Deficiencies (last 5 years)
Deficiencies (over 5 years)
5.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
100% occupied
Based on a May 2025 inspection.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 3
Deficiencies: 1
Date: May 23, 2025
Visit Reason
The inspection was conducted to evaluate compliance with licensing regulations regarding the presence of a licensed Administrator at the facility.
Findings
The facility failed to ensure a licensed Administrator was present for management. The previous Administrator vacated the position on 5/20/25, and the Senior Executive Director was acting as Administrator without a license.
Deficiencies (1)
19 CSR 30-86.047(5) Administrator - Licensed: The facility failed to ensure a licensed Administrator was present for management. The previous Administrator vacated the position on 5/20/25, and the Senior Executive Director was acting as Administrator without a license.
Report Facts
Census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cortez Jordan | Senior Executive Director | Named as acting Administrator and signer of the Plan of Correction |
Inspection Report
Plan of Correction
Census: 1
Deficiencies: 12
Date: Jan 30, 2023
Visit Reason
The inspection was conducted to assess compliance with fire alarm system regulations, sprinkler system maintenance, smoke section partitions, oxygen storage requirements, tuberculosis screening, community-based assessment, and food safety in the assisted living facility Sunrise of Chesterfield.
Findings
The facility was found deficient in multiple areas including fire alarm system maintenance, fire watch policy, sprinkler system maintenance, smoke section partitions, oxygen storage, tuberculosis screening, community-based assessments, and food safety practices. Deficiencies had the potential to affect all residents, but only one resident was present during the inspection.
Deficiencies (12)
A2249 Fire Alarm System-Test/Maintain: The facility failed to ensure inspection and testing of the fire alarm system was completed as required by NFPA 72 and failed to maintain the system by completing repairs and restricting unauthorized access to the fire alarm panel.
A2254 Fire Alarm System Out of Service > than 4hrs: The facility failed to develop an adequate fire watch policy for staff to follow when the fire alarm system was out of service.
A2264 Smoke Section Partitions > than 20 beds: The facility failed to maintain two of six smoke walls and failed to ensure smoke dampers closed with activation of the fire alarm for two of seven smoke dampers.
A2269 Sprinkler System Maintenance/Testing: The facility failed to maintain sprinkler heads free of debris and ensure sprinkler cover plates were in place and fit tightly against the ceiling.
A2275 Sprinkler System Out of Service More Than 4hr: The facility failed to develop an adequate fire watch policy for staff to follow when the sprinkler system was out of service.
A2286 Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure all trashcans were metal or Underwriters Laboratory (UL) or Factory Mutual (FM) approved in resident use areas.
A2298 Oxygen Storage Requirements: The facility failed to store portable oxygen cylinders in accordance with National Fire Prevention Association (NFPA) 99, 1999 edition.
A3214 Electrical Wiring, Maintained, Inspected: The facility failed to have an electrical inspection completed every two years as required.
A4724 TB Screen Residents & Staff: The facility failed to ensure staff followed their policy to ensure two of five sampled staff received the second step of their new hire two-step purified protein derivative (PPD) test.
A4749 Community Based Assessment-Time Period, 5 days: The facility failed to complete a community based assessment (CBA) within five calendar days of admission for one sampled resident.
A6031 Kitchen Waste Containers Covered: The facility failed to ensure garbage cans in food preparation areas were covered when not in use.
A7015 Food-Protected, Temp, Need to Contact DHSS: The facility failed to ensure food items were stored in a manner to prevent contamination and were labeled and dated appropriately.
Report Facts
Deficiencies cited: 12
Census: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kaitlyn Muckler | Executive Director | Named in Plan of Correction signature and corrective actions. |
| Employee AA | Mentioned in TB screening deficiency. | |
| Employee BB | Mentioned in TB screening deficiency. |
Inspection Report
Complaint Investigation
Census: 2
Deficiencies: 4
Date: Mar 4, 2020
Visit Reason
The inspection was conducted as a complaint investigation to assess compliance with sprinkler system maintenance, operator/administrator responsibilities, handwashing and food handling practices, and abuse/neglect policies.
Complaint Details
The complaint investigation was substantiated based on observations and interviews revealing deficiencies in sprinkler system maintenance, licensing, hand hygiene, and abuse prevention policies.
Findings
The facility failed to maintain sprinkler heads properly, lacked a second business license for therapy services, did not ensure proper handwashing and glove use by dietary staff, and failed to implement abuse and neglect policies adequately. These deficiencies had the potential to affect all residents.
Deficiencies (4)
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to maintain sprinkler heads free of debris and ensure sprinkler cover plates were in place and fit tightly. Missing or damaged cover plates and lack of signage for fire department connection valves were observed.
19 CSR 30-86.047(6) Operator/Administrator Responsibilities. The facility failed to obtain a second business license for a therapy company providing services on-site for two days of observation.
19 CSR 30-87.030(2) Wash Hands/Arms & Clean Fingernails. Dietary staff failed to use proper handwashing techniques and glove changes while preparing and serving food, risking contamination.
19 CSR 30-88.010(23) Develop/Implement A/N Policies. The facility failed to implement written policies and procedures to prevent and report abuse and neglect. Staff did not intervene or report witnessed abuse immediately.
Report Facts
Census: 2
Survey Date: Mar 4, 2020
Plan of Correction Completion Date: Apr 1, 2020
Plan of Correction Completion Date: Apr 30, 2020
Plan of Correction Completion Date: Mar 31, 2020
Plan of Correction Completion Date: Mar 13, 2020
Inspection Report
Plan of Correction
Census: 2
Deficiencies: 3
Date: Apr 12, 2019
Visit Reason
The document is a Plan of Correction submitted following a survey completed on April 12, 2019, addressing deficiencies identified during the inspection.
Findings
Deficiencies were identified related to smoke section partitions, oxygen storage requirements, and medication storage/accessibility. The facility failed to maintain two of five smoke walls and had issues with door partitions and oxygen storage compliance.
Deficiencies (3)
19 CSR 30-86.022(10)(1) Smoke Section Partitions > than 20 beds: The facility failed to maintain two of five smoke walls, and doors in the smoke section did not meet fire-rated requirements.
19 CSR 30-86.022(17) Oxygen Storage Requirements: Oxygen storage was not in accordance with NFPA 99, 1999 Edition, requiring division of storage areas and proper training.
19 CSR 30-86.047(41) Medication Storage/Accessibility: Medication was not always stored securely behind locked doors or cabinets accessible only to authorized persons.
Report Facts
Census: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jami Jackson | Executive Director | Signed Plan of Correction and involved in confirming door repairs and training |
Inspection Report
Annual Inspection
Census: 2
Deficiencies: 7
Date: Feb 21, 2018
Visit Reason
Annual inspection survey conducted to assess compliance with regulatory requirements including individual evacuation plans, fire safety, inspection rights, and resident record admission information.
Findings
The facility was found deficient in multiple areas including failure to ensure individualized evacuation plans for residents needing assistance, fire hazards due to unlocked ovens, incomplete fire drills, improper fire alarm activation, smoke damper malfunctions, and incomplete resident record admission information. The census during the inspection was two residents.
Deficiencies (7)
19 CSR 30-86.045(3)(A)(5) Individual Evacuation Plan - In Resident ISP. The facility failed to ensure residents requiring more than minimal assistance had individualized evacuation plans in their service plans.
19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard. The facility failed to ensure no part of the building presented a fire hazard when the resident activity room oven was left unlocked, allowing resident access.
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct a fire drill including a resident evacuation yearly for all required drills.
19 CSR 30-86.022(5)(F) Fire Alarm Activation Requirements. The facility failed to ensure use of a facility-generated predetermined message in lieu of audible and visual fire alarm components during fire drills conducted between 9:00 P.M. and 6:00 A.M.
19 CSR 30-86.022(10)(H) Smoke Sections. The facility failed to ensure smoke dampers closed with activation of the fire alarm for five of six smoke dampers, allowing smoke travel between sections.
19 CSR 30-86.032(34) Hot Water 105-120 Degrees F. The facility failed to maintain water temperatures within the required range in bathrooms accessible to residents.
19 CSR 30-86.047(58)(A) Resident Record Admission Info. The facility failed to ensure resident records included preferred dentist and funeral director information for two sampled residents.
Report Facts
Census: 2
Fire drills required: 12
Fire drills conducted: 12
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