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Complaint Investigation

St Peters Post Acute

November 25, 2025 · Saint Peters, MO · 5400 Executive Centre Parkway
Citations 3
CMS Rating 1/5
Beds 130
Provider ID 265824
Healthcare Facility
St Peters Post Acute
Saint Peters, MO  ·  View full profile →
Inspection Summary

ST PETERS POST ACUTE in SAINT PETERS, MO — inspection on November 25, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 12/2/25 10:15 A.M. the Director of Nursing said the following:-After viewing the video's, CNA B acted very inappropriately towards the resident;-CNA B should have explained to the resident what he/she was doing before pushing on him/her and when the resident became upset, the aide should have removed him/herself and notified the nurse;-Staff need to treat residents with dignity and respect and not argue with the residents.

During an interview on 12/2/25 at 10:15 A.M. the Administrator said the following:-It was obvious from the videos staff were not treating the residents with dignity and respect; -All staff are expected to treat all residents with dignity and respect, and to take their time with the residents. 2676560 26743972649705

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St Peters Post Acute

5400 Executive Centre Parkway Saint Peters, MO 63376

SUMMARY STATEMENT OF DEFICIENCIES

Review of the resident's care plan for ADL's/Mobility with a revision date of 10/13/25 showed the following:-At risk for ADL/mobility decline and requires assistance related to chronic disease progression, cognitive impairment;-Assist with transfers and bed mobility.

Review of the resident's ring camera footage from the resident's room supplied by the resident's family member dated 11/20/25 at 3:36 P.M. showed the following:-CNA F and CNA G were in the resident's room and provided the resident with incontinent care while the resident was in bed;-CNA G positioned a mechanical lift sling under the resident;-CNA F got the mechanical lift and pushed it under the resident's bed; CNA F and CNA G secured the sling to the mechanical lift;-CNA G got a wheelchair and then sat in a chair with the wheelchair in front of him/her while CNA F attempted to pull the mechanical lift out from under the bed, the lift legs were caught under the bed. CNA F pulled back on the lift several times, causing the resident to swing while he/she was up off the bed.

The resident was off the bed approximately one foot;-CNA F moved the mechanical lift away from the bed, while CNA G sat in the chair and did not participate in moving the lift and resident to the wheelchair.

When CNA F was close to the wheelchair, CNA G got up and moved the wheelchair, so the resident was hovering over the wheelchair. As CNA F lowered the resident, CNA G pulled back on the sling and guided the resident down into the wheelchair.

During an interview on 11/25/25 at 4:25 P.M. CNA G said the following-There should always be two people when transferring a resident using a mechanical lift, one person works the controls of the lift, and the other person guides the resident;-He/She did not remember the transfer of 11/20/25 with Resident #2.

During an interview on 11/25/25 at 5:00 P.M. the Director of Nursing said the following:-Two staff are needed when using a mechanical lift, one person should be guiding the resident while the other staff is working the controls and pushing the machine;-She would expect that two staff members be used, one in guiding the resident while in the sling and the other working the controls of the mechanical lift for every resident who required a mechanical lift for transfers. 264977526743972676560

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St Peters Post Acute

5400 Executive Centre Parkway Saint Peters, MO 63376

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 11/25/25 at 4:25 P.M. CNA G said gloves should be changed and hands washed when care was completed and before touching anything else.

During an interview on 11/25/25 at 5:00 P.M. the Director of Nursing said the following:-Staff should wash their hands before providing care and change their gloves and wash hands between clean and dirty tasks;-Staff should not wear the same gloves after providing peri care and touch items in the resident's room;-Staff should remove their gloves, perform hand hygiene and apply a new pair of gloves after peri care. 26765602674397

Facility ID:

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 PETERS, 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 ST PETERS POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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