Inspection Reports for
The Boulevard Senior Living of Saint Charles

19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: Based on observation and interview the community failed to ensure only metal or UL- or FM-fire-resistant rated wastebaskets were used; observations identified numerous plastic/unapproved wastebaskets throughout the facility affecting all residents.

19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles: The community failed to ensure extension cords would only be used as temporary wiring and that only one appliance be connected to an extension cord and only two appliances served by a duplex receptacle. Observations and interview showed multiple rooms with power strips, multi‑plug adapters, and extension cords permitting more than two devices, potentially affecting all residents.

13 CSR 30-86.045(3)(A)(10) Comply with All Req.of Section (3) of rule General Requirements: Based on observation, interview, and record review, the facility failed to ensure individualized evacuation plans (IEPs) were developed, accessible, and updated for residents who required more than minimal assistance; staff could not locate IEPs and evacuation needs were not clearly identified for multiple residents.

19 CSR 30-86.032(33) Call Systems Requirements: Based on observation, interview, and record review, the facility failed to maintain a call system audible in the attendant's work area and had numerous incidents of long staff response times; pagers and walkies were not consistently working and staff relied on computer screens to identify activated call lights.

19 CSR 30-86.047(19) TB Screen Residents & Staff: Based on interview and record review, the facility failed to ensure all staff were screened for tuberculosis as required by regulation, with missing documentation of required two-step TB testing and annual TB testing for some employees.

19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: Based on record review and interview, the facility failed to ensure a monthly weight and resident condition review was recorded for eight residents of 21 sampled residents.

19 CSR 30-87.020(11) No Deodorizers/Sprays to Eliminate Odors: Based on observation and interview, the facility failed to ensure the facility was free from offensive odors, with a strong sewer-gas odor present in the hallway outside the laundry room adjacent to the memory care security door.

19 CSR 30-86.032(19) Elevator Requirements: The facility failed to have a current approved elevator inspection certification available and the posted state elevator inspection certificates for all elevators had expired. The facility census was 88 and this affected all residents, and the director of plant operations stated the inspection is scheduled to be completed.

19 CSR 30-86.012(25) Elevator Requirements: The facility failed to have a current approved elevator inspection certification from either the city or the state available, and record review showed the posted state elevator inspection certificates for all elevators were expired.

19 CSR 30-86.047(35) Protective Oversight: Based on interview and record review, the facility failed to provide adequate protective oversight for one resident (Resident #1) with behaviors of eight sampled residents, resulting in the resident wandering into other resident rooms in the middle of the night which disrupted other residents; the resident's wandering also resulted in falls and an altercation with another resident.