10/1/25 at 9:34 A.M., showed the resident in his/her room with his/her breakfast tray. The resident was served bacon and two eggs. He/She said the breakfast is the same every day. He/She is supposed to get fresh fruit, and he/she does not. It even shows it on the meal ticket. Most days he/she gets no fresh fruit. During an
interview on 10/1/25 at 12:19 P.M., with the Administrator, Director of Nursing (DON) and Corporate Administrator, they said meal tickets preferences should be followed when able. There is always fresh fruit
on hand. The resident wants a lot of fresh fruit. He/She will go down to the kitchen and get it when he/she wants it. 1598315
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Lansdowne Village
4624 Lansdowne Avenue Saint Louis, MO 63116
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0925
F 0925 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
that had previously had the roach in it, yelled out oh gross, and pushed the container back under the shelf.
He/She then shivered and said gross. Observation at 7:19 A.M., showed a roach crawled out of the bin that [NAME] J had just looked in and it crawled into the neighboring bin, that also contained serving spoons.
The cook began cooking pancakes. At 7:28 A.M., a baby roach crawled down the wall near the 3-vat sink.
At 7:38 A.M., a roach crawled along the back wall behind the oven, on the floor. It hid behind an electric cord. At 7:48 A.M., [NAME] J grabbed a spatula form the bin that the roach had most recently been seen crawling into and used it to flip pancakes. At 7:55 A.M., a very large, winged roach crawled out from under
the stove and crawled to under the steam table. Observation under the stove showed trash, napkins, plastic wrap, along with food debris and a buildup of dirt. Observation of the kitchen on 9/29/25 at 7:16 A.M., showed debris on the kitchen floor. A dead roach in the wash bin of the 3-vat sink. A roach smashed on the ground in front of the steam table. At 7:23 A.M., [NAME] K said he/she had seen some roaches but not too bad. The facility is working on it. The pest control company comes, and staff clean daily. During an
observation and interview on 9/29/25 at 9:19 A.M., the Dietary Manager (DM) said regarding pests, she had not seen any roaches. Food debris should not be left overnight. Staff should clean before they leave.
Closing duties include clean up all the food debris before leaving for the day. The surveyor showed the DM
a dead roach that lay on the bottom shelf of the steamtable. The DM said it should have been cleaned up.
During an interview with the Administrator, Director of Nursing, and Corporate Administrator on 10/1/25 at 12:19 P.M., the Administrator said when the pest control company comes, they do not leave any recommendations of things to do to decrease the chance of getting pests with her. If they left recommendations, it would be with the maintenance supervisor. Part of an effective pest control program includes cleaning the kitchen of food debris and trash. 257375925821422584514
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LANSDOWNE VILLAGE 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 LANSDOWNE VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.