Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
80% occupied
Based on a August 2025 inspection.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 37
Deficiencies: 12
Date: Aug 28, 2025
Visit Reason
This document is a Plan of Correction submitted by Brookdale Creve Coeur following a state survey conducted on 08/28/2025. It addresses multiple deficiencies identified during the inspection.
Findings
The facility was found to have multiple deficiencies including improper storage of combustible materials, maintenance issues in resident rooms, lack of grab bars in bathrooms, medication storage and administration errors, staffing and fall safety concerns, unsafe transfer training, toxic material storage issues, and failure to post required notices. The census at the time was 37 residents.
Deficiencies (12)
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility failed to ensure no unnecessary combustibles were stored, risking resident safety.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain all parts of the building in good condition, including damaged doors and walls in resident rooms.
19 CSR 30-86.032(7) Handrails/Grab Bars in Toilet/Bath Areas. The facility failed to install grab bars in two of three bathroom stalls in the women's locker room.
19 CSR 30-86.047(41) Medication Storage/Accessibility. Medication carts were left unlocked and improperly stored, risking medication safety.
19 CSR 30-86.047(46) Safe & Effective Medication System. The facility failed to ensure safe medication administration, including improper inhaler use by a Certified Medication Technician.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety. The facility failed to ensure a nurse assessment after a resident fall, resulting in injury without proper evaluation.
19 CSR 30-86.047(65)(B) 1 hr transfer training, Annual-Licensed nurse. Staff failed to use gait belts during resident transfers, risking resident safety.
19 CSR 30-87.020(5) Toxic Material Storage. Chemicals and toxic materials were not stored securely or locked, accessible to residents.
19 CSR 30-87.020(10) Odors, Vapors, Fumes Vented to Outside. The facility failed to eliminate strong urine odor in the living room, causing discomfort.
19 CSR 30-87.020(13) Carpeting. The facility failed to maintain clean and good repair carpeting in common areas, including stains and raised carpet seams.
19 CSR 30-91.010 (8)(B) Notice-posting resident room sign. The facility failed to post required notices about electronic monitoring devices in resident rooms.
19 CSR 30-91.010 (9)(A)-(E) Installation-placement of EMD. The facility failed to mount electronic monitoring devices in fixed, stationary positions in resident rooms.
Report Facts
Census: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Greg Dundulis | Assisted Living Director | Signed the Plan of Correction document |
Inspection Report
Plan of Correction
Census: 34
Deficiencies: 2
Date: Jul 2, 2024
Visit Reason
The inspection was conducted to assess compliance with community based assessment timing and personal clothing/possessions inventory requirements in an assisted living facility.
Findings
The facility failed to complete community based assessments within five days of admission for sampled residents and did not maintain personal inventory lists for residents. Interviews revealed lack of awareness of these requirements by the Director of Nursing and Administrator.
Deficiencies (2)
19 CSR 30-86.047(28)(F)(1)(A) Community Based Assessment-Time Period, 5 day: The facility failed to complete community based assessments within five days of admission for two of three sampled residents. The census was 34.
19 CSR 30-88.010(36) Personal Clothing/Possessions: The facility failed to ensure personal inventory lists were completed for three sampled residents. The census was 34.
Report Facts
Census: 34
Deficiencies cited: 2
Inspection Report
Plan of Correction
Census: 38
Deficiencies: 2
Date: Oct 23, 2023
Visit Reason
The inspection was conducted to investigate deficiencies related to individualized service plans and physician's orders concerning a resident's alcohol consumption and medication management.
Findings
The facility failed to develop individualized service plans addressing a resident's alcoholism and consumption of alcohol, and failed to obtain clear physician's orders regarding the resident's de-alcoholized wine. The resident was found intoxicated with unclear medication orders and inadequate monitoring.
Deficiencies (2)
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop. The facility failed to develop individualized service plans addressing the resident's alcoholism and continued alcohol consumption. The resident's ISP did not specify monitoring or preferences related to de-alcoholized wine.
19 CSR 30-86.047(47)(A) Physicians Orders Followed. The facility failed to obtain a clear physician's order for a resident allowed to keep several bottles of de-alcoholized wine, and the order did not specify quantity or administration details.
Report Facts
Census: 38
Inspection Report
Plan of Correction
Census: 33
Deficiencies: 5
Date: Feb 14, 2023
Visit Reason
The inspection was conducted to identify deficiencies related to facility heating systems, employee hygiene practices, food protection, and kitchen cleanliness.
Findings
The facility failed to ensure portable heaters were not used, kitchen staff wore hair restraints, food and cookware were properly stored, and kitchen equipment was cleaned adequately. Multiple deficiencies were observed that had the potential to affect all residents.
Deficiencies (5)
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable: The facility failed to ensure portable space heaters were not used, posing a fire hazard. A space heater was found in the staff break room.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints: Kitchen staff failed to use hair restraints, risking contamination of food and food-contact surfaces.
19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS: The facility failed to ensure dinnerware and cookware were stored properly to prevent contamination.
19 CSR 30-87.030(64) Grills/Griddles/Microwaves/Other-Clean Daily: Food-contact surfaces of grills and panini maker were not cleaned adequately, risking contamination.
19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: Nonfood-contact surfaces of kitchen equipment were not cleaned properly, including stove, hot box, oven, steamer, and deep fryer.
Report Facts
Resident census: 33
Inspection Report
Plan of Correction
Census: 40
Deficiencies: 2
Date: Mar 6, 2019
Visit Reason
The inspection was conducted to assess compliance with fire safety regulations, specifically smoke section partitions and sprinkler system inspections, at Brookdale Creve Coeur.
Findings
The facility failed to ensure smoke partition doors were self-closing and did not have required fire sprinkler system inspections completed as per NFPA 25 standards. These deficiencies affected all 40 residents present during the inspection.
Deficiencies (2)
19 CSR 30-86.022(10)(l) Smoke Section Partitions > than 20 beds. The facility failed to ensure smoke partition doors were self-closing, with doors observed failing to close properly in multiple resident rooms.
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert. The facility failed to have fire sprinkler system inspections completed in accordance with NFPA 25, 1998 edition, with no documentation of internal pipe inspections in the previous five years.
Report Facts
Deficiency affected residents: 40
Number of attempts door failed to close: 6
Inspection date: Mar 6, 2019
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