Life Care Center of St Louis

In the surveyor’s words

From the most serious findings on record at Life Care Center of St Louis, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Oct 21, 2024

  Based on interview and record review, the facility failed to follow physician orders for x-rays for one of seven sampled residents (Resident #1) who had fallen from his/her bed on 9/6/24. The x-ray order was not completed for nine days, during which time the resident experienced pain and refused care, which he/she had not done prior. The resident was diagnosed with a fractured hip. The sample was 7. The census was 86. The Administrator was notified on 10/21/24 at 3:46 P.M., of the Immediate Jeopardy (IJ) past non-compliance, which occurred on 09/06/24. Facility staff were inserviced beginning on 9/13/24 and a system was implemented to monitor the completion of ordered x-rays. […]

• No harm, potential for more than minimal, widespreadF623Apr 23, 2024

  Based on interview and record review, the facility failed to submit facility initiated transfers (such as an emergency transfer to the hospital with intent to take the resident back) to the Ombudsman on a monthly basis. The census was 92. During an interview on 4/16/24 at 11:07 A.M., Ombudsman F said the facility had not sent their monthly transfer notifications to the ombudsman office since November of 2022. Review of the email communication between the facility Social Service Director and the ombudsman office, dated 4/18/24 at 9:13 A.M., showed an admission/discharge log dated 4/1/24 through 4/18/24. During an interview 4/18/24 at 9:35 A.M., the Administrator said the social worker will be responsible to submit hospital transfer logs monthly to the Ombudsman. […]

• No harm, potential for more than minimal, widespreadF640Apr 23, 2024

  Based on interview and record review, the facility failed to encode and transmit resident assessment data within 7 days after a facility completes a resident's assessment for 12 of 19 residents investigated for MDS encoding and transmission, as indicated by the MDS showing in progress (Residents #22, #51, #54, #6, #53, #43, #2, #7, #29, #14, #30, and #23). The census was 92. Review of the Minimum Data Set (MDS, a federally mandated assessment instrument completed by facility staff) version 3.0 Resident Assessment Instrument (RAI) User's Manual, showed: -For all non-Admission assessments, the MDS completion date must be no later than 14 days after the Assessment Reference Date (ARD); -For the Admission assessment, the MDS Completion Date must be no later than 13 days after the entry… […]

• No harm, potential for more than minimal, patternF880Jan 16, 2026

  Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program when staff failed to change gloves, wash or sanitize hands and wear gowns during care for 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) for four residents (Residents #101, #81, #9 and #56). The staff failed to change gloves and wash hands during perineal care (cleaning the genital and anal areas) for one resident observed during care (Resident #63). In addition, laundry staff failed to separate dirty linens from clean and washed linens. […]

• No harm, potential for more than minimal, patternF947Jan 16, 2026

  Based on interview and record review, the facility failed to ensure five out of 10 randomly selected Certified Nurse Aide (CNA)/Certified Medication Technicians (CMT), employed by the facility for over 12 months received their annual 12 hours of in-service training. The census was 90.Review of the facility's CNA 12 Hours of Inservice Training policy, dated 12/17/25, showed the Staff Development Coordinator (SDC) will develop, implement, and maintain an effective in-service program for all nurse aides to ensure they have received the necessary in-services and education to meet the federal requirement. CNAs have a requirement of at least 12 hours of continuing competency every 12 months and must include dementia management training and resident abuse training. […]