Meramec Nursing

In the surveyor’s words

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

• Actual harm, isolatedF880Aug 19, 2024

  Based on interview and record review, facility staff failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent potential spread of COVID-19 (an acute respiratory illness in humans caused by the coronavirus, SARS-CoV-2 and other infections), when staff failed to separate rooms for one resident (Resident #2) who tested negative on 08/07/24 after the residents roommate (Resident #1) tested positive for COVID on 08/07/24. Resident #2 remained in the same room with Resident #1 and tested positive for COVID on 08/10/24. […]

• Actual harm, isolatedF689Jan 11, 2024

  Based on observation, interview, and record review, facility staff failed to maintain the mechanical lift slings in proper working condition which resulted in one resident (Resident #1's) sling strap to tear causing the resident to lean forward hitting the front left side of his/her head on the floor which resulted in a large scalp laceration and subarachnoid bleed (bleeding in space surrounds the brain). The facility census was 42. 1. Review of the facility's mechanical lift, transfer, and repositioning sling care policy, dated 1/4/24, showed staff are directed to carefully inspect the sling before each use for wear and damage to seams, fabric, straps, and strap loops. […]

• No harm, potential for more than minimal, widespreadF801Nov 3, 2023

  Based on observation and interviews, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility failed to employ a qualified dietitian or other clinically qualified nutrition professional full-time. The census was 49. 1. Observation on 10/31/23 from 10:03 A.M. through 12:15 P.M., showed Cook N directed and assisted facility kitchen and nursing staff in the completion of kitchen tasks while he/she prepared and served the lunch meal. During an interview on 10/31/23 at 10:07 A.M., Cook N said the facility did not have a full-time Certified Dietary Manager (CDM). He/She said the last CDM left the facility about eight weeks ago and Cook T was filling in. He/She also said Cook T is not a CDM. […]

• No harm, potential for more than minimal, patternF568Nov 22, 2024

  Based on record review and interview, facility staff failed to prevent commingling of five residents' funds (Resident #8, #27, #26, #38, and #40) out of 23 sampled personal funds, with the facility operating funds, and failed to reconcile the resident trust monthly for two of 12 months sampled. The facility census was 47. 1. Review of the facility's policy titled Resident Funds, undated, showed resident funds will be maintained by the facility and reconciled regularly. Review of the facility's policy titled Private Collections Policy and Procedures, revised 01/20/21, showed the primary responsibility of the facility's Business Office Manager (BOM) to maintain Account's Receivable (AR) amounts, with oversight provided by the Administrator. […]

• No harm, potential for more than minimal, patternF569Nov 22, 2024

  Based on record review and interview, facility staff failed to provide refunds of personal funds to the residents from the facility operating account within 30 days of discharge for three (Resident #58, #59, and #56) out of five sampled residents. The facility census was 47. 1. Review of the facility's policy titled Resident Funds, undated, showed resident funds will be maintained by the facility and reconciled regularly. Review of the facility's policy titled Private Collections Policy and Procedures, revised [DATE] showed the primary responsibility of the facility's Business Office Manager (BOM), is to maintain Account's Receivable (AR) amounts, with oversight provided by the Administrator. […]