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BENTWOOD NURSING & REHAB Inspection Report, Violations & Safety Grade (FLORISSANT, Missouri)

1501 CHARBONIER ROAD, FLORISSANT, Missouri 63031

Phone: 3149212700

CMS Overall:1/5

Overview & Bed Count

Certified Beds
116
Avg Residents/Day
98
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
St. Louis
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.390.46-0.07
Total Nurse Hours per Resident per Day3.653.40+0.25
CMS Staffing Rating1/52.2/5-
Nursing Staff Turnover82.5%56.9%-

Health Citation History

61 health citations on record

DateCategoryDescriptionSeverity
2026-06-26Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-02-24Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.E – Moderate Harm Potential
2026-02-24Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2026-02-24Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-02-24Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-02-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-11-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-11-17Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2024-05-15Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2024-05-15Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-05-15Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2024-05-15Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-05-15Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-05-15Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D – Moderate Harm Potential
2024-05-15Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2024-05-15Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2024-05-15Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-05-15Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2024-05-15Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2024-05-15Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-05-15Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2024-05-15Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2024-05-15Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2024-03-13Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-03-06Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2024-03-06Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.D – Moderate Harm Potential
2024-02-02Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J – Immediate Jeopardy
2024-01-23Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2022-05-06Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.K – Immediate Jeopardy
2022-05-06Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.G – Actual Harm
2022-05-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2022-05-06Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.F – Moderate Harm Potential
2022-05-06Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2022-05-06Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2022-05-06Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2022-05-06Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2022-05-06Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2022-05-06Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2022-05-06Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-05-06Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2022-05-06Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential

Showing 50 of 61 citations.

Fire Safety Citation History

43 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-24Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2026-02-24Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2026-02-24Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-02-24Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2026-02-24Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2026-02-24Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2026-02-24Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2026-02-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-02-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-02-24Smoke DeficienciesInstall properly constructed windows in hallway walls or doors.E – Moderate Harm Potential
2026-02-24Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2026-02-24Services DeficienciesMeet other general requirements that are deficient.E – Moderate Harm Potential
2026-02-24Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2026-02-24Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2026-02-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-05-15Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2024-05-15Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2024-05-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-05-15Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2024-05-15Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-05-15Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-05-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure that personnel concerned with handling of medical gases and cylinders are trained on the risk.F – Moderate Harm Potential
2024-05-15Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-05-15Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2024-05-15Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2024-05-15Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-05-15Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-05-15Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-05-15Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2024-05-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure gas and vacuum systems are inspected and tested as part of a maintenance program.E – Moderate Harm Potential
2024-05-15Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2022-05-06Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2022-05-06Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2022-05-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2022-05-06Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2022-05-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-05-06Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2022-05-06Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2022-05-06Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2022-05-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2022-05-06Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-05-06Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2022-05-06Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential

Total Penalties & Fines

$107,465
Total Fine Amount (CMS)
2
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2024-05-15Fine$73,450-
2024-05-15Payment Denial-4 days starting 2024-06-21
2024-01-23Fine$34,015-

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