Inspection Reports for
The Boulevard Senior Living of Saint Peters

19 CSR 30-86.047(47)(A) Physicians Orders Followed: Based on interview and record review, the facility failed to follow physician's orders for one resident with a history of blood clots when staff failed to obtain and administer Eliquis from the pharmacy for three days and the medication was documented as not available on multiple dates.

19 CSR 30-86.047(46) Safe & Effective Medication System: Based on interview and record review, the facility failed to ensure a safe and effective system of medication administration for two residents and in a review of seven sampled residents; discontinued medications were not removed from the medication administration record and medications brought from home were stored unsecured and administered without proper physician orders.

19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS: Based on observation and interview, food was not protected from potential contamination with multiple uncovered/unlabeled potentially hazardous items observed in the walk-in refrigerator and freezer.

19 CSR 30-87.030(34) Food-120 Degrees/Above, 45 Degrees/Below: Based on observation and interview, the facility failed to ensure hot food was held/served at safe temperatures at time of service; cooked shredded chicken served to memory care residents was documented at 108 degrees Fahrenheit, below the required 120F.

19 CSR 30-87.030(64) Grills/Griddles/Microwaves/Other-Clean Daily: Based on observation and interview, food-contact surfaces of grills/griddles had encrusted grease and food debris and were not kept free of accumulated soil, presenting potential impact to residents.

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 seven sampled residents; no personal inventory forms were completed in the reviewed charts.

19 CSR 30-88.010(29) Dignity/Privacy: Based on interview and record review, the facility failed to ensure staff treated three residents with dignity and respect. Staff were reported to be rough, rude, impatient and yelled at residents during care; staff pushed and threw a resident into a chair, pushed a resident into a wall, applied a gait belt very tightly and yanked the resident, slammed a resident back down to the toilet, spoke in a demeaning manner, and at times refused or delayed toileting assistance.