That's what inspectors documented at Avenir at Mark Twain, a 75-bed facility in Bridgeton, following a complaint inspection completed August 20, 2025.
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The aide, identified as NA#8 in inspection records, was hired on April 12, 2024, and had been certified as a nursing aide since March 7, 2023.
The August 13 attack at First Shamrock Care Center left the victim with redness behind their left ear and fearing another assault.
Hospital staff determined surgery was necessary before the resident could return to the facility.
The incident occurred on the night of August 17, 2025, at Legacy Nursing at St.
Woodland Post-Acute failed to process the refund for Resident 1, who died with encephalopathy after living at the facility since 2020.
The resident, identified as R6 in inspection records, showed inspectors the dirty filter on August 18, removing it from the machine sitting on the desk.
According to state inspection records, the aide was wheeling the resident through a hallway when the resident slapped the aide on the left side of their face.
Resident 5 at Crossings at East Lake of Journey has spastic quadriplegia cerebral palsy and severe cognitive impairment.
Resident 1 was admitted to the facility in February 2023.
The violations came to light during a complaint inspection in August.
The nursing assistant began feeling unwell on Saturday, August 16, experiencing body aches, throat pain, and congestion.