Inspection Reports for
Scenic Wellness and Rehabilitation Center
1333 SCENIC DR, HERCULANEUM, MO, 63048-1550
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
31% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
161 residents
Based on a April 2025 inspection.
Occupancy over time
Inspection Report
Routine
Census: 161
Deficiencies: 3
Date: Apr 11, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care plans, use of bed rails, and infection prevention and control practices at Scenic Wellness and Rehabilitation Center.
Findings
The facility failed to implement baseline care plans within required timeframes and did not provide written summaries to residents or their representatives. The facility also failed to properly assess and obtain informed consent for bed rail use for several residents. Additionally, infection control practices were inadequate, including improper use of personal protective equipment and unsafe medication administration procedures.
Deficiencies (3)
Failure to implement baseline care plans within 48 hours of admission and failure to provide written summaries to residents or representatives for two residents.
Failure to appropriately assess and obtain informed consent for bed rail use for three residents.
Failure to maintain infection control practices during tracheostomy care and g-tube medication administration, including failure to wear proper PPE for enhanced barrier precautions for two residents.
Report Facts
Residents affected: 2
Residents affected: 3
Residents affected: 2
Census: 161
Sampled residents: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN B | Licensed Practical Nurse | Named in infection control deficiency related to reconnecting oxygen tubing without proper PPE and hand hygiene |
| LPN A | Licensed Practical Nurse | Named in infection control deficiency related to improper hand hygiene and medication administration |
| RN C | Registered Nurse | Named in infection control deficiency related to improper use of PPE during wound care |
| Administrator | Interviewed regarding expectations for care plan completion, bed rail use, and infection control | |
| Director of Nursing | Interviewed regarding expectations for care plan completion, bed rail use, and infection control |
Inspection Report
Routine
Census: 159
Deficiencies: 3
Date: Mar 1, 2024
Visit Reason
The inspection was conducted to assess compliance with federal and state regulations regarding resident assessments, psychotropic medication management, and proper disposal of garbage and refuse at Scenic Wellness and Rehabilitation Center.
Findings
The facility failed to accurately code the Minimum Data Set (MDS) for three residents, failed to attempt gradual dose reductions (GDR) for psychotropic medications for three residents, and failed to ensure dumpsters were closed and maintained to prevent pest access and contain garbage properly. These deficiencies were noted with minimal harm or potential for actual harm affecting a few residents.
Deficiencies (3)
Failed to accurately code the Minimum Data Set (MDS) for three residents.
Failed to attempt gradual dose reductions (GDR) for three residents on psychotropic medications.
Failed to ensure dumpsters were closed at all times and maintained to keep pests out and garbage contained.
Report Facts
Residents sampled: 32
Residents affected: 3
Residents affected: 3
Facility census: 159
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding MDS accuracy and GDR processes | |
| Administrator | Interviewed regarding expectations for MDS accuracy and dumpster lid closure | |
| Pharmacist | Interviewed regarding GDR attempts and medication review processes | |
| Director of Nursing (DON) | Interviewed regarding expectations for GDRs and dumpster lid closure | |
| Infection Preventionist | Interviewed regarding GDR practices | |
| Dietary Manager | Interviewed regarding dumpster lid closure | |
| Housekeeping Supervisor | Interviewed regarding dumpster lid closure |
Inspection Report
Complaint Investigation
Census: 160
Deficiencies: 1
Date: Jul 28, 2023
Visit Reason
The inspection was conducted following a complaint regarding a medication administration error where a Certified Medication Technician (CMT A) administered the wrong medications to a resident (Resident #1) on 07/14/2023.
Complaint Details
Complaint MO#00221633 regarding medication administration error where Resident #1 was given Resident #2's medications, resulting in hospitalization.
Findings
The facility failed to follow professional standards and its medication administration policy by allowing pre-pouring of medications, resulting in Resident #1 receiving Resident #2's medications. Resident #1 experienced adverse effects requiring hospital evaluation and treatment. The facility took corrective actions including retraining staff, implementing monitoring systems, and issuing a written warning to the CMT.
Deficiencies (1)
Failed to follow professional standards and facility policy by pre-pouring medications and administering the wrong medications to Resident #1.
Report Facts
Facility census: 160
Medication error date: Jul 14, 2023
Medication dosages: Specific dosages of medications involved in the error (e.g., Allegra 60 mg, glycopyrrolate 1 mg, metoprolol 50 mg, montelukast 10 mg, simvastatin 20 mg, tamsulosin 0.4 mg, trazodone 50 mg, acidophilus 250 mg, risperidone 4 mg, benztropine 2 mg, clozapine 500 mg)
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CMT A | Certified Medication Technician | Administered wrong medications to Resident #1 and received a written warning and retraining. |
| Director of Nursing | Director of Nursing | Interviewed regarding the medication error and corrective actions. |
| Nurse Practitioner | Nurse Practitioner | Provided phone interview about the medication error and facility response. |
| Administrator | Administrator | Interviewed about expectations for staff to follow medication administration policy. |
Inspection Report
Routine
Census: 168
Deficiencies: 8
Date: Sep 22, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulations regarding resident financial management, environment safety, employee background checks, resident assessments, medication use, and facility safety.
Findings
The facility failed to properly manage resident funds, including failure to separate resident funds from operating accounts, obtain written authorization for withdrawals, and provide timely refunds. Environmental hazards such as peeling ceilings and unsafe water temperatures were noted. Employee background checks were incomplete for some staff. Resident assessments were inaccurate in several cases, and psychotropic medication was prescribed without proper diagnosis. Miscellaneous items were improperly placed on light fixtures, creating fire hazards.
Deficiencies (8)
Failure to ensure resident funds were placed in an account separate from the facility operating account and failure to provide timely refunds and obtain written authorization for withdrawals.
Failure to provide a final accounting of resident fund balances within thirty days to the individual or probate jurisdiction administering the resident's estate for two residents.
Failure to provide a safe, clean, comfortable, and homelike environment due to peeling ceiling and stains.
Failure to ensure Employee Disqualification List, Criminal Background Checks, and Nurse Aide Registry were completed prior to employment for three employees.
Failure to document a complete and accurate Minimum Data Set (MDS) assessment for four residents.
Failure to maintain water temperatures between 105°F and 120°F in resident sinks and community shower, increasing risk of burns.
Failure to ensure proper diagnosis for antipsychotic medication for one resident.
Failure to provide a safe environment by allowing miscellaneous items to be placed on top of light fixtures, creating potential fire hazards.
Report Facts
Residents affected: 168
Resident funds held in operating account: 2957.65
Water temperature: 133
Water temperature: 125
Employee count: 3
Residents with inaccurate MDS: 4
Residents affected by unsafe water temperature: 4
Residents affected by improper psychotropic medication diagnosis: 1
Residents affected by miscellaneous items on light fixtures: Potentially all
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA S | Certified Nurse Assistant | Failed to have CBC, EDL, and NA Registry checks prior to employment |
| CNA T | Certified Nurse Assistant | Failed to have CBC, EDL, and NA Registry checks prior to employment |
| Dietary Aide U | Dietary Aide | Failed to have CBC and EDL checks prior to employment |
| Business Office Manager | Interviewed regarding resident fund management and Medicaid surplus deductions | |
| Maintenance Director | Interviewed regarding facility maintenance and water temperature monitoring | |
| Administrator | Interviewed regarding facility maintenance, staff reporting, and medication diagnosis expectations | |
| MDS Coordinator | Interviewed regarding MDS assessment inaccuracies | |
| Registered Nurse R | Interviewed regarding psychotropic medication diagnosis | |
| Director of Nursing | Interviewed regarding medication diagnosis and MDS expectations | |
| Licensed Practical Nurse M | Interviewed regarding water temperature observations |
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