Chateau Girardeau

In the surveyor’s words

From the most serious findings on record at Chateau Girardeau, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF909Nov 16, 2023

  Based on observation, interview, and record review, facility staff failed to conduct regular inspections of all bed frames, mattresses, side rails, and enabler bars as part of a regular maintenance program for twelve residents (Resident #1, #2, #3, #13, #15, #22, #27, #28, #37, #42, #53, and #360) out of 14 sampled residents and one resident (Resident #39) outside the sample. The facility's census was 53. Review of the facility's policy titled, Bed Safety, dated 2007, showed the following: To try to prevent deaths/injuries from the beds and related equipment (including the frame, mattress, side rails, headboard, footboard, and the bed accessories), the facility shall promote the following approaches: - Inspect by maintenance staff of all beds and related equipment as part of our regular… […]

• No harm, potential for more than minimal, isolatedF552Apr 10, 2026

  Based on interview and record review, the facility failed to inform residents and/or their responsible parties, in advance of the risks and benefits of proposed care, before beginning psychotropic medications (medications that affect the mind, emotions, and behavior) for five residents (Residents #7, #8, #38, #55, and #66) out of five sampled residents. The facility census was 50. Review of the facility policy titled, Informed Consent for Treatment, undated, showed: - The facility is committed to honoring each resident's right to make informed decisions regarding their care. […]

• No harm, potential for more than minimal, isolatedF578Apr 10, 2026

  Based on interview and record review, the facility failed to initiate an order for a code status for one resident (Resident #49) and failed to ensure an order for the code status was consistently documented throughout the medical record for one resident (Resident #24) out of 14 sampled residents. The facility census was 50. Review of the facility's policy titled, Advance Directives, dated 2026, showed: - Resident's medical record will have documentation indicating if a resident has an advance directive; - The facility honors residents' wishes as expressed in their Advance Directive. 1. […]

• No harm, potential for more than minimal, isolatedF582Apr 10, 2026

  Based on interview and record review, the facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) when a resident's Medicare covered services had ended for one resident (Resident #70) out of three sampled residents. The facility census was 50.Review of the facility policy titled, Advance Beneficiary Notice, undated, showed:- It is the policy of the facility to issue an Advance Beneficiary Notice of Noncoverage (ABN) to Medicare beneficiaries in accordance with requirements established by the Centers for Medicare & Medicaid Services (CMS) when services are expected to be denied as not reasonable and necessary under Medicare guidelines;- An ABN must be issued before services are provided when services are likely to be denied due to lack of medical necessity,… […]

• No harm, potential for more than minimal, isolatedF605Apr 10, 2026

  Based on interview and record review, the facility failed have an appropriate diagnosis for a psychotropic (medication that affect a person's mental state) medication for three residents (Residents #7, #8, and #55), failed to limit the use of a psychotropic as needed (PRN) medication order for 14 days for one resident (Resident #55), and failed to attempt gradual dose reductions (GDR) for one resident (Resident #8) out of five sampled residents. Facility census was 50. Review of the facility policy titled, Psychotropic Medication Use, last revised July 2022, showed: - Residents who have not used psychotropic medications are not prescribed or given these medications unless the medication is determined to be necessary to treat a specific condition that is diagnosed and documented in the… […]