Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
67% occupied
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 51
Deficiencies: 3
Date: Dec 9, 2025
Visit Reason
The inspection was conducted to assess compliance with fire safety and oxygen storage regulations at Cedarhurst of Des Peres.
Findings
The facility failed to maintain unobstructed remote exits, used non-metal or non-fire-resistant wastebaskets in multiple locations, and improperly stored oxygen cylinders unsecured. These deficiencies affected all 51 residents.
Deficiencies (3)
19 CSR 30-86.022(7)(A) Exits-2 per Floor-Remote/Unobstructed: The facility failed to maintain at least two unobstructed exits remote from each other on each floor. The exit door at the base of the stairs on Willow wing was sticking and required excessive force to open.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility used non-metal or non-fire-resistant wastebaskets in multiple rooms and public areas, violating fire safety requirements.
19 CSR 30-86.022(17) Oxygen Storage Requirements: The facility failed to store portable oxygen cylinders in accordance with NFPA 99, 1999 Edition. Four oxygen cylinders were unsecured and not stored in an approved rack or secured by chain or band.
Report Facts
Facility census: 51
Deficiencies cited: 3
Inspection Report
Plan of Correction
Census: 48
Deficiencies: 8
Date: Apr 28, 2025
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction following a survey conducted on 04/28/2025 at Cedarhurst of Des Peres, addressing regulatory compliance issues identified during the inspection.
Findings
The facility failed to post required signage for the Area of Refuge, provide proper care per individualized service plans, notify physicians timely, maintain accurate resident records, ensure safe medication administration, and enforce proper hygiene and hair restraint protocols among staff. Multiple Class II deficiencies were cited related to resident care and safety.
Deficiencies (8)
19 CSR 30-86.022(7)(D)(1-8) Area of Refuge Requirements. The facility failed to post signs stating 'AREA OF REFUGE IN CASE OF FIRE' with the international symbol of accessibility at two refuge areas.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan. The facility failed to provide proper care for a resident on a pureed diet, resulting in the resident eating regular pizza and aspirating, leading to hospitalization.
19 CSR 30-86.047(37) Appropriate Action & Notification. The facility failed to notify the resident's physician timely when the resident was hospitalized for shortness of breath.
19 CSR 30-86.047(46) Safe & Effective Medication System. The facility failed to provide a safe medication system when a Level One Medication Aide did not hold the inner canthus while administering eye drops to a resident.
19 CSR 30-86.047(47)(A) Physicians Orders Followed. The facility failed to follow physician's orders regarding diet for a resident, serving regular oatmeal instead of pureed oatmeal.
19 CSR 30-86.047(58)(A) Resident Record Admission Info. The facility failed to maintain complete resident records including preferred dentist and funeral home information for four sampled residents.
19 CSR 30-87.030(2) Wash Hands/Arms & Clean Fingernails. The facility failed to ensure all staff washed hands and wore gloves when plating and serving food in the kitchen.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints. The facility failed to ensure proper use of hair restraints when an employee served food without a hairnet.
Report Facts
Census: 48
Inspection Report
Life Safety
Census: 54
Deficiencies: 1
Date: Jun 22, 2023
Visit Reason
The inspection was conducted to assess compliance with fire alarm system testing and maintenance requirements as per NFPA 72, 1999 edition.
Findings
The facility failed to ensure the complete fire alarm system was tested and maintained according to NFPA 72, 1999 edition. No semi-annual fire alarm system inspection had been completed as required, with the last annual inspection dated June 30, 2022.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. No semi-annual inspection was completed as required, and the last annual inspection was on June 30, 2022.
Report Facts
Facility census: 54
Inspection Report
Plan of Correction
Census: 44
Deficiencies: 1
Date: Aug 8, 2022
Visit Reason
The inspection was conducted to assess compliance with protective oversight regulations following an incident involving a resident attending a baseball game on 6/15/22 during high heat conditions.
Findings
The facility failed to provide 24-hour protective oversight for a resident who sustained a sunburn and subsequent injury after attending an outdoor activity in extreme heat. Staff did not adequately assess risks, apply sunscreen, or intervene appropriately to protect the resident from heat exposure.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide 24-hour protective oversight for a resident during an outdoor activity in 97-degree heat, resulting in sunburn and injury. Staff did not apply sunscreen or adequately monitor the resident's condition during the event.
Report Facts
Census: 44
Medication dosage: 100
Medication dosage: 40
Medication dosage: 0.005
Medication dosage: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Memory Care Activity Director | Interviewed regarding sunscreen application and resident monitoring | |
| Environmental Services Director | Observed resident condition during the ball game | |
| Activity Manager | Interviewed about decision-making for outing and resident seating | |
| Nurse | Interviewed about resident assessment and response to injury | |
| Caregiver E | Interviewed about resident history of falls and monitoring | |
| Physician | Interviewed about resident cognitive status and sun sensitivity | |
| Administrator | Interviewed about outing decisions and resident hydration |
Inspection Report
Plan of Correction
Census: 50
Deficiencies: 4
Date: Jul 14, 2022
Visit Reason
The inspection was conducted to identify deficiencies related to fire safety, kitchen hood extinguishing systems, area of refuge requirements, fire alarm system maintenance, and smoke section protections at Cedarhurst of Des Peres.
Findings
The facility failed to properly maintain the kitchen hood extinguishing system, ensure functional two-way communication in areas of refuge, maintain and test the fire alarm system semi-annually, and ensure smoke doors fully closed. These deficiencies potentially affected all 50 residents present during the inspection.
Deficiencies (4)
19 CSR 30-86.022(4)(C) Range Hood Certification: The facility failed to ensure the kitchen hood extinguishing system was properly cleaned and maintained as required by NFPA 96. Grease buildup was observed under the hood.
19 CSR 30-86.022(7)(D)(1-8) Area of Refuge Requirements: The facility failed to ensure a two-way communication or intercom system in areas of refuge was functioning properly, with multiple call boxes failing activation tests.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to ensure the complete fire alarm system was tested and maintained semi-annually as required. No semi-annual inspection had been conducted since January 2022.
19 CSR 30-86.022(10)(H) Smoke Sections: The facility failed to ensure automatic self-closing devices on smoke doors fully closed the doors on multiple attempts.
Report Facts
Facility census: 50
Deficiencies cited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Environmental Services | Interviewed regarding corrective actions and maintenance scheduling |
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