Inspection Reports for
Fields of Florissant
1101 Garden Plaza Drive, Florissant, MO 63033, MO, 63033
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
7.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% worse than Missouri average
Missouri average: 5.5 deficiencies/year
Deficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
64% occupied
Based on a August 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 2
Date: Aug 1, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding allegations of abuse and failure to develop an individualized service plan for a resident.
Complaint Details
The complaint investigation substantiated that Resident #1 was physically abused by a Resident Care Assistant. The violation was determined to be at an imminent danger Class I level based on observation, interviews, and record review.
Findings
The facility failed to develop an individualized service plan for Resident #1 and failed to ensure the resident was free from physical abuse by staff. Immediate steps were not taken to protect the resident from further abuse, resulting in continued direct care by the alleged perpetrator for two hours. The violation was determined to be at an imminent danger level.
Deficiencies (2)
19 CSR 30-86.047(28)(G) Individual Service Plan: The facility failed to develop an individualized service plan related to Resident #1's behavioral needs and strategies for staff to ensure resident and staff safety.
19 CSR 30-88.010(22) Free From Abuse: The facility failed to ensure Resident #1 was free from physical abuse when a Resident Care Assistant restrained and struck the resident, and immediate steps were not taken to protect the resident from further abuse.
Report Facts
Census: 65
Inspection Report
Plan of Correction
Census: 60
Deficiencies: 1
Date: Jun 23, 2025
Visit Reason
The inspection was conducted to assess compliance with licensing requirements related to the designation of a licensed administrator at the facility.
Findings
The facility failed to ensure a licensed Administrator was employed at all times. The Executive Director was acting as Administrator without a valid license, and the Board had not received applications for temporary emergency licenses for replacements.
Deficiencies (1)
19 CSR 30-86.047(5) Administrator - Licensed. The operator failed to designate an individual licensed as an administrator by the Missouri Board of Nursing Home Administrators. The census was 60 at the time of inspection.
Report Facts
Census: 60
Inspection Report
Re-Inspection
Census: 60
Deficiencies: 2
Date: May 29, 2025
Visit Reason
The inspection was conducted to follow up on previously identified deficiencies related to resident condition/medication review and resident records retention at Fields of Florissant.
Findings
The facility failed to maintain complete and accurate medical records for residents, including medication administration documentation and follow-up on resident incidents. The facility also failed to retain resident medical records for the required five years after discharge for one sampled resident.
Deficiencies (2)
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: The facility failed to ensure all residents had a complete and accurate medical record on the premises for six sampled residents. Documentation of medication administration and follow-up on resident incidents was missing.
19 CSR 30-86.047(60) Resident Records Retention: The facility failed to ensure all resident medical records were reserved for five years after discharge for one sampled resident.
Report Facts
Census: 60
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ralph S. | Administrator | Named in relation to plan of correction and interviews regarding deficiencies |
Inspection Report
Plan of Correction
Census: 59
Deficiencies: 12
Date: Feb 24, 2025
Visit Reason
The document is a Plan of Correction submitted by Garden Plaza of Florissant following a state inspection conducted on 02/24/2025. It addresses deficiencies cited in the inspection related to tuberculosis screening, individualized service plans, medication storage and administration, physician orders, resident records, staffing, floor surfaces, and resident rights.
Findings
The inspection identified multiple deficiencies including failure to ensure required tuberculosis screening for residents and staff, incomplete individualized service plans for residents, improper medication storage and destruction procedures, missing physician signatures on orders, inadequate documentation of resident records and summaries, insufficient staffing training, unclean floors, and failure to review resident rights annually.
Deficiencies (12)
19 CSR 30-86.047(19) TB Screen Residents & Staff: The facility failed to ensure required two-step tuberculosis tests were completed for staff and residents and annual screenings were not done for some residents. The census was 59.
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: The facility failed to develop individualized service plans including fall history and interventions for six of seven residents. The census was 59.
19 CSR 30-86.047(41) Medication Storage/Accessibility: The facility failed to properly store medications in locked locations during observation. The census was 59.
19 CSR 30-86.047(47)(B) Physicians Orders Requirements: The facility failed to ensure physician orders were signed every three months for six of seven residents. The census was 59.
19 CSR 30-86.047(56)(EX)(1 - 2) Medications-Return to RX / Destroy, Records: The facility failed to ensure all unusable medication was destroyed by two authorized people and properly documented during medication passes. The census was 59.
19 CSR 30-86.047(58)(A) Resident Record Admission Info: The facility failed to maintain complete admission records including contact information for preferred dentist, pharmacist, and funeral director for six of seven residents. The census was 59.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: The facility failed to ensure monthly summaries of resident condition and medication reviews were completed for six of seven residents. The census was 59.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety: The facility failed to develop a system to ensure staff trained in CPR were available on each shift for 37 of 59 residents. The census was 59.
19 CSR 30-87.020(12) Floor Surfaces: The facility failed to ensure floors throughout the facility were kept clean, with sticky substances observed in kitchen and bathroom areas. The census was 59.
19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: The facility failed to ensure nonfood contact surfaces were cleaned, with grease buildup observed on fryer and cooking range. The census was 59.
19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: The facility failed to review resident rights annually for five of seven residents. The census was 59.
19 CSR 30-88.010(36) Personal Clothing/Possessions: The facility failed to ensure personal inventory lists were completed for five of seven residents. The census was 59.
Report Facts
Census: 59
Inspection Report
Plan of Correction
Census: 78
Deficiencies: 1
Date: Jan 8, 2025
Visit Reason
The inspection was conducted to assess compliance with fire alarm system testing and maintenance requirements according to NFPA 72, 1999 edition.
Findings
The facility failed to ensure the complete fire alarm system was tested and maintained as required. No semi-annual fire alarm system inspection record was found, and the most recent annual inspection was completed on March 20, 2024.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to ensure the complete fire alarm system was tested and maintained in accordance with NFPA 72, 1999 edition. No semi-annual fire alarm system inspection record was found as required.
Report Facts
Facility census: 78
Inspection Report
Plan of Correction
Census: 55
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
The inspection was conducted to assess compliance with self-control of medication requirements for residents, specifically regarding medication administration and physician orders.
Findings
The facility failed to ensure staff observed a resident taking medications without a physician's order for self-administration. The resident was given medication by a Medication Aide who left before verifying the resident took the medication, violating regulations.
Deficiencies (1)
19 CSR 30-86.047(40) Self-Control of Medication Requirements was not met as staff allowed a resident to self-administer medication without a physician's order and failed to properly observe medication administration.
Report Facts
Census: 55
Inspection Report
Plan of Correction
Census: 35
Deficiencies: 1
Date: Jun 5, 2024
Visit Reason
The document is a plan of correction submitted following a deficiency cited during a survey completed on 06/05/2024 at Garden Plaza of Florissant.
Findings
The facility failed to treat a resident with respect when a staff member was on a personal call in the resident's room. The staff member was observed making a personal call while the resident expressed distress, which was deemed unacceptable by the Director of Nursing.
Deficiencies (1)
19 CSR 30-88.010(29) Dignity/Privacy: The facility failed to treat a resident with respect when a staff member was on a personal call in the resident's room while the resident repeatedly expressed a desire to die. The staff member continued the call despite the resident's distress.
Report Facts
Census: 35
Inspection Report
Plan of Correction
Census: 61
Deficiencies: 3
Date: Mar 15, 2024
Visit Reason
The inspection was conducted to evaluate compliance with state regulations for an assisted living facility, including review of individualized service plans, resident condition and medication review, and staffing requirements.
Findings
The facility failed to develop individualized service plans for residents, maintain full and accurate medical records including therapy notes, and properly assess residents after falls. Staffing ratios were inadequate to ensure proper resident care and safety.
Deficiencies (3)
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop. The facility failed to develop individualized service plans for residents, including one of five sampled residents. The census was 61.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review. The facility failed to maintain full and accurate medical records for two of five sampled residents, including documentation of falls and therapy notes.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety. The facility failed to have adequate staffing to properly care for residents and failed to notify a nurse for assessment after a resident fall. The census was 61.
Report Facts
Resident census: 61
Sampled residents: 5
Inspection Report
Life Safety
Census: 71
Deficiencies: 2
Date: Dec 26, 2023
Visit Reason
The inspection was conducted to assess compliance with fire alarm system testing and electrical wiring maintenance requirements as part of a life safety code inspection.
Findings
The facility failed to ensure the complete fire alarm system was tested and maintained semi-annually as required. Additionally, the facility did not have electrical wiring inspected every two years by a qualified electrician as mandated.
Deficiencies (2)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to ensure the complete fire alarm system was tested and maintained semi-annually as required by NFPA 72, 1999 edition. The last semi-annual inspection was not completed, with the most recent annual inspection dated February 2, 2023.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have electrical wiring inspected every two years by a qualified electrician as required. The last bi-annual electrical wiring certification was completed on October 28, 2021.
Report Facts
Facility census: 71
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Facility Director of Maintenance | Interviewed regarding fire alarm and electrical wiring inspections | |
| Maintenance Director or Designee | Responsible for monitoring and following maintenance tasks for fire alarm and electrical wiring inspections | |
| Executive Director | Responsible for monitoring and following maintenance tasks for fire alarm system semi-annual testing |
Inspection Report
Plan of Correction
Census: 69
Deficiencies: 4
Date: Nov 21, 2022
Visit Reason
The inspection was conducted to assess compliance with fire drill requirements, fire alarm system testing, and maintenance regulations at Garden Plaza of Florissant.
Findings
The facility failed to conduct the required minimum twelve fire drills annually including resident evacuation, failed to test and maintain the complete fire alarm system as required, and did not have documentation of monthly fire alarm system tests. These deficiencies potentially affected all 69 residents present during the inspection.
Deficiencies (4)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct a minimum of twelve fire drills annually with at least one every three months on each shift including a resident evacuation at least once a year.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to ensure the complete fire alarm system was tested and maintained in accordance with NFPA 72, 1999 edition.
19 CSR 30-86.022(9)(D) Fire Alarm System Inspections/Certifications. The facility failed to have inspections and written certifications of the complete fire alarm system completed by an approved qualified service representative at least annually.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to test the complete fire alarm system at least once a month as required.
Report Facts
Fire drills required annually: 12
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding fire drill and fire alarm system testing and maintenance |
Inspection Report
Plan of Correction
Census: 64
Deficiencies: 9
Date: Oct 18, 2021
Visit Reason
This document is a statement of deficiencies and plan of correction following a facility inspection conducted on October 18, 2021, at Fields of Florissant.
Findings
The facility failed to meet multiple fire safety and hazard protection regulations, including improper storage of combustibles, inadequate fire drills and records, failure to conduct required fire safety training, failure to test fire alarm systems monthly, improper storage of combustible materials, venting issues with clothes dryers, use of non-compliant wastebaskets, and failure to maintain electrical wiring inspections. These deficiencies potentially affect all 64 residents present during the inspection.
Deficiencies (9)
19 CSR 30-86.022(2)(H) Combustibles Not Stored Under Stairways. The facility failed to ensure space under stairways was not used to store combustible materials, evidenced by storage of ten wood top tables under the north first floor stairway.
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct a minimum of twelve fire drills annually with at least one every three months on each shift, including unannounced drills and resident evacuation.
19 CSR 30-86.022(5)(E) Fire Drill Records. The facility failed to keep records of all fire drills including time, date, personnel, length, and narrative notation.
19 CSR 30-86.022(6)(A)(1-3) Fire Safety Training Requirements-employees. The facility failed to ensure fire safety training was provided to all employees every six months and that training needs were identified by fire drill evaluations.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to test the fire alarm system monthly as required and maintain documentation of such tests.
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility failed to ensure protection from hazards by storing unnecessary combustible materials in parts of the building, including paper products, cardboard boxes, plastic trash containers, tables, furniture, microwave ovens, and a mattress.
19 CSR 30-86.022(10)(C) Clothes Dryers Vented, Lint Traps. The facility failed to ensure electric or gas clothes dryers were vented to the outside and lint traps cleaned regularly, with observations of broken vent ducts and dryers without vent connections.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to ensure only metal or UL/FM-fire-resistant wastebaskets were used for trash, with multiple observations of plastic non-compliant wastebaskets in resident rooms.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have electrical wiring inspected every two years by a qualified electrician and maintain certification, with the last inspection dated April 3, 2019.
Report Facts
Facility census: 64
Fire drills required annually: 12
Fire drills required quarterly per shift: 1
Fire drills unannounced required: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding corrective actions for deficiencies |
Inspection Report
Plan of Correction
Census: 50
Deficiencies: 8
Date: Aug 21, 2019
Visit Reason
The document is a Plan of Correction submitted by The Bridge at Florissant following a state inspection conducted on August 21, 2019. It addresses deficiencies found during the inspection related to evacuation plans, community based assessments, individualized service plans, resident records, and resident rights.
Findings
The facility failed to meet several regulatory requirements including proper evacuation plans for residents needing assistance, timely completion of community based assessments, proper individualized service plans, maintenance of resident records including admission and medication reviews, and annual review of resident rights. Deficiencies were noted for multiple sampled residents.
Deficiencies (8)
19 CSR 30-86.045(3)(A)(6)(C) Individual Evacuation Plan - The facility failed to include proximity to areas of refuge or exits in individual evacuation plans for two of five sampled residents.
19 CSR 30-86.047(28)(F)(1)(B) Community Based Assessment - The facility failed to complete semiannual community based assessments for three of five sampled residents.
19 CSR 30-86.047(28)(F)(1)(C) Community Based Assessment-Significant Change - The facility failed to update community based assessments for a significant change in condition for one of five sampled residents.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan - The facility failed to ensure residents received proper care based on individualized service plans for two of five sampled residents.
19 CSR 30-86.047(58)(A) Resident Record Admission Info - The facility failed to ensure resident admission records included a preferred dentist for two of five sampled residents.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review - The facility failed to complete monthly summaries and document resident incidents for five of five sampled residents.
19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review - The facility failed to review resident rights upon admission and annually for four of five sampled residents.
19 CSR 30-88.010(10) Advance Directive Requirements - The facility failed to conduct annual reviews of advance directives and maintain documentation for three of five sampled residents.
Report Facts
Census: 50
Sampled residents: 5
Inspection Report
Plan of Correction
Census: 55
Deficiencies: 1
Date: Dec 14, 2018
Visit Reason
The inspection was conducted due to a complaint investigation regarding protective oversight failures for a resident with dementia who eloped from the facility and suffered hypothermia.
Complaint Details
At the time of the complaint investigation, the violation was determined to be at an imminent danger, Class I level. The resident was found outside the facility in hypothermic condition after elopement.
Findings
The facility failed to provide protective oversight for a resident with dementia who left the premises unnoticed, resulting in hypothermia. The facility implemented corrective actions including updated elopement risk assessments, staff training, and increased monitoring.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide 24-hour protective oversight for a resident with dementia who eloped and was found outside in hypothermic conditions.
Report Facts
Census: 55
Temperature: 31
Resident body temperature: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tasonya Johnson | Executive Director | Signed the statement of deficiencies and plan of correction |
Inspection Report
Plan of Correction
Census: 60
Deficiencies: 3
Date: Sep 25, 2018
Visit Reason
The inspection was conducted to assess compliance with tuberculosis (TB) screening requirements and cleanliness standards in a long-term care facility.
Findings
The facility failed to ensure newly admitted residents and employees received required two-step TB tests. Additionally, the facility did not maintain clean walls, ceilings, doors, and non-food contact surfaces in the kitchen, posing potential risks to residents.
Deficiencies (3)
19 CSR 30-86.047(19) TB Screen Residents & Staff: The facility failed to ensure a newly admitted resident received a two-step TB test and failed to ensure two employees received the first step of a two-step TB test prior to employment.
19 CSR 30-87.020(15) Walls/Ceilings/Doors/Windows Clean: The facility failed to ensure walls, ceilings, doors, and windows were kept clean and in good repair, with evidence of water leaks and dust accumulation.
19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: The facility failed to keep non-food contact surfaces clean and free of debris, including food warmer, fryer, stove knobs, and oven door.
Report Facts
Facility census: 60
Date of survey: Sep 25, 2018
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