Inspection Reports for
Lake St Charles Assisted Living Apartments
45 HONEY LOCUST LN, SAINT CHARLES, MO, 63303-5711
Back to Facility Profile4 Reports
Inspection Report — Feb 2, 2023
Routine
Date: Feb 2, 2023
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
One Missouri state licensure deficiency regarding failure to reconcile Schedule II controlled substance inventories each shift and missing staff sign-offs on Controlled Substance Shift Change Count logs.
Deficiencies (1)
19 CSR 30-86.047(5)(A)(1) Schedule II Meds-Reconcile Each Shift, Record: Based on record review and interview, the facility failed to ensure inventories of Schedule II controlled substances were reconciled each shift when staff failed to sign the Controlled Substance Shift Change Count log for four of seven sampled residents over a three-month period.
Report Facts
residents with missed signatures: 4
residents sampled: 7
Inspection Report — Dec 16, 2021
Routine
Date: Dec 16, 2021
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
One Missouri state licensure deficiency was cited regarding failure to perform required fire alarm testing and maintenance.
Deficiencies (1)
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 complete fire alarm system in accordance with NFPA 72; records showed no semi-annual fire alarm inspection and the last annual inspection was 2/4/2021.
Report Facts
residents affected: 21
Inspection Report — Jan 13, 2020
Routine
Date: Jan 13, 2020
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
1 Missouri state deficiency for failure to correct a fault in the facility's fire alarm system; a trouble signal on the fire alarm panel was observed and the panel was reported obsolete and in need of replacement.
Deficiencies (1)
19 CSR 30-86.022(9)(G) Fire Alarm System-Correct Faults: During the fire safety licensure inspection the facility failed to correct the fault with the fire alarm system; a trouble signal was observed on the fire alarm panel and maintenance stated the panel is obsolete and must be replaced. The facility census was 24 and this affected 24 residents.
Report Facts
residents affected: 24
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
Two Missouri state licensure deficiencies were cited, concerning fire alarm system testing/maintenance and battery-powered emergency lighting.
Deficiencies (2)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: Based on record review and interview during the fire safety portion of the licensure inspection, the facility failed to test and maintain the complete fire alarm system and did not have the required semi-annual fire system inspection. Records showed no semi-annual inspection had been conducted and staff stated they did not perform semi-annual inspections.
19 CSR 30-86.022(12)(C) Emergency Lighting -Battery Powered, 1.5 hrs: Based on observation and interview during the fire safety portion of the licensure inspection, the facility failed to ensure emergency lighting operated for the required 1.5 hours on battery power. An emergency/exit light located above the exit door by resident room 401 did not illuminate when tested and staff said they would repair or replace it.
Report Facts
residents affected: 24
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