Deficiencies (last 4 years)
Deficiencies (over 4 years)
7.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
57% occupied
Based on a August 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Life Safety
Census: 46
Deficiencies: 10
Date: Aug 22, 2024
Visit Reason
The inspection was a fire safety and life safety code survey conducted to assess compliance with fire extinguisher maintenance, fire drill preparedness, fire safety training, exit door functionality, fire separation, sprinkler system maintenance, wastebasket requirements, building maintenance, and electrical wiring inspection.
Findings
The facility failed to maintain fire extinguishers, provide annual fire drill consultation, document fire safety training, ensure unobstructed exits, maintain proper fire separation, conduct monthly sprinkler system checks, use approved wastebaskets, maintain building and fire safety features, and provide evidence of electrical wiring inspections. These deficiencies potentially affected all 46 residents.
Deficiencies (10)
A2210 Fire Extinguishers UL/FM, Maintain/Check: The facility failed to maintain all fire extinguishers with monthly pressure checks as required by NFPA 10, 1998 edition. The last monthly check was in April 2024.
A2214 Fire Drill/Evacuation Plan, Consultation: The facility failed to provide documentation of annual consultation and assistance from a local fire unit for fire and evacuation plans.
A2220 Fire Safety Training Requirements-employees: The facility failed to produce documentation or records of fire safety training for staff as required.
A2222 Exits-2 per Floor-Remote/Unobstructed: The facility failed to maintain at least two unobstructed exits remote from each other in the Memory Care area, including a 10-foot long bar obstructing egress.
A2229 Locked Exit Doors: The facility failed to ensure exit doors were not locked against egress, with delayed egress locks not releasing properly and doors not opening back up with handles.
A2267 Multilevel/2 Business, Const. & Fire Safety: The facility failed to maintain the one-hour fire separation between building levels, with damage to fire-rated insulation caused by birds.
A2268 Complete Sprinkler System-NFPA 13: The facility failed to show documentation of monthly sprinkler pressure gauge checks and annual sprinkler system inspection.
A2286 Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure all wastebaskets were metal or UL/FM fire-resistant rated.
A3201 Substantially Constructed & Maintained: The facility failed to maintain the building in good repair, with mechanically blocked open doors and magnetic door holds switched.
A3214 Electrical Wiring, Maintained, Inspected: The facility failed to show documentation of electrical wiring inspection within the last year by a qualified electrician.
Report Facts
Facility census: 46
Inspection Report
Plan of Correction
Census: 49
Deficiencies: 7
Date: Jul 6, 2023
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for St Anthony's facility, detailing regulatory deficiencies found during a survey completed on 07/06/2023.
Findings
The facility failed to meet multiple fire safety and building code regulations, including inadequate fire drills, incomplete fire alarm system testing, improper fire separation between building levels, use of non-approved wastebaskets, improper oxygen storage, lack of electrical wiring inspection documentation, and unsafe use of extension cords and duplex receptacles. These deficiencies potentially affected all 49 residents present at the facility.
Deficiencies (7)
19 CSR 30-86.022(5)(D) Fire Drill Requirements were not met as the facility failed to produce documentation of at least 12 fire drills annually and at least one fire drill per shift every three months. The facility census was 49 residents.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test was not met as the facility failed to show proof of activating the fire alarm system at least once a month in the last 12 months. The facility census was 49 residents.
19 CSR 30-86.022(10)(L) Multilevel/2 Business, Const. & Fire Safety was not met as the facility failed to ensure the one-hour fire separation between building levels was properly maintained. The facility census was 49 residents.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements were not met as the facility failed to ensure all wastebaskets were the approved types. The facility census was 49 residents.
19 CSR 30-86.022(17) Oxygen Storage Requirements were not met as the facility failed to provide proper storage for oxygen bottles in accordance with NFPA 99, 1999 Edition. The facility census was 49 residents.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected was not met as the facility failed to show documentation of electrical wiring inspection within the last year by a qualified electrician. The facility census was 49 residents.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles was not met as the facility failed to limit use of extension cords and duplex receptacles in residents rooms, with unsafe adapters observed. The facility census was 49 residents.
Report Facts
Facility census: 49
Fire drills documented: 9
Fire drills per shift: 2
Oxygen bottles: 5
Oxygen concentrators: 1
Wastebaskets: 11
Fire drills listed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| acting operations director | Interviewed regarding fire drill and fire alarm records and oxygen storage | |
| Assistant Executive Director | Interviewed regarding bird repellant and electrical inspection frequency |
Inspection Report
Plan of Correction
Census: 39
Deficiencies: 1
Date: Nov 10, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulations regarding the protection of residents' rights, privacy, and safety, specifically focusing on the use and monitoring of side rails and low air loss mattresses in an assisted living facility.
Findings
The facility failed to implement a safety plan ensuring proper use and monitoring of side rails and low air loss mattresses for residents. Deficiencies included lack of completed resident bed rail evaluations, absence of physician orders for side rails, and inadequate staff training on the use and risks of side rails and low air loss mattresses.
Deficiencies (1)
19 CSR 30-86.047(28)(J) Plan to Safeguard Residents. The facility failed to ensure a safety plan was implemented and outlined in the Individualized Service Plan for residents using side rails and low air loss mattresses, including lack of completed evaluations and physician orders.
Report Facts
Facility census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tina Dietz | Administrator | Signed the Plan of Correction document |
Inspection Report
Plan of Correction
Census: 31
Deficiencies: 5
Date: Jun 2, 2022
Visit Reason
The inspection was conducted to identify deficiencies related to fire safety, building maintenance, and emergency lighting at St. Anthony's Senior Living facility.
Findings
The facility failed to keep unnecessary combustible materials stored properly, maintain smoke section partitions and fire separation doors, ensure emergency lighting was functional, and maintain the building in good repair. Multiple Class II deficiencies were identified affecting all 31 residents.
Deficiencies (5)
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of: The facility stored unnecessary combustible materials openly in the parking garage, violating fire safety regulations.
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds: The facility failed to ensure smoke stop partition doors were kept closed or properly closed during fire alarm activation.
19 CSR 30-86.022(10)(L) Multilevel/2 Business, Const. & Fire Safety: The facility failed to maintain the one-hour fire separation between levels, with water damage and exposed framing in the parking garage.
19 CSR 30-86.022(12)(A) Emergency Lighting - locations: Emergency lighting in the south sitting room was extremely dim and not maintained in good repair.
19 CSR 30-86.032(2) Substantially Constructed & Maintained: The building was not maintained in good repair, with fire separation doors not properly disengaging or opening.
Report Facts
Facility census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tina Dietz | Administrator | Signed the Plan of Correction |
Inspection Report
Annual Inspection
Census: 22
Deficiencies: 7
Date: Sep 21, 2021
Visit Reason
The inspection was the licensure inspection for the first three phases of the facility, conducted on 09/21/2021.
Findings
The facility failed to meet several fire safety and construction regulations, including locked exit door signage, annual fire alarm system inspections, sprinkler system inspections, use of approved wastebaskets, oxygen storage signage, building maintenance, and electrical wiring safety. These deficiencies potentially affected all 22 residents present during the inspection.
Deficiencies (7)
19 CSR 30-86.022(7)(E) Locked Exit Doors. The facility failed to ensure all delayed exit doors had proper signage stating 'PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS'.
19 CSR 30-86.022(9)(D) Fire Alarm System Inspections/Certifications. The facility failed to have the fire alarm system inspected and tested annually by an approved qualified service person.
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert. The facility failed to have documentation of annual sprinkler system inspections and certifications by an approved qualified service representative.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility used wastebaskets that were not metal or UL/FM fire-resistant rated in multiple rooms.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to provide no smoking signs at entrances where oxygen is stored, contrary to NFPA 99, 1999 Edition.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain the building in good repair, including water damage and holes in fire-rated ceilings.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to properly maintain the electrical system, including unsafe extension cord use and wiring hazards.
Report Facts
Facility census: 22
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