Delmar Gardens of Meramec Valley

In the surveyor’s words

From the most serious findings on record at Delmar Gardens of Meramec Valley, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Dec 5, 2025

  Based on observation, interview and record review, the facility failed to follow acceptable infection control standards by not implementing Contact Precautions (CP, precautions that reduce the risk of transmission of infectious materials by direct contact.) for one resident (Resident #19), failed to implement Enhanced Barrier Precautions (EBP, an infection control intervention designed to reduce the transmission of multidrug-resistant organisms (MDROs) that employs targeted gown and glove use during high contact resident care activities) as recommended by the Centers for Disease Control and Prevention (CDC) and required by the Centers for Medicare and Medicaid Services (CMS) for four of 30 sampled residents (Residents #2, #3, #71, and #179), and failed to ensure hand hygiene was performed… […]

• No harm, potential for more than minimal, patternF607Mar 26, 2024

  Based on interview and record review, the facility failed to check for a federal indicator (identifies when an employee who has ever held a Certified Nurse Aide (CNA) certificate has ever been found to have abused, neglected, or misappropriated resident property) through the state Nurse Aide (NA) registry prior to hiring a new employee, in accordance with the facility's abuse policies, for three of eight employees files reviewed. The census was 163. The administrator was notified on 3/26/24, of the past non-compliance. The facility has changed their process on newly hired employees and in-serviced staff on the requirement to check the NA registry on all newly hired staff ongoing. […]

• No harm, potential for more than minimal, patternF880Mar 26, 2024

  Based on observation, interview and record review, the facility failed to follow acceptable standards of practice for infection control for one resident observed during personal care. The resident's urinary catheter tubing disconnected and fell to the floor. Staff did not cleanse the tubing and then re-inserted the tubing into the catheter port (Resident #19). The facility also failed to ensure 3 out of 8 sampled staff's two-step tuberculin (TB) skin test were read prior to staff working with residents. In addition, staff failed to change their gloves or sanitize their hands when exiting a resident room, and handled clean linen supplies. The sample was 32. The census was 164. 1. […]

• No harm, potential for more than minimal, patternF659Jul 26, 2022

  Based on interview and record review, the facility failed to ensure services provided or arranged were delivered by individuals who had the skills, experience and knowledge to do a particular task or activity, which included proper licensure or certification, by allowing a Level I Medication Aide (L1MA) to administer medications to residents in a Skilled Nursing Facility (SNF) for several months under the job title as Certified Medication Aide (CMT) to four sampled residents (Residents #4, #5, #6, and #7). The census was 160. The administrator was notified on 7/26/22 at 2:30 P.M., of the past non-compliance which occurred on 7/8/22. On 7/8/22, the administrator became aware of the violation. The facility in-serviced staff on the license and certification process for new hires. […]

• No harm, potential for more than minimal, patternF656Mar 1, 2022

  Based on observation, interview and record review, the facility failed to ensure residents had complete, accurate, and individualized care plans to address the specific needs of the residents for five out of 29 sampled residents (Residents #58, #84, #4, #35 and #95). The census was 188 with 143 residents in certified beds. Review of the facility's care management policy, undated, showed the following: Purpose: To provide for management of resident care that is conducted systematically and comprehensively by a facility-wide (interdisciplinary) Team knowledgeable in current concepts of geriatric care. Resident care management should be consistent with the medical plan of care. […]