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Complaint Investigation

St Peters Rehab And Healthcare Center

September 4, 2025 · Saint Peters, MO · 230 Spencer Road
Citations 1
CMS Rating 1/5
Beds 96
Provider ID 265589
Healthcare Facility
St Peters Rehab And Healthcare Center
Saint Peters, MO  ·  View full profile →
Inspection Summary

ST PETERS REHAB AND HEALTHCARE CENTER in SAINT PETERS, MO — inspection on September 4, 2025.

Found 1 citation. 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Actual Harm

Observation of a photo sent from the resident's next of kin to the surveyor of the resident's right arm, dated 8/30/25 at 11:57 A.M., showed the following:-The resident had purple discoloration of the skin of the upper arm approximately 10 centimeters (cm) in width, unable to determine the length because the edges were not visible;-There was a second area of purple discoloration of the skin on the right upper arm below the bend of the elbow that was approximately 6 cm in width, unable to determine the length because the edges were not visible;-There was a third area of purple discoloration of the skin on the lower right arm that was approximately 4 cm x 4 cm;-There was a fourth area of purple discoloration of the skin on the lower right arm, below and to the right of the third area and it was approximately 1 cm x 1 cm.

During an interview on 8/29/25 at 2:50 P.M., and on 9/10/25 at 12:30 P.M. the Administrator said the following:-She worked in the facility at the time of the alleged abuse;-The alleged abuse occurred at 3:00 A.M. and the charge nurse, Licensed Practical Nurse (LPN) A an agency nurse said, CNA B worked with Resident #1 when he/she heard the resident wanted him/her to stop;-CNA B had the resident rolled over on his/her side and the resident said he/she didn't want CNA B taking care of him/her anymore;-Two CNAs came in the room and took over caring for the resident;-LPN A and CNA B left the resident's room and LPN A told CNA B to go home;-LPN A provided a statement and the investigation was begun;-The resident said CNA B scared him/her when CNA B woke him/her up and he/she didn't realize who it was at first moving him/her around in bed;-She completed an assessment on the resident immediately after the incident;-The resident had two bruises on the right arm, the upper one on the forearm was quarter sized, and the lower one on the forearm was not quite quarter sized. 26036502605591

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 REHAB AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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