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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G7 | H· | I· |
| Potential harm | D34 | E48 | F17 |
| Minimal | A· | B2 | C4 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 12, 2026 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Apr 9, 2026 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Dec 12, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Oct 24, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 2, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 26, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Mar 4, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 2, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Feb 15, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Feb 15, 2024 | Health | Health Complaint, Health Standard | 13 | Immediate jeopardy | — | Open → |
| Dec 8, 2021 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| Dec 8, 2021 | Health | Health Standard | 29 | Actual harm | — | Open → |
| Sep 6, 2019 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 6, 2019 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 12, 2026 | Denial of payment for new admissions | — | Jul 22, 2026 · 13 days | 265672|Payment Denial|2026-07-22 |
| Jun 12, 2026 | Civil money penalty (fine) | $152,190 | — | 265672|Fine|143589 |
| Dec 12, 2025 | Denial of payment for new admissions | — | Mar 12, 2026 · 29 days | 265672|Payment Denial|2026-03-12 |
| Dec 12, 2025 | Civil money penalty (fine) | $26,685 | — | 265672|Fine|144194 |
| Dec 12, 2025 | Civil money penalty (fine) | $15,935 | — | 265672|Fine|144195 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G7 | H· | I· |
| Potential harm | D34 | E48 | F17 |
| Minimal | A· | B2 | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 12, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 16, 2026 | Complaint |
| Jun 12, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 16, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
68 facilities in 4 states. CMS chain ID 773.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Wildflower Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2024 |
| Blooming Willow Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2024 |
| Derhoben Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2024 |
| Pas B Sol Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Wildflower Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2024 |
| Blooming Willow Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2024 |
| Derhoben Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2024 |
| Pas B Sol Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Country Villa Wellness & Rehabilitation 850 Country Manor Lane, Creve Coeur, MO 63141 CCN 265343 | 148 | Jul 17, 2026 | 371 IJ1 harm7 open | — | |
| Maple Grove Wellness & Rehabilitation |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Carrie Elligson Gietner Health Care Center 5000 South Broadway, Saint Louis, MO 63111 CCN 265668 | 1.8 km | 130 | Jul 20, 2026 | 812 IJ7 harm4 open | $236k | |
| St Louis Altenheim 5408 South Broadway, Saint Louis, MO 63111 CCN 265892 | 2.1 km | 73 | Not rated | Oct 10, 2025 | 20 | — |
| Pine Grove Manor 4359 Taft Avenue, Saint Louis, MO 63116 CCN 265828 | 2.3 km | 77 | Jul 1, 2026 | 362 IJ2 harm | $28k | |
| Lansdowne Village 4624 Lansdowne Avenue, Saint Louis, MO 63116 CCN 265351 | 2.7 km | 145 | Nov 17, 2025 | 891 IJ3 harm | — | |
| Beauvais Rehab and Healthcare Center 3625 Magnolia Avenue, Saint Louis, MO 63110 CCN 265699 | 2.7 km | 184 | Sep 26, 2025 | 782 harm1 open | — | |
| Life Care Center of St Louis 3520 Chouteau Ave, Saint Louis, MO 63103 CCN 265610 | 4.8 km | 100 | Aug 14, 2026 | 631 IJ | $16k | |
| Lemay Nursing 9353 South Broadway, Saint Louis, MO 63125 CCN 265775 | 6.1 km | 60 | May 15, 2025 | 441 harm | — | |
| La Bella of Cahokia 2 Annable Court, Cahokia, IL 62206 CCN 145581Abuse icon | 6.3 km | 150 | Aug 21, 2026 | 786 IJ9 harm | $714k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265672 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265672 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 21455 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Oct 24, 2025 | Civil money penalty (fine) | $12,438 | — | 265672|Fine|136409 |
| Mar 4, 2025 | Denial of payment for new admissions | — | Apr 10, 2025 · 23 days | 265672|Payment Denial|2025-04-10 |
| Mar 4, 2025 | Civil money penalty (fine) | $40,717 | — | 265672|Fine|90749 |
| May 2, 2024 | Denial of payment for new admissions | — | Jun 14, 2024 · 1 days | 265672|Payment Denial|2024-06-14 |
| May 2, 2024 | Civil money penalty (fine) | $139,544 | — | 265672|Fine|90575 |
| Feb 15, 2024 | Civil money penalty (fine) | $17,091 | — | 265672|Fine|90530 |
| Jun 12, 2026 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 16, 2026 | Complaint |
| Apr 9, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Apr 9, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Apr 9, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 17, 2026 | Complaint |
| Apr 9, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Dec 12, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Dec 12, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Dec 12, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 10, 2026 | Complaint |
| Dec 12, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 13, 2025 | Complaint |
| Oct 24, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance | Complaint |
| Aug 7, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance | Complaint |
| Jun 25, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Jun 23, 2025 | Complaint |
| May 2, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 3, 2025 | Complaint |
| May 2, 2025 | F-0688 | Provide 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 3, 2025 | Complaint |
| Mar 26, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2025 | Complaint |
| Mar 26, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 3, 2025 | Complaint |
| Mar 26, 2025 | F-0688 | Provide 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 3, 2025 | Complaint |
| Mar 26, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 22, 2025 | Complaint |
| Mar 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 2, 2025 | Complaint |
| Mar 4, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Mar 5, 2025 | Complaint |
| Mar 4, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 5, 2025 | Complaint |
| Jul 2, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Jun 29, 2024 | Complaint |
| May 2, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jun 15, 2024 | Complaint |
| Feb 15, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Mar 29, 2024 | Complaint |
| Feb 15, 2024 | K-0222 | Add 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 25, 2024 |
| Feb 15, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 25, 2024 |
| Feb 15, 2024 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 29, 2024 | Complaint |
| Feb 15, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 29, 2024 | Complaint |
| Feb 15, 2024 | F-0909 | Regularly 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. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 29, 2024 | Complaint |
| Feb 15, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 15, 2024 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | C · Minimal Widespread | Corrected Mar 29, 2024 |
| Dec 8, 2021 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 22, 2022 |
| Dec 8, 2021 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0222 | Add 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 16, 2022 |
| Dec 8, 2021 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 16, 2022 |
| Dec 8, 2021 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Dec 8, 2022 |
| Dec 8, 2021 | F-0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0887 | Educate 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 30, 2022 |
| Dec 8, 2021 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jan 22, 2022 |
| Dec 8, 2021 | F-0888 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention | C · Minimal Widespread | Corrected Apr 30, 2022 |
| Sep 6, 2019 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 18, 2019 |
| Sep 6, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 30, 2019 |
| Sep 6, 2019 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0688 | Provide 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Oct 18, 2019 |
| Sep 6, 2019 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Oct 18, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.30 (case-mix index 1.97).
| not provided |
| Jul 1, 2024 |
| Wildflower Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 25, 2024 |
| Denise Thordsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| David Garetz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Niv Davidovich | Individual | Trustee | TRUSTEE OF THE SNF | not provided | May 1, 2024 |
| Elizabeth Hagins | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jul 1, 2024 |
| Mordechai Kaplan | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jul 1, 2024 |
| Adam Mindle | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jul 1, 2024 |
| Jennifer Sternshein | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jul 1, 2024 |
| Caroline Zimmerman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jul 1, 2024 |
| 321 Gasconade Street Mo LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jul 1, 2024 |
| 144 |
| Aug 29, 2025 |
651 harm |
| — |
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