Inspection Reports for
The Boulevard Senior Living of Wentzville

19 CSR 30-86.045(3)(A)(6)(B) Individual Evacuation Plan- Interventions: Based on observation, interview, and record review, the facility failed to ensure individualized evacuation plans included required interventions for residents needing two-staff assistance, affecting 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 residents' individualized evacuation plans readily available to staff for three residents out of 12 sampled.

19 CSR 30-86.047(35) Protective Oversight: Based on interview and record review, the facility failed to provide protective oversight and prevent an elopement and failed to respond appropriately to a door alarm for one resident.

19 CSR 30-86.047(47)(B) Physicians Orders Requirements: The facility failed to ensure physician orders were signed/renewed at least every three months, with several residents' orders not signed within the required timeframe.

19 CSR 30-87.020(31) Kitchen Waste Containers Covered: Observations found trash cans in food preparation and utensil-washing areas without lids and uncovered containers in the immediate kitchen area.

19 CSR 30-87.030(14) Food-Clean Containers, Storage, Covers: The facility failed to ensure food was stored in clean, covered containers; uncovered bags and trays were observed in the freezer and walk-in refrigerator.

19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: The facility failed to ensure nonfood-contact surfaces in the kitchen were kept clean, with observed crumbs, spills, and buildup on equipment and floors.

19 CSR 30-86.022(9)(G) Fire Alarm System-Correct Faults: Based on observation and interview, the facility failed to correct a fault with the complete fire alarm system which affected fifty-three of fifty-three residents. Observation showed the fire alarm panel with three trouble signals and a smoke alarm in room #119 did not function; the facility had contacted a contractor for repair.

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 and had no documentation of an annual fire alarm system inspection; the last annual inspection was 10-8-2021.

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 and had multiple trouble signals; the facility implemented a fire watch, contacted Johnson Controls and other vendors, ordered parts and planned to install a new panel.

19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert.: Based on record review and interview, the facility failed to maintain the sprinkler system inspection on an annual basis; the last annual sprinkler inspection was completed 11-12-2021 and the inspection was past due.

19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: The facility failed to ensure Resident #3 (one of four sampled residents) received proper care to address multiple falls and did not modify the resident's Individual Service Plan as necessary to address fall prevention. Record and nurse note review showed multiple falls between December 2019 and January 2020 with missing investigation and ISP updates, and the resident later sustained a fractured hip.

19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds Protection from Hazards: Based on observation and interview during the fire safety portion of the licensure inspection the facility failed to maintain fire-rated doors in the smoke partitions; doors were observed dragging on the floor and remaining partially open.

19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements Trash and Rubbish Disposal: Based on observation and interview during the fire safety portion of the licensure inspection the facility failed to ensure trash cans were metal or UL/FM fire-resistant; plastic wastebaskets were observed in multiple resident rooms and the salon.