Estates of St Louis, LLC, The

In the surveyor’s words

From the most serious findings on record at Estates of St Louis, LLC, The, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 12, 2024

  Based on interview and record review, the facility failed to ensure residents were free from physical abuse and failed to follow its policies to prevent resident-to-resident abuse when staff failed to consistently monitor Resident #1 during 15-minute face checks as an intervention for wandering. This contributed to three known resident-to-resident altercations, and had the potential to effect the safety and privacy of all other residents on the secured unit. (Residents #2, #3 and #4). The census was 78. Review of the facility's Abuse, Neglect and Exploitation Policy, revised 4/8/24, showed: -Policy: Each resident has the right to be free from verbal, sexual, physical and mental abuse, corporal punishment and involuntary seclusion. […]

• Actual harm, isolatedF600Feb 26, 2024

  Based on interview and record review, the facility failed to ensure a resident's right to be free from abuse was not violated, when one resident was abused by other resident resulting in a head laceration (Resident #4 and #5). The facility census was 81. The Administrator was notified on 2/26/24 of the past non-compliance. The facility immediately began an investigation into the incident, separated and assessed the residents, as well as contacted all responsible parties and physicians, and sent the residents out for evaluations following the altercation. […]

• No harm, potential for more than minimal, widespreadF812Dec 23, 2024

  Based on observation, interview and policy review, the facility failed to ensure floors were clean, baking pans and pots were free of carbon build-up, one of one freezer had debris and food on the floor, one of one refrigerator had food and debris on the floor, and 30 of 30 water bottles were expired and two of 30 gallons of water had mouse droppings on them. This failure had the potential to affect all 75 residents who reside in the facility. Findings include: Review of the policy and procedure titled Receiving and Storage of Food dated [DATE] revealed, .(8) keep storage areas clean and dry (9) all freezer and refrigeration units must be kept clean and free of food debris. […]

• No harm, potential for more than minimal, widespreadF880Dec 23, 2024

  Based on interview and record review, the facility failed to follow their tuberculosis (TB, a potentially serious infectious bacterial disease that mainly affects the lungs) policy when staff failed to complete a two step and the annual one step of the employee TB screening tests in a timely manner for a total of 10 employees. The facility also failed to implement their water management plan in order to potentially identify where bacterium Legionella and other waterborne pathogens could grow. The census was 78. […]

• No harm, potential for more than minimal, widespreadF925Dec 23, 2024

  Based on observation, interview and record review, the facility failed to ensure that dietary and eight of eight sampled resident's (Resident R) 30, R36, R62, R25, R46, R12, R73, and R56) room were free of pest. Specifically, live mice and mouse droppings were observed in dietary and residents reported mice in their room. This failure had the potential for residents to have food prepared in an unsanitary manner and had the potential to expose residents to diseases caused by being exposed to rodents. Findings include: Review of the facility's policy titled, Pest Control Policy dated 08/24/24 revealed, this facility will ensure facility remains clean and free from pests and .(2) monthly contracted pest control company will treat inside and outside of facility. 1. […]