Inspection Reports for
The Boulevard Senior Living of Wentzville

110 Perry Cate Blvd, Wentzville, MO 63385, United States, MO, 63385

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 2.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% better than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2020
2022
2023
2024

Occupancy

Latest occupancy rate 92% occupied

Based on a March 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

72% 81% 90% 99% 108% Dec 2019 Jan 2020 Dec 2022 Nov 2023 Mar 2024

Inspection Report

Plan of Correction
Census: 57 Deficiencies: 7 Date: Mar 27, 2024

Visit Reason
The inspection was conducted to identify deficiencies related to resident evacuation plans, protective oversight, physician's orders, and kitchen sanitation at Boulevard Senior Living of Wentzville.

Findings
The facility failed to ensure individualized evacuation plans included necessary interventions, protective oversight was provided 24/7, physician's orders were properly signed, and kitchen waste containers were covered. Multiple residents' evacuation plans and protective oversight measures were found deficient.

Deficiencies (7)
19 CSR 30-86.045(3)(A)(6)(B) Individual Evacuation Plan - Interventions: The facility failed to ensure the individual evacuation plan included the intervention when two staff were needed to ensure the safety of three residents out of 12 sampled.
19 CSR 30-86.045(3)(A)(9) Resident Evacuation Plan - Readily Available: The facility failed to have a copy of the resident's individualized evacuation plan readily available to all staff for three residents out of 12 sampled.
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide protective oversight for one resident, failing to prevent elopement and respond to a door alarm. The facility census was 57.
19 CSR 30-86.047(47)(B) Physicians Orders Requirements: The facility failed to ensure physician's orders were signed at least every three months for three residents out of 12 sampled.
19 CSR 30-87.020(31) Kitchen Waste Containers Covered: The facility failed to ensure waste containers used in food-preparation and utensil-washing areas were kept covered when not in actual use. The facility census was 57.
19 CSR 30-87.030(14) Food-Clean Containers, Storage, Covers: The facility failed to ensure food was stored in a clean covered container in the kitchen and freezer areas. The facility census was 57.
19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: The facility failed to ensure non-food contact surfaces of equipment were cleaned as often as necessary to keep equipment free of accumulation of dust, dirt, food particles, and other debris. The facility census was 57.
Report Facts
Facility census: 57 Residents sampled: 12

Inspection Report

Plan of Correction
Census: 53 Deficiencies: 1 Date: Nov 28, 2023

Visit Reason
The inspection was conducted to identify deficiencies related to the facility's fire alarm system and to document the plan of correction for the identified issues.

Findings
The facility failed to correct a fault with the complete fire alarm system, evidenced by three trouble signals on the panel. The fire alarm system was not functioning properly, and repairs were scheduled to be completed by 11-30-2023.

Deficiencies (1)
19 CSR 30-86.022(9)(G) Fire Alarm System-Correct Faults. The facility failed to correct a fault with the complete fire alarm system, showing three trouble signals on the panel and a non-functioning smoke alarm in room #119.
Report Facts
Facility census: 53

Inspection Report

Plan of Correction
Census: 62 Deficiencies: 3 Date: Dec 14, 2022

Visit Reason
The inspection was conducted to assess compliance with fire alarm and sprinkler system regulations, including testing, maintenance, and inspections of fire safety systems.

Findings
The facility failed to test and maintain the complete fire alarm system and failed to maintain the sprinkler system inspection as required. Multiple deficiencies related to fire alarm faults and overdue sprinkler inspections were identified, affecting all 62 residents.

Deficiencies (3)
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. The last annual fire alarm inspection was not completed.
19 CSR 30-86.022(9)(G) Fire Alarm System-Correct Faults: The facility failed to correct faults with the fire alarm system, which had 24 trouble signals and was under a fire watch since 9-11-2022.
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert.: The facility failed to maintain the sprinkler system inspection in accordance with NFPA 25, 1998 edition. The annual inspection was past due as of 12-14-2022.
Report Facts
Facility census: 62 Trouble signals on fire alarm panel: 24

Inspection Report

Plan of Correction
Census: 49 Deficiencies: 1 Date: Jan 30, 2020

Visit Reason
The inspection was conducted to assess compliance with proper care standards related to the individualized service plan, specifically addressing fall prevention for a resident.

Findings
The facility failed to ensure one resident received proper care to address multiple falls and did not modify the resident's Individual Service Plan accordingly. Documentation and interventions related to the resident's falls were incomplete or missing.

Deficiencies (1)
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan. The facility failed to modify the resident's Individual Service Plan to address fall prevention after multiple falls. Documentation of falls and interventions was incomplete or missing.
Report Facts
Facility census: 49

Inspection Report

Plan of Correction
Census: 48 Deficiencies: 2 Date: Dec 12, 2019

Visit Reason
The inspection was conducted as part of the licensure inspection focusing on fire safety and compliance with regulations regarding smoke partitions and wastebasket fire resistance.

Findings
The facility failed to maintain fire-rated doors in smoke partitions and used non-compliant wastebaskets in resident rooms. Corrective actions were planned and documented to address these deficiencies.

Deficiencies (2)
19 CSR 30-86.022(10)(l) Smoke Section Partitions > than 20 beds: The facility failed to maintain fire-rated doors in smoke partitions, with doors not closing completely and dragging on the floor.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure all trash cans were metal or UL- or FM-fire-resistant, with plastic wastebaskets observed in multiple resident rooms and common areas.
Report Facts
Residents affected: 48

Employees mentioned
NameTitleContext
Cindy EmchExecutive DirectorSigned the plan of correction document

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