Deficiencies (last 5 years)
Deficiencies (over 5 years)
8.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
55% occupied
Based on a December 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 22
Deficiencies: 4
Date: Dec 16, 2025
Visit Reason
The document is a Plan of Correction submitted by The Gables at Brady Circle following a state inspection conducted on 12/16/2025. It addresses deficiencies found during the inspection related to exit obstructions, community based assessments, medication regimen reviews, and advance directive requirements.
Findings
The facility failed to ensure unobstructed exits, timely completion of community based assessments, regular medication reviews by qualified staff, and annual review of advance directives for residents. The administrator and staff were unaware or noncompliant with several regulatory requirements.
Deficiencies (4)
19 CSR 30-86.022(7)(A) Exits-2 per Floor-Remote/Unobstructed: The facility failed to ensure the door leading to the exit in the northeast hallway was unobstructed due to a wooden bench blocking the exit.
19 CSR 30-86.047(28)(F)(1)(A) Community Based Assessment-Time Period, 5 day: The facility failed to complete a community based assessment within five days of admission for one sampled resident.
19 CSR 30-86.047(54) Drug Regimen Review: The facility failed to ensure a pharmacist, physician, or registered nurse completed medication reviews every other month for one of two sampled residents.
19 CSR 30-88.010(10) Advance Directive Requirements: The facility failed to review advanced directives annually for one of two sampled residents.
Report Facts
Census: 22
Deficiencies cited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Administrator | Interviewed regarding exit obstruction, community based assessments, medication reviews, and advance directives |
| Care Manager | Care Manager | Interviewed regarding community based assessments and medication reviews |
| Director of Nursing | Director of Nursing | Educated by Administrator on medication review requirements and community based assessments |
Inspection Report
Plan of Correction
Census: 15
Deficiencies: 10
Date: Jun 25, 2021
Visit Reason
This document is a Plan of Correction submitted by The Gables at Brady Circle following a survey completed on 06/25/2021. It addresses deficiencies found during the inspection related to facility safety, employee background checks, community based assessments, protective oversight, individualized service plans, toxic material storage, handwashing and glove use, and hair and beard restraints.
Findings
The facility was found deficient in multiple areas including blocked exits, failure to complete criminal background checks, incomplete community based assessments, inadequate protective oversight, failure to provide proper care per individualized service plans, improper storage of toxic materials, failure to ensure staff hand hygiene and glove use, and failure to enforce hair and beard restraints during meal preparation.
Deficiencies (10)
19 CSR 30-86.022(7)(A) Exits-2 per Floor-Remote/Unobstructed: Facility failed to ensure exit doors were unobstructed during two days of observation. A bench and other items blocked exit doors.
19 CSR 30-86.047(13)(A) Criminal Background Check Requirements: Facility failed to complete a criminal background check on a new employee who had a documented past crime.
19 CSR 30-86.047(13)(B) EDL Inquiry: Facility failed to complete an inquiry to the employment disqualification list prior to contact with residents for a new employee.
19 CSR 30-86.047(28)(F)(1)(B) Community Based Assessment - Semi-Annually: Facility failed to complete a community based assessment at least semiannually for one of five sampled residents.
19 CSR 30-86.047(28)(F)(1)(C) Community Based Assessment - Significant Change: Facility failed to update the community based assessment after a significant change in condition for one resident.
19 CSR 30-86.047(35) Protective Oversight: Facility failed to provide protective oversight when two residents used kitchen stoves accessible to residents for two days of observation.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Facility failed to provide proper care per individualized service plan for two of five sampled residents, including failure to complete elopement risk assessments and update plans.
19 CSR 30-87.020(5) Toxic Material Storage: Facility failed to ensure toxic or poisonous materials were locked or stored away to prevent resident access for two days of observation.
19 CSR 30-87.030(2) Wash Hands/Arms & Clean Fingernails: Facility failed to ensure staff washed hands and changed gloves between tasks during meal preparation, potentially affecting all residents.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints: Facility failed to ensure staff wore proper hair and beard restraints during meal preparation and service for two meals observed.
Report Facts
Census: 15
Deficiencies cited: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cook C | Named in deficiencies related to criminal background check, hair and beard restraint, and handwashing | |
| Administrator | Involved in interviews and responsible for oversight and corrective actions | |
| Director of Nursing | Involved in inservice training and auditing of assessments and meal services | |
| Caregiver D | Interviewed regarding resident behaviors and observations |
Inspection Report
Plan of Correction
Census: 17
Deficiencies: 1
Date: Aug 31, 2020
Visit Reason
The document is a Plan of Correction submitted by The Gables at Brady Circle following a deficiency cited during a survey completed on August 31, 2020. The plan addresses failure to meet a resident's medication needs after hospital discharge.
Findings
The facility failed to meet a resident's needs by not ensuring the resident received medications after hospital discharge and not calling the facility physician when the resident's personal physician did not respond. Multiple medications were unavailable or not administered as ordered over several days.
Deficiencies (1)
19 CSR 30-86.047(10) Care to Meet Resident Needs or Discharge: The facility did not admit or continue care for residents whose needs could not be met. The facility failed to provide medications to a resident after hospital discharge and did not contact the physician when the personal physician was unresponsive.
Report Facts
Resident census: 17
Inspection Report
Plan of Correction
Census: 26
Deficiencies: 10
Date: Oct 4, 2019
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for The Gables at Brady Circle, LLC, related to regulatory compliance deficiencies identified during a survey completed on October 4, 2019.
Findings
The facility failed to meet several regulatory requirements including individualized evacuation plans, tuberculosis screening for residents and staff, personnel criminal background checks, community based assessments, proper care per individualized service plans, medication storage and administration, monthly resident summaries, staffing ratios, and orientation of new employees. The plan of correction outlines actions to be taken to address these deficiencies by November 22, 2019.
Deficiencies (10)
19 CSR 30-86.045(3)(A)(5) Individual Evacuation Plan - In Resident ISP. The facility failed to ensure a resident needing more than minimal assistance had an individual evacuation plan in the resident's individualized service plan.
19 CSR 30-86.047(19) TB Screen Residents & Staff. The facility failed to ensure the required two-step tuberculosis screening test was completed for two sampled employees and two sampled residents.
19 CSR 30-86.047(20)(G) Personnel Record - criminal hx - Waiver. The facility failed to maintain a personnel file including criminal background check for one sampled employee.
19 CSR 30-86.047(28)(F)(1)(A) Community Based Assessment-Time Period, 5 day. The facility failed to complete community based assessments for one sampled resident within the required timeframe.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan. The facility failed to ensure residents received proper care based on their individualized service plans for one sampled resident.
19 CSR 30-86.047(41)(C) Medication Storage-Separate, Not In Use. The facility failed to ensure all medications were kept in a secured location behind at least one locked door or cabinet.
19 CSR 30-86.047(47)(A) Physicians Orders Followed. The facility failed to follow physician's orders when staff did not administer medication or document on the medication administration record for nine sampled residents.
19 CSR 30-86.047(58)(A) Resident Condition/Medication Review. The facility failed to complete monthly summaries reviewing residents' conditions and medication for eight of ten sampled residents.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety. The facility failed to have an adequate number and type of personnel for proper care and safety of residents during all shifts.
19 CSR 30-86.047(62)(A) Orientation - job responsibilities. The facility failed to ensure new employees received orientation on job responsibilities within two hours of hire for one sampled employee.
Report Facts
Census: 26
Deficiencies cited: 10
Inspection Report
Plan of Correction
Census: 17
Capacity: 21
Deficiencies: 7
Date: Apr 12, 2019
Visit Reason
This document is a Plan of Correction submitted by The Gables at Brady Circle following a survey completed on April 12, 2019. The plan addresses deficiencies cited during the inspection and outlines corrective actions to achieve compliance.
Findings
The facility was found deficient in multiple areas including personnel records, admission criteria for skilled nursing care, proper care plans, medication administration, staffing levels, and equipment maintenance. The plan of correction details steps to address these deficiencies and maintain compliance.
Deficiencies (7)
19 CSR 30-86.047(20)(I) Personnel Record-physician statement. The facility failed to ensure each employee had a written statement signed by a licensed physician or designee indicating the employee could work in long-term care for three sampled employees.
19 CSR 30-86.047(29)(D) Not Admit/Care For-Skilled Nursing Needed. The facility admitted and continued care for a resident requiring 24-hour skilled nursing services without appropriate licensing or ability to provide such care.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan. The facility failed to provide proper catheter care when the catheter care was not detailed in the individualized care plan for one of seven sampled residents.
19 CSR 30-86.047(48) Safe & Effective Medication System. The facility failed to develop and implement a safe and effective medication system ensuring medications were administered within one hour before or after the scheduled time for three of seven sampled residents.
19 CSR 30-86.047(47)(A) Physicians Orders Followed. The facility failed to follow physician's orders and ensure monthly weights, accuchecks, labs, and medication administration as ordered for six of nine sampled residents.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety. The facility failed to maintain adequate staffing levels to provide proper care for residents, resulting in unsafe emergency evacuation conditions and inadequate care for dependent residents.
19 CSR 30-87.030(68) 3 Compartment Sink-Wash/Rinse/Sanitize. The facility failed to ensure utensils and equipment were properly washed and sanitized in a three-compartment sink, with a dishwasher out of order for three days.
Report Facts
Census: 17
Total Capacity: 21
Deficiencies cited: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in multiple findings related to inservice training, medication administration, catheter care, and monthly summaries. |
| Administrator | Administrator | Named in findings related to oversight of compliance, staff training, and plan of correction submission. |
| Physician G | Mentioned in interviews regarding resident care and hospitalizations. | |
| Home Health Nurse J | Home Health Nurse | Mentioned in resident care assessments and therapy evaluations. |
Inspection Report
Complaint Investigation
Census: 11
Deficiencies: 10
Date: May 4, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by concerns about resident care, safety, and protective oversight at the facility.
Complaint Details
The complaint investigation found the facility failed to provide adequate protective oversight for residents who eloped or were left unattended, resulting in resident injuries and safety risks. The violation was determined to be at an imminent danger, class I level. The facility was also found deficient in care planning, staffing, and documentation related to resident incidents and behaviors.
Findings
The facility was found deficient in multiple areas including individualized evacuation plans, fire safety hazards, community based assessments, protective oversight, resident care plans, medication review, staffing ratios, and proper documentation of incidents and resident behaviors. Several residents were found at risk due to inadequate supervision and care.
Deficiencies (10)
A4505 Individual Evacuation Plan - The facility failed to ensure residents needing more than minimal assistance had individualized evacuation plans in their service plans.
A2202 Inspection Rights, No Fire Hazard - The facility failed to ensure no part of the building presented a fire hazard; unlocked ovens and stoves were observed in resident accessible kitchens.
A4750 Community Based Assessment - The facility failed to complete semi-annual community based assessments for sampled residents.
A4751 Community Based Assessment-Significant Change - The facility failed to update resident community based assessments after significant changes in condition for sampled residents.
A4776 Protective Oversight - The facility failed to provide protective oversight for cognitively impaired residents who eloped or were left unattended.
A4777 Proper Care Per Individual Service Plan - The facility failed to provide proper care per individualized service plans for residents requiring additional assistance and displaying inappropriate behaviors.
A4837 Resident Condition/Medication Review - The facility failed to maintain proper documentation and review of resident incidents and medication administration.
A4840 Resident Records Retention - The facility failed to maintain resident records on site for a resident transferred to the hospital.
A4841 Staffing Ratio, Resident Care & Fire Safety - The facility failed to maintain adequate staffing levels to ensure resident safety and care.
A6005 Toxic Material Storage - The facility failed to ensure poisonous or toxic materials were stored securely and inaccessible to residents.
Report Facts
Resident census: 11
Resident census: 15
Deficiencies cited: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in multiple findings related to care planning, staffing, and oversight responsibilities |
| Administrator | Administrator | Named in findings related to oversight, policy implementation, and corrective actions |
| Certified Medication Technician J | Certified Medication Technician | Observed during resident evacuation demonstration and interviews |
Viewing
Loading inspection reports...
