Inspection Reports for
The Boulevard Senior Living of Saint Charles
3330 Ehlmann Rd, St Charles, MO 63301, United States, MO, 63301
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
68% occupied
Based on a November 2024 inspection.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 87
Deficiencies: 2
Date: Nov 13, 2024
Visit Reason
The inspection was conducted to identify deficiencies related to facility compliance with fire safety and electrical appliance regulations.
Findings
The facility failed to use only metal or UL- or FM-fire-resistant rated wastebaskets for trash and failed to prevent unsafe use of extension cords and duplex receptacles. These issues potentially affected all 87 residents.
Deficiencies (2)
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility failed to use only metal or UL- or FM-fire-resistant rated wastebaskets for trash, affecting all 87 residents.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles: The facility failed to ensure extension cords and duplex receptacles were used safely, allowing more than two electrical items to be plugged into a duplex receptacle, potentially affecting all 87 residents.
Report Facts
Facility census: 87
Affected residents: 87
Inspection Report
Complaint Investigation
Census: 82
Deficiencies: 5
Date: Nov 22, 2023
Visit Reason
The inspection was conducted due to a complaint investigation focusing on compliance with individualized evacuation plans, call system functionality, tuberculosis screening, medication review, and odor control at Boulevard Senior Living of St Charles.
Complaint Details
The investigation was complaint-driven, focusing on evacuation plans, call system response times, tuberculosis screening, medication review, and odor control. The complaint was substantiated based on multiple deficiencies found.
Findings
The facility failed to ensure residents needing more than minimal assistance had individualized evacuation plans accessible to staff. The call system was inadequate with delayed staff responses to call lights. Tuberculosis screening for employees was incomplete. The facility had offensive odors due to sewer gas. Medication review and resident condition monitoring were deficient.
Deficiencies (5)
19 CSR 30-86.045(3)(A)(10) Comply with All Requirements of Section (3) of rule. The facility failed to ensure residents needing more than minimal assistance had individualized evacuation plans accessible to staff, impacting six of 21 residents reviewed.
19 CSR 30-86.032(33) Call Systems Requirements. The facility failed to maintain a call system audible in the attendant's work area, impacting 12 of 21 sampled residents.
19 CSR 30-86.047(19) TB Screen Residents & Staff. The facility failed to ensure all staff were screened for tuberculosis as required by regulation. Documentation was missing for multiple employees.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review. The facility failed to maintain monthly reviews of resident condition and medication for eight of 21 sampled residents.
19 CSR 30-87.020(11) No Deodorizers/Sprays to Eliminate Odors. The facility failed to ensure it was free from offensive odors including odor of sewer gas.
Report Facts
Facility census: 82
Residents impacted: 6
Residents impacted: 12
Residents impacted: 8
Residents impacted: 21
Call light response times: 42
Call light response times: 40
Call light response times: 33
Call light response times: 35
Call light response times: 38
Call light response times: 32
Call light response times: 50
Call light response times: 20
Call light response times: 34
Call light response times: 20
Call light response times: 29
Call light response times: 33
Call light response times: 57
Call light response times: 59
Call light response times: 28
Call light response times: 22
Call light response times: 43
Call light response times: 46
Call light response times: 30
Call light response times: 52
Call light response times: 27
Call light response times: 31
Call light response times: 50
Call light response times: 39
Call light response times: 21
Call light response times: 42
Call light response times: 20
Call light response times: 59
Call light response times: 47
Call light response times: 43
Call light response times: 27
Call light response times: 34
Call light response times: 41
Call light response times: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Billy Arnold | Executive Director | Signed the plan of correction and named as responsible for compliance |
| LIMA E | Level One Medication Aide | Interviewed regarding use of mechanical lifts for resident transfers |
| Wellness Nurse G | Wellness Nurse | Interviewed regarding resident diagnoses and care |
| Administrator | Interviewed regarding IEP assessments and call system issues | |
| Director of Wellness | Responsible for IEP audits and staff training | |
| Care Coordinator | Responsible for initial IEP assessments | |
| Wellness Nurse D | Wellness Nurse | Interviewed regarding call light notifications |
| Memory Care Support Partner A | Employee file reviewed for TB testing compliance | |
| Memory Care Support Partner B | Employee file reviewed for TB testing compliance | |
| Memory Care Support Partner C | Employee file reviewed for TB testing compliance | |
| Business Office Director | Responsible for TB testing audits and call light response reports | |
| Plant Operations Director | Responsible for equipment checks and odor control |
Inspection Report
Plan of Correction
Census: 88
Deficiencies: 1
Date: Oct 23, 2023
Visit Reason
The visit was conducted to assess compliance with elevator maintenance and inspection certification requirements as part of a regulatory inspection.
Findings
The facility failed to have a current approved elevator inspection certification as required by local, state codes, and the National Electric Code. The posted elevator inspection certificates had expired on 9-12-2023.
Deficiencies (1)
19 CSR 30-86.032(19) Elevator Requirements: The facility did not have a current approved elevator inspection certification. The posted certificates expired on 9-12-2023.
Report Facts
Residents affected: 88
Inspection Report
Plan of Correction
Census: 85
Deficiencies: 1
Date: Sep 21, 2022
Visit Reason
The inspection was conducted to assess compliance with elevator requirements for residential care facilities, specifically regarding current approved elevator inspection certification.
Findings
The facility failed to have a current approved elevator inspection certification from either the city or the state. This deficiency affected all 85 residents present at the time of inspection.
Deficiencies (1)
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. This affected all 85 residents.
Report Facts
Residents affected: 85
Inspection certification expiration date: Sep 12, 2022
Inspection Report
Complaint Investigation
Census: 87
Deficiencies: 1
Date: Aug 30, 2022
Visit Reason
The inspection was conducted due to a complaint investigation regarding protective oversight failures for a resident exhibiting wandering behaviors.
Complaint Details
The complaint was substantiated based on interviews, record reviews, and video footage showing Resident #1 wandering into other residents' rooms, causing safety issues and requiring staff intervention.
Findings
The facility failed to provide adequate protective oversight for one resident with wandering behaviors, resulting in the resident wandering into other residents' rooms, falls, and an altercation. The facility census was 87 at the time of inspection.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide twenty-four hour protective oversight for residents departing on voluntary leave, resulting in one resident wandering into other resident rooms, causing falls and an altercation.
Report Facts
Facility census: 87
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