Inspection Reports for
American House Wildwood Village
251 PLAZA DRIVE, WILDWOOD, MO, 63040-1203
Back to Facility Profile14 Reports
Inspection Report — Feb 3, 2026
Routine
Date: Feb 3, 2026
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
16 state deficiencies were cited covering individualized evacuation plans and staff roles, combustible oxygen storage, pre-admission screening, individualized service plan development and review, medication system and physician order issues, incident documentation, staffing and fall response, hand hygiene and food handling, clean clothing/hair restraints, resident personal property inventories, and electronic monitoring device signage/installation.
Deficiencies (16)
19 CSR 30-86.045(3)(A)(5) Individual Evacuation Plan - In resident ISP: Based on interview and record review, the facility failed to ensure residents who required more than minimal assistance to safely evacuate had an individualized evacuation plan in the resident's individualized service plan for five of six sampled residents.
19 CSR 30-86.045(3)(A)(6)(A) Individual Evacuation Plan-Staff Requirements: Based on interview and record review, the facility failed to include the responsibilities of a single staff position who would be responsible for the resident in an emergency on the Individual Evacuation Plan for six of eight sampled residents.
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of: Based on observation, interview, and record review, the facility did not ensure unnecessary combustible material was not stored in resident rooms and observed excessive oxygen tanks in resident rooms.
19 CSR 30-86.047(28)(E) Premove-in Screening Requirements: Based on interview and record review, the facility failed to complete a pre-move-in screening to determine eligibility for admission for three of eight sampled prospective residents.
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: Based on interview and record review, the facility failed to develop complete individualized service plans that included required resident needs and interventions for four of eight sampled residents.
19 CSR 30-86.047(28)(H) Individual Service Plan- Review Requirements: Based on interview and record review, the facility failed to review residents' individualized service plans with the resident or legal representative for five of eight sampled residents.
19 CSR 30-86.047(46) Safe & Effective Medication System: Based on observation, interview and record review, the facility failed to ensure a Level One Medication Aide completed safe and effective medication passes and monitoring for three of eight observed residents during the morning medication pass.
19 CSR 30-86.047(47)(A) Physicians Orders Followed: Based on observation and record review, the facility failed to ensure physician's orders were followed when a Level One Medication Aide administered medication later than prescribed, crushed medication without an order, or allowed self-administration without an order for three observed residents.
19 CSR 30-86.047(47)(B) Physicians Orders Requirements: Based on interview and record review, facility staff failed to ensure physicians' orders were signed by a physician every three months for five of eight sampled residents.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: Based on interview and record review, the facility failed to ensure all accidents and incidents were documented in a resident's medical record when a physical altercation between two residents was not recorded for one resident.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety: Based on interview and record review, the facility failed to notify a nurse for an assessment after a resident fall and staff moved the resident prior to a nurse assessment for one of eight sampled residents.
19 CSR 30-87.030(2) Wash Hands/Arms & Clean Fingernails: Based on observation and interview, the facility failed to ensure all staff washed their hands and/or wore gloves appropriately when preparing and serving food during observed meal service.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints: Based on observation and interview, the facility failed to ensure the proper use of hairnets/hair restraints when staff had exposed hair while preparing and serving food.
19 CSR 30-88.010(36) Personal Clothing/Possessions: Based on interview and record review, the facility failed to ensure personal inventory lists were completed for eight of eight sampled residents.
19 CSR 30-91.010(8)(B) Notice-posting resident room sign: Based on observation and interview, the facility failed to post the required notice at the entrance of each resident room which had an electronic monitoring device for multiple resident rooms.
19 CSR 30-91.010(9)(A)-(E) Installation-placement of EMD: Based on observation and interview, the facility failed to ensure electronic monitoring devices were mounted in a fixed, stationary position and secured in resident rooms, with multiple cameras observed as moveable or plugged in but not secured.
Report Facts
residents sampled: 8
Inspection Report — Jul 10, 2025
Routine
Date: Jul 10, 2025
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
Three state licensure deficiencies were cited addressing hospice care contracts, safe medication systems involving prefilled/unlabeled syringes, and failure to transcribe hospice/physician wound orders into facility records; two deficiencies were Class II and one was Class II*.
Deficiencies (3)
19 CSR 30-86.047(30) Hospice Care Exception: Based on observation and interview, the facility did not provide nor have available hospice contracts with hospice providers the residents had elected to use for one of three sampled residents.
19 CSR 30-86.047(46) Safe & Effective Medication System: Based on observation and interview, the facility failed to ensure a safe medication storage system; the third-floor medication cart contained Ziploc bags with multiple prefilled syringes that were unlabeled and lacked resident identifiers.
19 CSR 30-86.047(47)(A) Physicians Orders Followed: Based on interview and record review, the facility failed to ensure hospice wound care orders were transcribed into the facility physician order sheet, resulting in delayed wound treatment for a sampled resident and hospice orders not being reflected in facility records.
Report Facts
residents sampled: 3
Inspection Report — Feb 20, 2025
Routine
Date: Feb 20, 2025
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
4 state licensure deficiencies were cited covering range hood extinguishing system certification, fire drill and evacuation requirements, monthly fire alarm testing, and sprinkler system inspection/testing and documentation. The deficiencies included missing or out-of-date inspection/testing documentation and affected all 47 residents.
Deficiencies (4)
19 CSR 30-86.022(4)(C) Range Hood Extinguishing Systems: The facility did not have a current inspection tag on the hood suppression system (observed tag dated July 2024); the surveyor found the deficiency affected 47 out of 47 residents.
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation: The facility failed to conduct required fire drills with at least one drill every three months on each shift; record review showed no drills conducted on any shift from August through November 2024 and January 2025 and the deficiency affected 47 out of 47 residents.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test: The facility failed to ensure the complete fire alarm system was tested monthly; record review showed no documentation that the fire alarm system had been tested in the months of August through November 2024 and January 2025, affecting 47 out of 47 residents.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13: The facility failed to ensure the sprinkler system was maintained and documented in accordance with requirements; record review showed no documentation of the required monthly inspection of the sprinkler system.
Report Facts
residents affected: 47
Inspection Report — Jan 29, 2025
Routine
Date: Jan 29, 2025
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
11 state deficiencies were cited covering fire hazard (improper storage of CO2 tanks), TB screening for staff and residents, development of individualized service plans, missing resident admission/contact information, staffing/CPR coverage, employee hygiene and clothing/hair restraints, and multiple kitchen food-safety and cleaning issues, plus advance directive review.
Deficiencies (11)
19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard: Based on observation and interview, the facility failed to ensure no section of the building posed a fire hazard; four large carbon dioxide tanks were observed near the kitchen and the administrator was unaware of them.
19 CSR 30-86.047(19) TB Screen Residents & Staff: Based on interview and record review, the facility failed to ensure required two-step TB testing at hire and annual screening for sampled employees and residents.
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: Based on interview and record review, the facility failed to develop individualized service plans that included resident needs, services to be provided by staff, and goals expected by the resident or the resident's legal representative for sampled residents.
19 CSR 30-86.047(58)(A) Resident Record Admission Info: Based on interview and record review, the facility failed to maintain resident records that included contact information for the resident's preferred funeral director and dentist for multiple sampled residents.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety: Based on interview and record review, the facility failed to ensure staff trained in cardiopulmonary resuscitation (CPR) were available on each shift to meet the needs of full-code residents; the schedule showed many shifts without a CPR-trained person.
19 CSR 30-87.030(1) Employees Clean & Good Hygiene: Based on observation and interview, the facility failed to ensure kitchen staff washed hands and changed gloves before touching food; staff were observed not changing gloves and not following handwashing practices.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints: Based on observation and interview, the facility failed to ensure staff wore effective hair/beard restraints; staff were observed entering and working in the kitchen without hair or beard restraints.
19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS: Based on observation and interview, the facility failed to ensure food was protected from potential contamination or stored/dated appropriately; uncovered fruit cups, uncovered containers and opened/undated food items were observed.
19 CSR 30-87.030(64) Grills/Griddles/Microwaves/Other- Clean Daily: Based on observation and interview, the facility failed to ensure food-contact surfaces such as the waffle maker and grill were cleaned and maintained; thick layers of burnt crust and grease were observed on cooking surfaces.
19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: Based on observation and interview, the facility failed to ensure non-food-contact kitchen surfaces were kept clean; shelves, handles, drawers and other surfaces were covered with dried food debris, grease and sticky residue.
19 CSR 30-88.010(10) Advance Directive Requirements: Based on interview and record review, the facility failed to review advance directives annually with residents or their representatives for multiple sampled residents; no documented annual reviews were found for several residents.
Report Facts
residents sampled: 5
residents with full code status: 20
Inspection Report — Jul 3, 2024
Routine
Date: Jul 3, 2024
Visit Reason
Missouri Department of Health and Senior Services State Form licensure survey pages dated 2024-07-03 and 2024-09-25; the survey type is not stated.
Findings
Nine state deficiencies were cited addressing resident door locks and door repair, building maintenance, operation of a second business without DHSS approval, failures in individualized service plan development and provision of care, medication administration/documentation issues, safe transfer training, dignity/privacy concerns, and failure to follow physician orders.
Deficiencies (9)
19 CSR 30-86.022(16)(C) One Lock per Resident Request: Surveyor found the facility failed to ensure staff had the means or mechanisms to open resident room doors in an emergency; resident room 101 door was in disrepair and staff were unable to access the room when needed, requiring emergency responders to force the door.
19 CSR 30-86.032(2) Substantially Constructed & Maintained: Surveyor found the facility failed to maintain the building in good repair, with resident room 101 door showing gouges, punctures and other damage and the door in disrepair over multiple days of observation.
19 CSR 30-86.032(3)(A) Additional Businesses-Requires DHSS Approval: Surveyor found the facility operated a salon/therapy business on the property without an approved second business license from DHSS and had not obtained required approval.
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: Surveyor found the facility failed to develop individualized service plans (ISPs) with needed interventions and preferences for multiple residents, with ISPs lacking specific interventions for falls and other needs for four of six sampled residents.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Surveyor found the facility failed to provide proper care per individualized service plans for sampled residents (for example, Resident #6 required assistance with transfers and routine checks that were not consistently provided).
19 CSR 30-86.047(46) Safe & Effective Medication System: Surveyor found the facility failed to ensure a safe and effective medication system for one sampled resident (Resident #5), with missing documentation of administration of Levothyroxine on multiple dates.
19 CSR 30-86.047(65) Safe Transfers Training Requirements: Surveyor found the facility failed to ensure all staff were properly trained and competent in safe transferring techniques; observations and interviews showed inconsistent training, variable use of gait belts, and staff not following expected transfer procedures.
19 CSR 30-88.010(29) Dignity/Privacy: Surveyor found staff failed to treat a resident with consideration and dignity during care, including video-observed instances where a resident was exposed and staff continued care after the resident said 'no' or 'leave me alone.'
19 CSR 30-86.047(47)(A) Physicians Orders Followed: Surveyor found the facility failed to follow physician orders for one sampled resident (Resident #8) with a sacral wound, including treatments and dressing changes not completed or documented on the ordered dates.
Report Facts
residents sampled: 6
Inspection Report — Apr 3, 2024
Routine
Date: Apr 3, 2024
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
Five Missouri state licensure deficiencies were cited concerning fire alarm testing and fault correction, non-compliant trash cans, use of a space heater, and unapproved multi-plug adapters.
Deficiencies (5)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: Based on record review and interview on April 3, 2024, the facility failed to insure the complete fire alarm system was tested and maintained in accordance with NFPA 72, 1999 edition; no semi-annual inspection documentation was available and the deficiency affected 65 of 65 residents.
19 CSR 30-86.022(9)(G) Fire Alarm System-Correct Faults: Based on observation and interview on April 3, 2024, the facility failed to correct faults of the fire alarm system; the panel showed trouble signals and a communication problem, affecting 65 of 65 residents.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: Based on observation and interview on April 3, 2024, the facility failed to ensure all trash cans were metal, UL or FM-fire-resistant rated and non-compliant trash cans were observed in multiple resident rooms, affecting 65 of 65 residents.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable: Based on observation and interview on April 3, 2024, the facility failed to ensure no space heaters of any kind were used; a space heater with a ceramic heating element was observed in resident room 213 and the deficiency could affect 65 of 65 residents.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles: Based on observation and interview, the facility failed to supervise the use of unapproved multi-plug adapters and unapproved adapters were observed in multiple resident rooms, affecting 65 of 65 residents.
Report Facts
residents affected: 65
Inspection Report — Dec 12, 2023
Routine
Date: Dec 12, 2023
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
One Missouri State Form deficiency was cited for Protective Oversight concerning failure to promptly remove an alleged perpetrator after staff witnessed abuse and failure to provide timely nursing evaluation after a resident fall.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: Based on interview and record review, the facility failed to provide protective oversight when it did not promptly remove an alleged perpetrator after an employee witnessed the alleged perpetrator abuse a resident. The facility also failed to provide protective oversight for a resident who fell and was helped up before a nurse evaluation was conducted.
Report Facts
sampled residents: 2
reviewed residents: 2
Inspection Report — Nov 14, 2023
Routine
Date: Nov 14, 2023
Visit Reason
Missouri Department of Health and Senior Services state licensure survey (State Form); the survey type is not stated.
Findings
Six state deficiencies were cited addressing emergency evacuation planning, area of refuge signage/diagrams, tuberculosis screening for residents and staff, missing physician statements in personnel records, use of approved community based assessment forms, and required notice/posting for electronic monitoring devices.
Deficiencies (6)
19 CSR 30-86.045(3)(A)(6)(C) Individual Evacuation Plan - Evaluate: Based on observation, interview and record review, the facility failed to develop individualized evacuation plans which included assigned staff, resident response to alarms and fire drills, and location/proximity to exits for five of eight sampled residents.
19 CSR 30-86.022(7)(D)(1 - 8) Area of Refuge Requirements: Based on observation and interview, the facility failed to ensure required signage at the entrance to the Area of Refuge and failed to post a diagram at the bottom of exit stairwells showing locations of areas of refuge for multiple areas, affecting all areas of refuge observed.
19 CSR 30-86.047(19) TB Screen Residents & Staff: Based on interview and record review, the facility failed to ensure required TB screening was completed for residents and failed to ensure required two-step TB testing and annual screening documentation for multiple employees.
19 CSR 30-86.047(20)(I) Personnel Record-physician statement, employ: Based on interview and record review, the facility failed to maintain a written statement signed by a licensed physician or physician's designee indicating the person could work in a long-term care facility for six of seven sampled employees.
19 CSR 30-86.047(28)(F)(3) Community Based Assessment - Other Form: Based on interview and record review, the facility failed to use the DHSS community based assessment (CBA) form or an approved alternate CBA form for seven of eight sampled residents.
19 CSR 30-91.010 (8)(A) Notice-posting facility sign: This STANDARD is not met as evidenced by: Based on observation and interview, the facility failed to post a notice at the facility entrance informing visitors that electronic monitoring devices were in use for two days of observation.
Report Facts
residents affected: 5
areas of refuge affected: 6
residents lacking TB screening: 2
employees lacking two-step TB prior to hire: 7
employees lacking physician statement: 6
residents with unapproved CBA forms: 7
days observation of missing entrance notice: 2
Inspection Report — Nov 30, 2022
Routine
Date: Nov 30, 2022
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
1 state deficiency cited concerning failure to update individualized service plans after changes of condition, affecting care planning for sampled residents.
Deficiencies (1)
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on observation, interview and record review, the facility failed to ensure proper care as defined in residents' individualized service plans when the ISP was not updated after changes of condition for three of six sampled residents (Residents #2, #3 and #4).
Report Facts
residents affected: 3
residents sampled: 6
Inspection Report — Dec 20, 2021
Routine
Date: Dec 20, 2021
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
1 state deficiency for smoke section partitions: smoke doors failed to self-close and latch when released from electromagnetic hold-open devices, compromising smoke partition protection and fire safety.
Deficiencies (1)
19 CSR 30-86.022(10)(1) Smoke Section Partitions > than 20 beds Protection from Hazards: The facility failed to ensure doors in a smoke partition were self-closing; multiple smoke doors did not close and latch when released from their electromagnetic hold-open devices, allowing potential spread of smoke and toxic gases.
Report Facts
residents potentially affected: 67
Inspection Report — May 28, 2019
Complaint Investigation
Date: May 28, 2019
Visit Reason
Missouri state licensure survey (State Form); complaint investigation citing complaint numbers MO00158041 and MO00158137.
Findings
One state licensure deficiency for protective oversight related to a resident with dementia who exited the facility and staff failed to respond to the Wanderguard exit alert.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: Based on observation, interview and record review, the facility failed to provide protective oversight for one sampled resident (Resident #1) with dementia who exited the facility; staff failed to respond to the Wanderguard alert and the resident exited and later returned through the front door.
Report Facts
residents sampled: 1
Inspection Report — Apr 18, 2019
Routine
Date: Apr 18, 2019
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
1 state deficiency citing failure of protective oversight and elopement prevention related to removal of a wander guard bracelet and staff failure to replace it. The deficiency is Class II.
Deficiencies (1)
19 CSR 30-86.047(36) Protective Oversight: Based on observation, interview and record review, the facility failed to provide protective oversight for one of two sampled residents with dementia when a family member removed the resident's wander guard bracelet and staff failed to ensure it was replaced, resulting in the resident exiting through a delayed egress door and later returning unobserved.
Report Facts
residents_sampled: 2
residents_affected: 1
Inspection Report — Jan 8, 2019
Routine
Date: Jan 8, 2019
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
4 Missouri state licensure deficiencies were cited concerning fire safety: fire extinguisher maintenance, range hood certification, fire alarm system testing/maintenance, and use of portable heaters.
Deficiencies (4)
19 CSR 30-86.022(3)(D) Fire Extinguishers UL/FM, Maintain/Check: Based on observation, review and interview, the facility failed to ensure fire extinguishers were maintained in accordance with NFPA 10; several extinguishers had outdated service tags.
19 CSR 30-86.022(4)(C) Range.Hood Certification: Based on observation and interview, the facility failed to ensure the range hood extinguishing system was certified at least twice annually; the certification was out of date.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: Based on record review and interview, the facility failed to test and maintain the fire alarm system per NFPA 72; records lacked documentation of required semi-annual visual and functional testing.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable: Based on observation and interview, the facility failed to prohibit portable heaters; a portable electric heater was observed in use in the administrator's office.
Report Facts
residents affected: 28
Inspection Report — Oct 15, 2018
Routine
Date: Oct 15, 2018
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
6 state licensure deficiencies were cited covering fire drill recordkeeping, individualized service plans (development and required signatures), proper care per individualized service plans, medication storage/accessibility, and the facility's safe and effective medication system.
Deficiencies (6)
19 CSR 30-86.022(5)(E) Fire Drill Records: Based on interview and record review, the facility failed to ensure fire drills were appropriately documented; facility records showed no documentation of fire drills and staff reported drills had been done but not documented.
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: Based on interview and record review, the facility failed to develop individualized service plans that included resident needs, preferences and services for two of five sampled residents; ISPs did not address bathing preferences, bathroom assistance, wandering and fall-risk interventions.
19 CSR 30-86.047(28)(I) Individual Service Plan - Signatures: Based on interview and record review, the facility failed to ensure individualized service plans included signatures of an authorized facility representative and the resident or the resident's legal representative for two of five sampled residents.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on observation, interview and record review, the facility failed to provide proper care per a resident's individualized service plan when staff allowed a resident to keep medications in his/her apartment without appropriate assessment or physician authorization for one of five sampled residents.
19 CSR 30-86.047(41) Medication Storage/Accessibility: Based on observation, interview and record review, the facility failed to ensure resident-held medication was stored behind at least one locked door or cabinet for one of five sampled residents; unlocked resident apartment door and medications were observed.
19 CSR 30-86.047(46) Safe & Effective Medication System: Based on observation, interview and record review, the facility failed to ensure a safe and effective medication system when staff left medication in a resident's room without ensuring the resident took the medication before the staff person left, for one of five sampled residents.
Report Facts
number of fire drills referenced: 6
residents sampled: 5
residents affected (ISP development): 2
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