Deficiencies (last 6 years)
Deficiencies (over 6 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
92% occupied
Based on a May 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 83
Deficiencies: 1
Date: May 27, 2025
Visit Reason
The inspection was conducted to review compliance with electrical wiring maintenance regulations and to verify if the facility had the required inspections done every two years by a qualified electrician.
Findings
The facility failed to ensure that the electric wiring was inspected every two years as required. The last electrical inspection was done on February 3, 2023, which did not meet the biennial inspection requirement.
Deficiencies (1)
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have the electric wiring inspected every two years by a qualified electrician as required. The last inspection was on February 3, 2023.
Report Facts
Facility census: 83
Inspection Report
Complaint Investigation
Census: 84
Deficiencies: 3
Date: Oct 11, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to individual service plan development, infection control procedures, and abuse and neglect policies at Sunrise of Webster Groves assisted living facility.
Complaint Details
The complaint investigation substantiated failures in individualized service plan documentation, infection control related to COVID-19, and abuse and neglect policy adherence. Resident #1 and #4 behaviors were not properly documented or managed, and an alleged abuse incident involving Resident #1 was not reported timely. The facility was found deficient in these areas.
Findings
The facility failed to ensure individualized service plans documented all resident behaviors and interventions, failed to follow appropriate infection control procedures related to COVID-19, and failed to follow abuse and neglect policies when an alleged incident occurred. Multiple residents exhibited inappropriate behaviors that were not properly addressed or documented.
Deficiencies (3)
19 CSR 30-86.047(28)(G) Individual Service Plan Develop: The facility failed to ensure all behaviors, interventions, and preventions were documented in residents' individualized service plans, including verbal aggression and inappropriate behaviors of sampled residents.
19 CSR 30-86.047(34)(A) Disease/Infection Control, Report Category I: The facility failed to follow infection control procedures when COVID-19 positive residents were allowed to sit next to uninfected residents and staff failed to wear masks as posted.
19 CSR 30-88.010(23) Develop/Implement A/N Policies: The facility failed to follow abuse and neglect policy when an alleged incident of abuse occurred and employees did not immediately report the incident to administration, allowing the alleged perpetrator continued contact with residents.
Report Facts
Resident census: 84
COVID-19 positive residents: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Gee | Administrator | Named as Sunrise Representative signing the Plan of Correction |
| CM C | Care Manager involved in resident behavior interviews and cited in findings | |
| CM A | Care Manager involved in resident behavior interviews and cited in findings | |
| CM F | Care Manager involved in resident behavior interviews and cited in findings | |
| CM G | Care Manager involved in resident behavior interviews and cited in findings | |
| WN | Wellness Nurse | Interviewed regarding resident behaviors and medical orders |
| Senior Executive Director | Interviewed regarding resident behaviors and staff training | |
| Memory Care Director | Interviewed regarding resident behaviors and staff training |
Inspection Report
Plan of Correction
Census: 53
Deficiencies: 2
Date: Jul 6, 2023
Visit Reason
The document is a statement of deficiencies issued following an inspection on July 6, 2023, identifying regulatory violations related to facility safety and equipment.
Findings
The facility failed to ensure all trash cans were metal or fire-resistant and failed to supervise the use of unapproved multi-plug adapters. Observations showed plastic trash cans and unapproved electrical devices in resident rooms.
Deficiencies (2)
19 CSR 30-86.022(15)(A) Trash and Rubbish Disposal regulation was not met. The facility used plastic trash cans instead of metal or fire-resistant rated wastebaskets, affecting all 53 residents.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles regulation was not met. The facility failed to supervise the use of unapproved multi-plug adapters and piggy-backed surge protectors in resident rooms and electrical rooms, affecting all 53 residents.
Report Facts
Residents affected: 53
Inspection Report
Annual Inspection
Census: 62
Deficiencies: 6
Date: Apr 2, 2021
Visit Reason
The inspection was conducted as an annual survey of Sunrise of Webster Groves assisted living facility to assess compliance with state regulations including community based assessments, individual service plans, medication storage, staffing, toxic material storage, and abuse prevention policies.
Findings
The facility was found deficient in completing semi-annual community based assessments and obtaining signatures on individual service plans for residents. Medication carts were not always secured, staffing was inadequate during a resident fall incident, toxic materials were not properly stored, and the facility failed to follow abuse and neglect policies. Several residents experienced incidents of aggression and staff failed to properly investigate and manage these events.
Deficiencies (6)
19 CSR 30-86.047(28)(F)(1)(B) Community Based Assessment - Semi-Annually: The facility failed to complete semi-annual community based assessments for three of eight sampled residents. The census was 62.
19 CSR 30-86.047(28)(I) Individual Service Plan - Signatures: The facility failed to ensure resident individual service plans included signatures from facility staff, residents, or legal representatives for three of eight sampled residents. The census was 62.
19 CSR 30-86.047(41) Medication Storage/Accessibility: The facility failed to ensure medications were kept in a secured location behind at least one locked door and not accessible to residents for two days of observation. The census was 62.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety: The facility failed to ensure adequate personnel were available when a resident fell during the night shift and staff needed to call emergency medical services. The census was 62.
19 CSR 30-87.020(5) Toxic Material Storage: The facility failed to ensure poisonous or toxic materials were kept locked or stored in a place not accessible to residents for two days of observation. The census was 62.
19 CSR 30-88.010(23) Develop/Implement A/N Policies: The facility failed to follow abuse and neglect policies when an alleged incident of abuse occurred and employees were allowed to continue contact with residents for two of eight sampled residents. The census was 62.
Report Facts
Census: 62
Deficiencies cited: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Blowers | Executive Director | Named in plan of correction and interview regarding medication cart security and staffing |
| Care Manager M | Interviewed regarding resident fall and staffing during night shift | |
| Licensed Practical Nurse/Medication Care Manager J | LPN/MCM | Interviewed about medication cart security and medication administration |
| Maintenance person G | Witnessed resident altercation and reported incident | |
| Care Manager L | Involved in resident altercation and investigation | |
| Care Manager D | Involved in resident altercation and investigation | |
| Activities Assistant H | Interviewed about chemical storage | |
| Medication Care Manager F | Interviewed about resident behavior and medication cart | |
| Regional Director of Operations | RDO | Interviewed regarding staffing and incident investigations |
Inspection Report
Complaint Investigation
Census: 72
Deficiencies: 4
Date: Sep 27, 2019
Visit Reason
The inspection was conducted due to a complaint investigation regarding proper care per individual service plans, resident dignity and privacy, and staffing adequacy at Sunrise of Webster Groves assisted living facility.
Complaint Details
The complaint investigation substantiated that the facility failed to provide proper individualized care, maintain adequate documentation, ensure sufficient staffing, and respect resident dignity during transfers. Specific incidents included residents being left in bed for long periods, inadequate assistance with transfers, and a resident left suspended in a Hoyer lift without proper covering.
Findings
The facility failed to ensure residents' individualized service plans were updated and followed, resulting in inadequate assistance with transfers and toileting. The facility also failed to maintain proper documentation of therapy services, ensure adequate staffing to respond to call lights, and provide dignity and privacy during resident transfers.
Deficiencies (4)
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: The facility failed to update individualized service plans and provide proper assistance with transfers and toileting for two of three sampled residents.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: The facility failed to maintain a record of services provided by an outside provider for one of three sampled residents.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety: The facility failed to ensure adequate staffing to answer call lights and provide timely care for two of three sampled residents.
19 CSR 30-88.010(29) Dignity/Privacy: The facility failed to treat a resident with dignity and respect during transfers using a Hoyer lift, leaving the resident naked and in the air for an unknown amount of time.
Report Facts
Resident census: 72
Deficiency count: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sue Huffman | Executive Director | Signed the Statement of Deficiencies and Plan of Correction |
| Care manager C | Named in findings related to resident transfers and dignity violations | |
| Care manager D | Named in findings related to resident transfers and dignity violations | |
| Wellness nurse E | Interviewed regarding therapy notes and resident care |
Inspection Report
Plan of Correction
Census: 74
Deficiencies: 4
Date: Apr 15, 2019
Visit Reason
The inspection was conducted to assess compliance with infection control, proper care per individualized service plan, safe and effective medication system, and physician orders followed at Sunrise of Webster Groves.
Findings
The facility failed to ensure staff utilized acceptable infection control measures, provide proper care per individualized service plans for residents, ensure safe medication administration, and follow physician orders for weekly weights. Deficiencies were observed in hand hygiene, wound care, medication administration, and documentation.
Deficiencies (4)
19 CSR 30-86.047(34)(A) Disease/Infection Control Report Category 1: The facility failed to ensure staff utilized acceptable infection control measures and changed gloves and sanitized hands during care for residents #1 and #2.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: The facility failed to provide proper care per residents' individualized service plans when staff failed to address wounds for residents #1 and #2.
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to ensure all individuals administering medication were properly trained and failed to ensure medication was administered by a qualified person for resident #9.
19 CSR 30-86.047(47)(A) Physicians Orders Followed: The facility failed to follow physician's orders requiring weekly weights for resident #7.
Report Facts
Census: 74
Deficiencies cited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Suzanne Huffman | Sunrise Representative | Signed the Plan of Correction |
| Lead Care Manager D | Named in medication administration deficiency and interview regarding suppository administration |
Inspection Report
Life Safety
Census: 75
Deficiencies: 1
Date: Apr 9, 2019
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with regulations regarding the use of metal, UL, or FM fire-resistant rated wastebaskets in the facility.
Findings
The facility failed to ensure that all wastebaskets were metal, UL, or FM fire-resistant rated. Non-compliant wastebaskets were observed in multiple resident rooms and common areas.
Deficiencies (1)
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure all wastebaskets were metal, UL, or FM fire-resistant rated as required. Non-compliant wastebaskets were found in numerous resident rooms and the 3rd floor living room.
Report Facts
Resident census: 75
Inspection Report
Plan of Correction
Census: 79
Deficiencies: 1
Date: Jun 19, 2018
Visit Reason
The inspection was conducted to assess compliance with proper care per individualized service plans, specifically related to a resident who was at fall risk and had pain management needs.
Findings
The facility failed to provide proper care per the individualized service plan for a resident at fall risk, resulting in pain and injury that was not promptly addressed. Staff did not adequately assess or communicate the resident's pain and injury, delaying necessary medical evaluation and treatment.
Deficiencies (1)
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan. The facility failed to provide proper care per the resident's individualized service plan for residents at fall risk, including failure to assess and manage pain and injury appropriately.
Report Facts
Resident census: 79
Inspection Report
Plan of Correction
Census: 75
Deficiencies: 2
Date: Mar 30, 2018
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Sunrise of Webster Groves, related to regulatory compliance for an assisted living facility. The visit was conducted to identify deficiencies in individualized service plans and medication administration.
Findings
The facility failed to ensure individualized service plans were updated to address residents' needs and preferences. The facility also failed to provide a safe and effective medication system, including proper medication administration and documentation for five sampled residents.
Deficiencies (2)
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop. The facility failed to ensure individualized service plans were updated to address residents' needs, services to be provided, and preferences for five of eight sampled residents.
19 CSR 30-86.047(46) Safe & Effective Medication System. The facility failed to provide a safe and effective medication system, including failure to administer medications as ordered and failure to utilize proper techniques for medication administration for five sampled residents.
Report Facts
Census: 75
Residents sampled: 8
Residents sampled: 5
Medication administration staff age: 18
Licensed nurse hours: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laurie Jeffries | Executive Director | Signed the Statement of Deficiencies and Plan of Correction |
| Director of Nursing | Interviewed regarding medication administration and individualized service plans | |
| Director of Memory Care | Interviewed regarding individualized service plans | |
| Certified Medication Technician C | Observed administering medications and interviewed regarding medication errors | |
| Certified Medication Technician D | Observed administering medications and interviewed regarding medication errors |
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