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Deficiency Records for The Quarters at Des Peres
A list of the most recent deficiencies for The Quarters at Des Peres. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Quarters at Des Peres. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-06 | 2024-03-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-06 | 2024-03-07 | 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 | 2024-03-06 | 2024-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-06 | 2024-03-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-17 | 2024-03-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-17 | 2024-03-07 | 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 | 2024-01-17 | 2024-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-17 | 2024-03-07 | Y |
| 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 | 2024-01-17 | 2024-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-17 | 2024-03-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-17 | 2024-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-17 | 2024-03-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-17 | 2024-03-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-17 | 2024-02-23 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-01-17 | 2024-02-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-01-17 | 2024-02-15 | 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 | 2024-01-17 | 2024-02-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-01-17 | 2024-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-17 | 2024-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-17 | 2024-02-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-17 | 2024-02-15 | 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 | 2024-01-17 | 2024-02-15 | N |
| Post nurse staffing information every day. | Health | 2024-01-17 | 2024-02-15 | 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 | 2024-01-17 | 2024-02-15 | 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 | 2024-01-17 | 2024-02-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-01-17 | 2024-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-17 | 2024-02-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-17 | 2024-02-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-17 | 2024-02-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-17 | 2024-02-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-17 | 2024-02-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-17 | 2024-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-14 | 2023-12-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-12 | 2023-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-12 | 2023-02-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-12 | 2023-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2023-02-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-12 | 2023-02-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-12 | 2023-02-16 | Y |
| 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 | 2023-01-12 | 2023-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-16 | 2023-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-16 | 2023-02-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-16 | 2023-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-19 | 2023-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-19 | 2023-02-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-19 | 2023-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-19 | 2023-02-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-19 | 2023-02-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-19 | 2023-02-16 | Y |
| 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 | 2022-09-19 | 2023-02-16 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-16 | 2023-02-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-16 | 2022-12-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-19 | 2022-12-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-19 | 2022-10-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-06 | 2022-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-15 | 2022-04-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-15 | 2022-03-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-15 | 2022-03-23 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-02-15 | 2022-03-23 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-15 | 2022-03-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-06 | 2022-01-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-06 | 2022-01-07 | 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 | 2021-12-06 | 2022-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-06 | 2022-01-07 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-04-23 | 2021-05-19 | 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 | 2021-04-23 | 2021-05-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-23 | 2021-05-19 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2021-04-23 | 2021-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-05-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-23 | 2021-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-23 | 2021-05-19 | N |
| Post nurse staffing information every day. | Health | 2021-04-23 | 2021-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-23 | 2021-05-19 | 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 | 2021-04-23 | 2021-05-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-23 | 2021-05-19 | 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 | 2021-04-23 | 2021-05-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-23 | 2021-05-19 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-12-06 | 2020-01-15 | 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 | 2019-12-06 | 2020-01-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-06 | 2020-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-06 | 2020-01-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-06 | 2020-01-15 | 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 | 2019-12-06 | 2020-01-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-06 | 2020-01-15 | 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 | 2019-12-06 | 2020-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-06 | 2020-01-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-06 | 2020-01-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-06 | 2020-01-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-06 | 2020-01-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-06 | 2020-01-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-06 | 2020-01-15 | N |
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