Barnes-Jewish Extended Care

In the surveyor’s words

From the most serious findings on record at Barnes-Jewish Extended Care, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 24, 2021

  Based on interview and record review, the facility failed to timely identify a resident's twice daily anti-epileptic (anti-[MEDICAL CONDITION]) medication had not been delivered from the pharmacy over a two day time period. The omission of five consecutive doses resulted in the resident experiencing uncontrolled [MEDICAL CONDITION] activity and prolonged postictal state (abnormal condition occurring at the end of a [MEDICAL CONDITION]; cognitive and sensorimotor impairments, changes in behavior, motor function, and neuropsychological performance) with unresponsiveness. This deficient practice affected one of three sampled residents (Resident #1). The census was 63. […]

• No harm, potential for more than minimal, patternF684Jul 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were provided with care in accordance with professional standards of practice when staff failed to obtain and follow physician orders for indwelling device use, care, and/or removal, and/or wound care for five residents (Residents #3, #4, #6, #8, and #11), and failed to follow-up with the surgeon's office for further instruction after identifying concern of wound infection for one resident (Resident #4). The sample size was 12. […]

• No harm, potential for more than minimal, patternF563Mar 6, 2026

  Based on observation, interview and record review, the facility failed to follow their policy regarding visitation and failed to ensure residents could receive visitors when the facility locked the front door entrance at 8:30 P.M. and did not allow resident families/visitors to freely enter and exit the facility. The census was 69.Review of the facility's Resident Right to Access and Visitation policy, reviewed 9/22, showed:-Purpose: To outline resident's rights regarding visitation practices within the communities to see that proper compliance with CMS (Centers for Medicare and Medicaid Services) guidelines exists;-Responsibility: It is the responsibility of the Administrator to see that all staff members follow the visitation guidelines within this policy;-Policy: It is the policy of… […]

• No harm, potential for more than minimal, patternF880May 23, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program when staff failed to wear appropriate personal protective equipment (PPE), in accordance with the facility's policy, during high-contact activities with residents on enhanced barrier precautions (EBP, precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO, microorganisms that are resistant to one or more classes of antimicrobial agents) or any resident who has a chronic wound and/or indwelling medical device) (Residents #295, #301, #6, #200, #249, and #9). The sample was 17. […]

• No harm, potential for more than minimal, patternF554Nov 18, 2022

  42247 Based on observation, interview and record review, the facility failed to ensure residents could safely administer their own medications for three sampled residents (Residents #374, #376 and #186), who had medications left at their bedside. The census was 60. Review of the facility's Self Administering Medication Policy, reviewed 8/2022, showed: -Medications may be self-administered only after the resident has been evaluated by an interdisciplinary team to determine that the resident can safely self-administer medications with administrator/Executive Director Approval; -An evaluation will be completed and documented prior to allowing self-administration of medications; -If the evaluation indicates the resident may self-administer medications, the resident's/community member's… […]