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3933 S BROADWAY SAINT LOUIS, MO 63118 | Proprietary

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Jul 25, 2023	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION
Oct 14, 2022	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT USE OF RESTRAINT OR SECLUSION
Sep 3, 2020 Follow-up to inspection on 2020-03-05*	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION
Mar 5, 2020	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Jul 2, 2019	11	0	0	11	Read full report
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - APPOINTMENTS MEDICAL STAFF - BYLAWS MEDICAL STAFF - ACCOUNTABILITY CHIEF EXECUTIVE OFFICER INSTITUTIONAL PLAN AND BUDGET EMERGENCY SERVICES PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE VENTILATION, LIGHT, TEMPERATURE CONTROLS
Jul 1, 2019	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM
Jul 12, 2018 Follow-up to inspection on 2018-02-08*	7	0	0	7	Read full report
Deficiencies cited in this report: GOVERNING BODY CHIEF EXECUTIVE OFFICER QAPI DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES QAPI EXECUTIVE RESPONSIBILITIES PROVIDING ADEQUATE RESOURCES
Feb 8, 2018	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION
Feb 2, 2017	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM
Oct 13, 2016	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS
Aug 11, 2016	2	0	0	2	Read full report
Deficiencies cited in this report: INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM
Dec 16, 2015	2	0	0	2	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Jul 30, 2015	0	8	0	8	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
May 7, 2015	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES NURSING SERVICES ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Nov 28, 2012 Follow-up to inspection on 2012-08-02*	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING CONTENT OF RECORD: FINAL DIAGNOSIS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Sep 12, 2012 Follow-up to inspection on 2012-08-02*	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING CONTENT OF RECORD: FINAL DIAGNOSIS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Aug 2, 2012 Follow-up to inspection on 2012-07-13*	11	0	0	11	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT VISITATION RIGHTS PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE
Aug 2, 2012	0	2	0	2	Read full report
Deficiencies cited in this report: No Description Available LIFE SAFETY CODE STANDARD
Aug 2, 2012	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING CONTENT OF RECORD: FINAL DIAGNOSIS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Jul 13, 2012	11	0	0	11	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT VISITATION RIGHTS PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE
Jun 13, 2012	0	6	0	6	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
Apr 29, 2011	0	10	0	10	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
Apr 29, 2011	18	0	0	18	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: INTERNAL DEATH REPORTING LOG ADMINISTRATION OF DRUGS CONTENT OF RECORD MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS UNUSABLE DRUGS NOT USED PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM STAFF EDUCATION
Mar 11, 2011	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Oct 28, 2010	15	0	0	15	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT ADMINISTRATION OF DRUGS No Description Available MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED PHARMACIST SUPERVISION OF SERVICES SECURE STORAGE UNUSABLE DRUGS NOT USED DIETS INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES DIRECTOR OF REHABILITATION SERVICES

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts