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LAUREL MEADOWS WELLNESS & REHABILITATION Inspection Report, Violations & Safety Grade (SAINT CHARLES, Missouri)

723 1st CAPITOL DRIVE, SAINT CHARLES, Missouri 63301

Phone: 6369464140

CMS Overall:2/5

Overview & Bed Count

Certified Beds
103
Avg Residents/Day
83.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
St. Charles
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.460.46-0.00
Total Nurse Hours per Resident per Day4.643.40+1.24
CMS Staffing Rating2/52.2/5-
Nursing Staff TurnoverN/A56.9%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2025-06-04Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D – Moderate Harm Potential
2024-11-21Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-06-17Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2024-06-06Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.F – Moderate Harm Potential
2024-06-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-06-06Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-06-06Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-06-06Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.E – Moderate Harm Potential
2024-06-06Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-06-06Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-06-06Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-06-06Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential
2023-10-31Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2022-10-28Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J – Immediate Jeopardy
2022-10-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2022-10-28Nutrition 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
2022-10-28Pharmacy 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
2022-10-28Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2022-10-28Resident 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
2022-10-28Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D – Moderate Harm Potential
2022-10-28Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2019-09-20Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2019-09-20Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential

Fire Safety Citation History

30 fire safety citations on record

DateCategoryDescriptionSeverity
2024-06-06Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2024-06-06Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2024-06-06Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-06-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-06-06Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-06-06Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.E – Moderate Harm Potential
2024-06-06Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2024-06-06Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2024-06-06Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-06-06Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-06-06Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-06-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-06-06Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2022-10-28Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2022-10-28Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-10-28Smoke DeficienciesMeet other general requirements.F – Moderate Harm Potential
2022-10-28Construction DeficienciesMeet requirements for sections of health care facilities separated by fire resistive construction.E – Moderate Harm Potential
2022-10-28Egress 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
2022-10-28Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2022-10-28Smoke 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
2022-10-28Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2022-10-28Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2022-10-28Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.E – Moderate Harm Potential
2022-10-28Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-10-28Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-10-28Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2019-09-20Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2019-09-20Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2019-09-20Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2019-09-20Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.E – Moderate Harm Potential

Total Penalties & Fines

$7,342
Total Fine Amount (CMS)
3
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2023-11-13Fine$2,797-
2023-11-06Fine$2,447-
2023-10-30Fine$2,098-

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