In nursing station refrigerators, inspectors discovered numerous unlabeled and undated food items that posed potential health risks to residents.
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On October 7, 2024, the resident's blood sugar reached 465 mg/dL at 3:14 p.m., followed by readings of 453 mg/dL at both 5:46 p.m.
Inspectors found that none of the six residents reviewed had proper documentation supporting their antibiotic treatments.
When inspectors arrived on March 20, they discovered the tube site had **thick, mucous drainage with dried dark red discharge** around it.
The first incident occurred in August 2020 when a resident with an above-knee amputation was being transported in a wheelchair without proper foot support.
R5 immediately stopped the interaction, saying "No, no.
CHESTERFIELD, MO - A skilled nursing facility affiliated with St.
The incidents escalated on January 8, 2025, when another resident pushed Resident #44 into a wall, causing a hip fracture that required emergency surgery.
Between March 12 and April 8, 2025, inspectors documented at least 10 separate incidents where residents attacked each other due to insufficient oversight.
When questioned by inspectors, the Food Services Supervisor acknowledged the temperature was insufficient and told staff to halt dishwashing operations.
During the inspection, surveyors found expired medical supplies in multiple emergency carts.
This designation is reserved for situations where regulatory violations have caused or are likely to cause serious injury, harm, impairment or death.