Deficiency Records for Creve Coeur Manor
Updated as of April 01, 2023
This is not the most recent data for Creve Coeur Manor. For the most recent information, click here.
A list of the most recent deficiencies for Creve Coeur Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-08-17 | 2022-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-09-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-17 | 2022-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-22 | 2022-05-12 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2021-12-07 | 2022-04-22 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-12-07 | 2022-03-24 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-08 | 2022-02-11 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-12-07 | 2022-02-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-07 | 2022-02-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-08 | 2022-02-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-07 | 2022-02-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-07 | 2022-02-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-07 | 2022-02-10 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-07 | 2022-01-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-07 | 2022-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-07 | 2022-01-13 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-07 | 2022-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2022-01-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-07 | 2022-01-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-07 | 2022-01-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-07 | 2022-01-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-07 | 2022-01-06 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-12-07 | 2021-12-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-07 | 2021-12-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-07 | 2021-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-05 | 2021-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-17 | 2021-01-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-06 | 2020-04-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-03-06 | 2020-04-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-06 | 2020-04-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-03-06 | 2020-04-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-06 | 2020-04-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-06 | 2020-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-06 | 2020-04-06 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-03-06 | 2020-04-06 | N |
| Post nurse staffing information every day. | Health | 2020-03-06 | 2020-04-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-06 | 2020-04-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-03-06 | 2020-04-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-06 | 2020-04-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-06 | 2020-04-06 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-03-06 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-06 | 2020-04-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-03-06 | 2020-04-06 | N |
| Use approved construction type or materials. | Fire Safety | 2020-03-06 | 2020-04-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-03-06 | 2020-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-06 | 2020-04-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-03-06 | 2020-04-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-03-06 | 2020-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-06 | 2020-04-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-06 | 2020-04-06 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-12 | 2019-05-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-12 | 2019-05-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-12 | 2019-05-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-12 | 2019-05-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-12 | 2019-05-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-04-12 | 2019-05-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-04-12 | 2019-05-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-04-12 | 2019-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-12 | 2019-05-12 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-04-12 | 2019-05-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Meet other general requirements. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-12 | 2019-05-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-26 | 2018-05-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-26 | 2018-05-26 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-04-26 | 2018-05-26 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2018-04-26 | 2018-05-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-04-26 | 2018-05-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-26 | 2018-05-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-04-26 | 2018-05-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-04-26 | 2018-05-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-04-26 | 2018-05-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-26 | 2018-05-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-26 | 2018-05-26 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-04-26 | 2018-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-26 | 2018-05-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-26 | 2018-05-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-26 | 2018-05-26 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-26 | 2018-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-26 | 2018-05-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-04-26 | 2018-05-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-04-26 | 2018-05-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-26 | 2018-05-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-04-26 | 2018-05-26 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-04-26 | 2018-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-26 | 2018-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-26 | 2018-05-26 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-04-26 | 2018-05-26 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-26 | 2018-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-26 | 2018-05-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-26 | 2018-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-26 | 2018-05-26 | N |
