Nazareth Living Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
written statement by Certified Nurse's Aide A, dated 10/14/25, showed when the CNA went to check on the resident on 10/13/25, he/she had a big bruise on his/her forehead with a small amount of dried blood.
During interviews on 10/22/25 at 12:00 P.M. and on 10/23/25 at 10:30 A.M., CNA A said he/she did not receive report on the morning of 10/13/25 when he/she started his/her shift and did not know the resident was injured. When he/she went to check on the resident around 9:00 A.M., to get the resident ready for breakfast, he/she noticed the large knot on the resident's head. He/She did not say anything because he/she thought someone would have already reported it since the knot did not look new and the blood was dried on the cut. During an interview on 10/23/25 at 2:00 P.M., the hospice social worker said he/she got to
the facility around 10:00 A.M. on 10/13/25. The resident was sleeping so he/she sat by his/her bedside for a little while until he/she woke. He/She noticed a large spot of blood on the resident's pillow and dried blood
on the bed rail. When the resident turned over, to his/her left side, the social worker noticed a golf sized knot on his/her head with dried blood on it. He/she immediately went to the nurse's station to report the injury to the nurse who had no idea what happened. The nurse checked the resident's medical record to see if there was any note about what happened and there was nothing documented. During an interview on 10/22/25 at 1:50 P.M., Licensed Practical Nurse (LPN) D said he/she was not working the resident's floor
on 10/13/25, but he/she was standing at the nurse's station when the hospice staff came and reported the injury. He/She and the floor nurse went in and assessed the resident together. The resident had a large knot on his/her head. During an interview on 10/22/25 at 2:00 P.M., LPN D said on 10/13/25, the hospice social worked came to the desk and questioned him/her about the resident's injury. No one said anything to him/her in shift change about the resident being injured. When he/she went and assessed the resident, he/she had a significant knot on his/her head from the front to the back. Review of the resident's medical record, dated 10/23/25, showed:-On 10/9/25 at 2:44 P.M., vitals documented;-On 10/13/25 at 8:41 P.M., vitals documented;-No vitals documented between 10/9/25 at 2:44 P.M. and 10/13/25 at 8:41 P.M.;-No documented assessment or neurological checks on 10/13/25 from 9:00 A.M. to 11:30 A.M. During an
interview on 10/22/25 at 2:45 P.M., the Director of Nursing said the staff should have reported the incident of the tray to the nurse if it hit the resident even if there were no immediate injuries. The staff should have also immediately reported the injury to the nurse as soon as it was noticed. Not reporting the incident and/or injury could delay assessment and care for the resident. All this information should have been documented. During an interview on 10/22/25 at 3:15 P.M., the Administrator said he expected staff to report all resident injuries immediately so care can be provided. This information should also be documented. 2646327
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NAZARETH LIVING CENTER 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 NAZARETH LIVING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.