The following is the list of Class 1 nursing home violations in the state of Missouri for June 2018
Sweet Springs Villa, Sweet Springs, MO: A complaint investigation was completed. The facility failed to provide basic life support, including CPR, for one full code resident requiring such emergency care and failed to ensure that one CPR certified staff member per shift was on duty.
The facility also failed to provide 24 hour protective oversight for two residents who resided on a locked behavior unit and were 15 minute face checks. Staff did not complete face checks as scheduled and the residents left the facility without staff knowledge exiting through a window and locked gate. Staff did not know the residents were missing until 11:33PM.
Stonecrest at Clayton View, St. Louis, MO: A complaint investigation was conducted. The facility failed to provide protective oversight by not having interventions in place for a cognitively impaired resident that the facility assessed as a high elopement risk. The resident, who was diagnosed with Alzheimer’s disease, eloped from the facility. The resident cut off numerous Wanderguard bracelets, told staff he/she planned to leave, called law enforcement agencies to report being held against his/her will and attempted to elicit help through social media to aide in getting out of the facility.
The facility also failed to provide protective oversight and implement interventions to keep residents who drank alcohol in excess safe. Staff continued to administer medication, and four residents incurred injuries while intoxicated.
Northview Village, St. Louis, MO: A complaint investigation was conducted. The facility failed to provide protective oversight for four or five sampled residents who used and/or had access to illegal drugs. On 5/13/18, one resident overdosed at the facility, had to be revived and then sent to the hospital. On 6/1/18, another resident overdosed and expired at the facility. Both residents received the illegal drugs they overdosed on from a third resident. Additionally, on 6/7/18, another resident overdosed at the facility, had to be revived and then sent to the hospital.
Brookdale West County, Ballwin, MO: A complaint investigation was conducted. The facility continued to care for a resident whose needs could not be met due to a large number of falls, some of which resulted in injury. The facility failed to put interventions in place to reduce or minimize the risk of injury from the falls. The resident sustained a brain injury and died.
Anna Dodson Home, Farmington, MO: A complaint investigation was conducted. The facility failed to ensure one resident was free from physical abuse when facility staff placed the resident in chokehold until he/she lost consciousness. Residents and another staff member witnessed the incident. Facility staff did not report the incident, did not conduct a thorough investigation, and allowed the staff person to continue to work for several days after the incident.
The mission of the Missouri Coalition for Quality Care is to improve the quality of care and quality of life of residents in long-term care facilities and recipients of in-home care. MCQC is a member of The National Consumer Voice for Quality Long-Term Care. http://mcqc.com/