When inspectors arrived on March 20, they discovered the tube site had **thick, mucous drainage with dried dark red discharge** around it.
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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.
On February 8, 2025, a physical altercation occurred between two residents in a hallway near one resident's bedroom.
Inspectors found that licensed nurses failed to properly identify residents before administering medications, violating basic safety protocols.
The most concerning incident involved an activities assistant who incorrectly recorded a resident's meal intake.