Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ssm Health Depaul Hospital - Anna House during CMS and state inspections, most recent first.
A CNA transferred a resident alone using a sit-to-stand lift, contrary to facility policy requiring two staff for mechanical lift transfers. The resident, who had multiple medical conditions and required substantial assistance, resisted during the transfer and slid out of the sling, resulting in a fractured femur. Staff found the resident hanging from the lift and later confirmed the injury by x-ray before sending the resident to the hospital.
The facility failed to maintain cleanliness in the main kitchen and ensure operational dishwashers on the A2 unit, affecting two residents. Observations showed food debris, grease, and dust accumulation in the kitchen, while dishwashers were non-functional, leading to inadequate handwashing of dishes. Residents reported receiving meals with dirty utensils, highlighting the facility's failure to adhere to cleaning protocols and maintain proper sanitation.
The facility failed to conduct weekly skin assessments for residents at risk of skin breakdown, did not complete necessary admission procedures for a newly admitted resident, and neglected to implement physician orders for a resident with a history of edema and blood clots. Staffing issues and inadequate documentation practices contributed to these deficiencies.
The facility experienced a 35.71% medication error rate due to unavailable medications for several residents. Medications for a resident were not in the cart, leading to delayed administration. Another resident's medication was left at the bedside, and eye drops were missing. A third resident's supplement was unavailable. Staff interviews revealed non-compliance with policies for using emergency kits and ensuring medication availability.
The facility failed to serve food at safe and appetizing temperatures, as observed with food items like buttered potatoes and cornbread casserole being below the required temperature. Residents reported that food was often cold, and staff interviews confirmed the expectation for food to be served at appropriate temperatures.
The facility failed to implement Enhanced Barrier Precautions (EBP) for residents with wounds and catheters, as staff did not wear isolation gowns during high-contact care activities. Additionally, hand sanitizer dispensers were found empty, compromising hand hygiene. Staff interviews revealed a lack of understanding regarding EBP, and the facility's leadership acknowledged deficiencies due to inadequate education and oversight.
A facility failed to assess residents for self-administration of medications and did not supervise them during medication administration. Observations showed a CMT leaving residents unsupervised while they took their medications, contrary to facility policy. Interviews confirmed that staff should supervise medication administration, but the CMT believed residents were capable of self-administration despite their medical conditions.
A resident admitted to hospice care with neurocognitive disorder and dementia did not receive a significant change MDS assessment within the required 14 days. The MDS Coordinator was unaware of the hospice admission due to a missing physician order in the EMR, leading to the oversight.
The facility failed to meet the ADL care needs for two residents who required assistance. One resident, with hemiplegia and other conditions, reported no assistance with oral hygiene, resulting in poor oral care and unshaved facial hair. Another resident with Alzheimer's disease was observed with poor oral hygiene and unshaved facial hair, despite being independent after setup. Interviews with staff and the DON confirmed the lack of consistent assistance with oral care and personal hygiene.
A resident with a left hand contracture did not receive a palm protector as recommended by occupational therapy, due to a lack of communication and documentation within the facility. Observations showed the resident without the device, and staff interviews revealed unawareness of the requirement. The Therapy Director admitted to not obtaining a physician order, and the DON and Administrator acknowledged the need for better communication and procedure adherence.
A resident with multiple sclerosis and bladder dysfunction did not receive proper catheter care, as the facility failed to change the catheter tubing and bag every 30 days, leading to cloudy tubing with green residue. The catheter bag was left on the floor after becoming unhooked during care, and staff did not perform necessary catheter care after a bowel movement. Interviews revealed a lack of awareness and adherence to catheter care protocols among staff.
The facility failed to obtain necessary physician orders for respiratory care, affecting three residents. Two residents used CPAP machines without orders, and one had an outdated oxygen order. Another resident received oxygen therapy without a required order. Facility policies were inadequate, and staff interviews confirmed the lack of proper documentation.
A resident with severe cognitive impairment and limited mobility was found without a call light at the bedside, despite the ability to use the right hand. Observations confirmed the absence of a call light over several days. Staff interviews revealed a lack of awareness about the missing call light, although it was acknowledged that all residents should have one within reach.
The facility did not post nurse staffing information daily for two days during the survey. The Staffing Coordinator, responsible for this task, was out sick, and no one else was assigned to update the information. The DON acknowledged the requirement and the lack of a protocol for covering this duty in the Coordinator's absence.
The facility failed to ensure that a resident with a pressure ulcer received appropriate wound care due to the staff not entering physician orders into the medical record. The resident had a Stage 2 pressure ulcer, but the necessary treatment orders were not documented, leading to a lapse in care. Interviews with staff revealed that the facility's policies and procedures were not followed, resulting in the deficiency.
The facility failed to ensure complete and accurate medical record documentation for a resident with multiple diagnoses and pressure injuries. Inconsistent entries in the Medication Administration Record (MAR) and confusion among staff about who performed and documented treatments led to this deficiency.
Failure to Provide Adequate Supervision and Assistance During Mechanical Lift Transfer
Penalty
Summary
A deficiency occurred when a Certified Nursing Assistant (CNA) used a Sara lift (sit-to-stand lift) alone to transfer a resident who required substantial assistance, despite facility policy requiring two trained staff for all mechanical lift transfers. The CNA did not wait for assistance, even though another CNA was present in the facility and had previously been asked to help. During the transfer, the resident began to resist, moved around, and attempted to remove their arms from the sling, resulting in the resident sliding out of the sling and ending up hanging from the lift with their legs twisted underneath them. The resident involved had a history of dementia, stroke, osteoporosis, an artificial knee joint, spondylosis, and muscle weakness. The resident's care plan indicated a need for one-person assistance for transfers, but interviews and staff statements revealed that the resident was actually a two-person assist and required a Hoyer lift for transfers. There was no documented update in the care plan to reflect this change in transfer status, and staff used both the Sara and Hoyer lifts interchangeably. The resident was cognitively intact but had a history of rejecting care and required substantial to maximal assistance for transfers and bathing. Following the incident, staff responded to the CNA's call for help and found the resident hanging from the lift with a twisted leg. The resident was assessed and later found to have an acute impacted fracture of the left distal femur, confirmed by x-ray. The resident was subsequently sent to the hospital, where they later passed away. Staff interviews confirmed that the CNA was aware of the two-person requirement and the resident's transfer status but did not follow protocol, and there was a lack of clear signage or consistent communication regarding the resident's transfer needs.
Sanitation and Equipment Deficiencies in Kitchen and A2 Unit
Penalty
Summary
The facility failed to maintain cleanliness and proper sanitation in the main kitchen and the A2 unit, leading to significant deficiencies. Observations over several days revealed that the main kitchen had food debris, grease, and dust accumulation in various areas, including the walk-in refrigerator and freezer, bulk bins, deep fryer, and ceiling tiles. The facility's cleaning rotation policy was not adhered to, as evidenced by the unclean conditions of the kitchen floors, appliances, and storage areas. Interviews with dining service staff and management indicated a lack of clarity and consistency in cleaning responsibilities, contributing to the unsanitary conditions. Additionally, the facility failed to ensure that dishwashers on the A2 unit were operational, affecting the cleanliness of utensils and dishes used by residents. Two residents reported receiving meals with dirty utensils, and observations confirmed that the dishwashers were not functioning, leading staff to wash dishes by hand. However, the handwashing process was inadequate for proper sanitation, as the water temperature in the dishwashers did not reach the necessary level for effective cleaning. The deficiency impacted residents, including one with severe cognitive impairment and another who was cognitively intact, both of whom expressed concerns about the cleanliness of their dining utensils. The facility's failure to maintain operational dishwashers and adhere to cleaning protocols compromised the sanitation of the dining services, posing a potential risk to resident health and safety.
Deficiencies in Skin Assessments and Admission Procedures
Penalty
Summary
The facility failed to ensure that weekly skin assessments were completed for residents at risk for skin breakdown or with impaired skin integrity. Specifically, three residents did not receive the required weekly skin assessments, despite being identified as at risk for developing pressure ulcers. The facility's policy mandates weekly skin inspections, but due to staffing issues, these assessments were not conducted. The usual floor nurse for the A2 unit was moved to a supervisory position, leaving the unit without a dedicated nurse to perform these assessments. Additionally, the facility did not complete necessary admission procedures for a newly admitted resident, including an admission skin assessment, obtaining an admission weight, and securing treatment orders for a skin tear. The resident reported not being weighed or assessed upon arrival, and a skin tear was not properly documented or treated according to protocol. The facility's lack of an admission checklist contributed to these oversights, as the required assessments did not auto-populate in the system. The facility also failed to implement physician orders for a resident with a history of edema and blood clots, specifically the use of thromboembolic deterrent (TED) hose. Despite a physician's order, the TED hose was not documented in the resident's records, and the resident was observed without them. Furthermore, the facility did not address the resident's weight gain, as required by their policy, and failed to document the resident's refusal of care in the medical record. These deficiencies highlight a lack of adherence to established protocols and inadequate documentation practices.
High Medication Error Rate Due to Unavailable Medications
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a 35.71% error rate during the survey. This deficiency was observed through multiple instances where medications were not administered as prescribed. For Resident #161, several medications, including metoprolol, amiodarone, Symbicort, bupropion, furosemide, gabapentin, and nitrofurantoin, were unavailable in the medication cart, and the resident was informed they would have to wait until the evening shift for the pharmacy delivery. This indicates a failure to ensure timely administration of prescribed medications. Resident #163 experienced a similar issue where the docusate sodium was left at the bedside and not administered, and the Systane eye drops were not found in the medication cart. The medication technician left the resident's room without ensuring the medication was ingested, which is against the facility's policy of observing residents after medication administration. This oversight contributed to the high medication error rate observed during the survey. For Resident #162, the Omega 3 fatty acids supplement was not available, and the staff indicated they might need to purchase it from an external source. Interviews with staff revealed that there was a lack of adherence to the facility's policy of using the emergency kit for new admissions and ensuring medications are available and administered as prescribed. The facility's administration acknowledged the expectation for staff to follow physician orders accurately and utilize available resources to prevent medication errors.
Failure to Serve Food at Safe Temperatures
Penalty
Summary
The facility failed to ensure that food was served at a safe and appetizing temperature for three residents, as observed during a survey. The facility's policy required that hot foods maintain a temperature of 140 degrees Fahrenheit or greater, and cold foods maintain a temperature of less than 40 degrees Fahrenheit. However, observations revealed that food served to residents on the first floor was below the required temperature, with buttered potatoes measuring at 114.2 degrees Fahrenheit and cornbread casserole at 112 degrees Fahrenheit. Further observations showed baked ham at 118 degrees Fahrenheit and Brussels sprouts at 136 degrees Fahrenheit, indicating a consistent issue with maintaining appropriate food temperatures. Interviews with residents confirmed that food was often served cold, which was corroborated by the resident council meeting where six alert and oriented residents reported similar concerns. Staff interviews, including those with the Dining Service Associate, Dining Service Manager, and Director of Dining Services, acknowledged the expectation that food should be served at a safe and palatable temperature. The Administrator and Director of Nursing also expressed the same expectation, highlighting a disconnect between policy and practice in ensuring food safety and quality.
Failure to Implement Enhanced Barrier Precautions and Maintain Hand Hygiene
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) as recommended by the CDC and required by CMS for residents with central lines, catheters, and wounds requiring treatments. Observations revealed that staff did not wear isolation gowns during high-contact care activities for residents with wounds and catheters. For instance, staff members were seen handling residents' wounds and catheters without the necessary protective equipment, such as gowns, which are crucial for preventing the transmission of multidrug-resistant organisms (MDROs). Additionally, the facility did not maintain functional hand sanitizer dispensers on one unit, which is essential for proper hand hygiene. Several dispensers were found empty, and staff reported that they had been empty for months, forcing them to rely on sinks for handwashing. This lack of readily available hand sanitizer compromised the ability of staff to perform hand hygiene between resident interactions, increasing the risk of infection transmission. Interviews with staff revealed a lack of understanding and awareness regarding EBP and the necessary precautions for residents with wounds and catheters. Some staff members were unaware of the meaning of EBP or the requirement to use additional PPE. The facility's Infection Preventionist and Director of Nursing acknowledged the deficiencies, attributing them to a lack of education and oversight, and noted that the correct signage and PPE were not consistently available outside residents' rooms.
Failure to Supervise Medication Administration
Penalty
Summary
The facility failed to ensure that residents were properly assessed for their ability to self-administer medications and that staff adequately supervised residents during medication administration. This deficiency was observed in the cases of three residents, all of whom had various medical conditions including dementia, anxiety, and depression. Despite the facility's policy requiring an interdisciplinary team assessment and a prescriber's order for self-administration, none of the residents had been assessed or authorized to self-administer their medications. Observations revealed that staff, specifically a Certified Medication Technician (CMT), did not supervise the residents while they took their medications. For instance, one resident was observed taking medications unsupervised in the dining room, with the CMT's back turned towards them. This lack of supervision was consistent across multiple observations and interviews, where residents reported that staff sometimes left them alone to take their medications. Interviews with staff, including a Nurse Supervisor and the Director of Nursing, confirmed that the facility's protocol required staff to supervise residents during medication administration to ensure safety and accuracy. However, the CMT involved believed that the residents were cognitively intact enough to take their medications without supervision, despite their diagnoses. This misunderstanding and deviation from protocol contributed to the deficiency identified during the survey.
Failure to Complete Timely MDS Assessment for Hospice Admission
Penalty
Summary
The facility failed to complete a significant change in status assessment within 14 days for a resident who was admitted to hospice care. The resident, who had been diagnosed with neurocognitive disorder with Lewy bodies and dementia, was admitted to hospice with a diagnosis of failure to thrive. Despite the requirement for a significant change Minimum Data Set (MDS) assessment to be completed within 14 days of such a change, the facility did not complete this assessment in the required timeframe. The MDS Coordinator acknowledged that a resident's admission to hospice is considered a significant change, necessitating a timely MDS assessment. However, the coordinator was not informed of the resident's hospice admission due to the absence of a physician order in the resident's electronic medical record (EMR). The Director of Nurses and the Administrator confirmed that the MDS Coordinator is responsible for completing all MDS assessments and that the expectation is for these assessments to be completed within the specified period following a significant change.
Failure to Provide Adequate ADL Care for Dependent Residents
Penalty
Summary
The facility failed to meet the Activities of Daily Living (ADL) care needs for two residents, Resident #13 and Resident #35, who were dependent on staff assistance. Resident #13, who is cognitively intact and diagnosed with hemiplegia, hemiparesis, major depressive disorder, anxiety, and morbid obesity, reported that staff never assisted with brushing his/her teeth, resulting in a white thick matter on the teeth and unshaved facial hair. Observations confirmed the resident's poor oral hygiene and facial hair growth. Interviews with the resident and staff, including a CNA and the Director of Nursing (DON), revealed that the expected assistance with oral hygiene and shaving was not provided. Resident #35, with moderately impaired cognition and diagnosed with Alzheimer's disease and muscle weakness, was observed to have a strong odor emitting from his/her mouth and unshaved facial hair. The resident's care plan indicated independence in personal hygiene after setup, but observations and interviews with CNA G and the DON indicated that consistent assistance with oral hygiene was lacking. CNA G admitted to using mouth swabs for oral care but did not inquire about the resident's preference for facial hair shaving. The DON confirmed the expectation for staff to assist with oral care and personal hygiene.
Failure to Ensure Use of Palm Protector for Resident with Contracture
Penalty
Summary
The facility failed to provide appropriate care for a resident with limited mobility, specifically in ensuring the use of a palm protector for a left hand contracture. The resident, who had a history of stroke, contracture to the left elbow, generalized muscle weakness, dementia, and cognitive communication deficit, was observed multiple times without the recommended palm protector. The resident's care plan did not include documentation regarding the application of a palm protector, despite recommendations from occupational therapy. Observations over several days showed the resident without a palm protector, and staff interviews revealed a lack of awareness and communication regarding the resident's need for the device. Certified Nurse Aides (CNAs) and a Restorative Aide (RA) were unaware of the requirement for the resident to wear a palm protector, and there was no physician order for the device in the resident's electronic medical record. The resident's left hand was noted to be contracted and slightly swollen, with indentations from the fingers, indicating a lack of appropriate intervention. Interviews with facility staff, including a Licensed Practical Nurse (LPN), Nurse Supervisor, Therapy Director, and the Director of Nurses (DON), highlighted a breakdown in communication and procedure. The Therapy Director acknowledged the oversight in obtaining a physician order for the palm protector, and the DON and Administrator confirmed that therapy should have educated nursing staff and ensured the order was entered into the electronic medical record. This deficiency in care coordination and communication led to the resident not receiving the necessary equipment to maintain or improve their range of motion.
Failure in Catheter Care and Monitoring
Penalty
Summary
The facility failed to provide proper urinary catheter care for a resident, leading to a deficiency. The resident, who had multiple sclerosis, hemiplegia, and neuromuscular dysfunction of the bladder, was observed with a Foley catheter that had not been changed in a long time. The catheter tubing and bag appeared cloudy with green residue, indicating a lack of adherence to the facility's policy of changing the catheter tubing and bag every 30 days. Additionally, the resident's care plan did not address the frequency of catheter changes, and there was no recent lab work or urinalysis to monitor the resident's condition. During an observation, the resident's catheter bag was found on the floor after being unhooked from the bedframe during a care procedure. The staff failed to pick up the catheter bag from the floor and did not provide catheter care after the resident had a bowel movement. The catheter bag remained on the floor for an extended period, and the staff did not follow the facility's policy of keeping the catheter bag off the floor and securing it below the level of the bladder. Interviews with staff revealed a lack of awareness and adherence to catheter care protocols. The Nurse Supervisor and CNA were not aware of the green residue in the catheter tubing and bag, and the Director of Nursing stated that catheter tubing should only be changed if there is dysfunction or discomfort. The facility's failure to follow its own catheter care policies and lack of proper documentation and monitoring contributed to the deficiency.
Failure to Obtain Physician Orders for Respiratory Care
Penalty
Summary
The facility failed to ensure proper respiratory care for three residents by not obtaining necessary physician orders for the use of CPAP machines and oxygen therapy. Two residents were using CPAP machines without physician orders, and one of these residents also had an outdated order for continuous oxygen use that was no longer needed. Another resident was receiving continuous oxygen therapy without a physician order, despite the facility's policy requiring such orders for oxygen use above 2 liters per minute. The facility's policies on CPAP and oxygen administration were inadequate, as the CPAP policy did not address the need for physician orders, and the oxygen policy required orders for specific flow rates. Observations and interviews with staff and residents confirmed the lack of appropriate orders and documentation in the residents' care plans and medical records. The facility's Administrator and DON acknowledged the need for physician orders for CPAP machines and oxygen therapy, highlighting a gap in compliance with professional standards of practice.
Resident Lacks Call Light Access
Penalty
Summary
The facility failed to ensure that a resident's room was adequately equipped with a call light at the bedside. The resident, who had a history of stroke, contracture in the left elbow, dementia, and cognitive communication deficit, was observed multiple times without a call light connected to the port in the wall next to the bed. The resident's care plan indicated a need for a safe environment with a call light within reach, yet this was not provided. Observations over several days confirmed the absence of a call light, despite the resident's ability to use the right hand. Interviews with staff, including CNAs and the Nurse Supervisor, revealed that the resident could understand commands and respond verbally at times, and had the ability to use a call light with the right hand. However, the staff were unaware of the missing call light and acknowledged that all residents should have one within reach. The Director of Nurses and Administrator also confirmed the expectation for all residents to have accessible call lights and noted that staff should report missing call lights to maintenance, although some staff struggled with entering repair requests into the system.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post nurse staffing information on a daily basis for two out of four days during the survey. On 9/24/24 and 9/25/24, the direct care staff daily report was dated 9/23/24, indicating that the staffing information was not updated as required. The Staffing Coordinator, who is responsible for posting this information, was out sick for the past two days, and no one else was assigned to fulfill this duty in her absence. During interviews, both the Staffing Coordinator and the Director of Nurses (DON) acknowledged the requirement to post staffing hours daily and admitted that there was no current protocol for covering this task when the Staffing Coordinator is unavailable.
Failure to Document and Provide Wound Care for Resident with Pressure Ulcer
Penalty
Summary
The facility failed to ensure that a resident with pressure ulcers received services consistent with professional standards of practice. Specifically, the staff did not enter physician orders for wound care into the medical record for a resident with a pressure ulcer on the left ischial tuberosity. This oversight could have resulted in the wound care not being provided. The resident had moderately impaired cognition, limited range of motion, and was at risk for developing pressure ulcers due to a progressive neurological condition and other diagnoses. The resident's care plan indicated a need for treatment and observation of pressure injuries, but the necessary treatment orders were not documented in the medical record. The deficiency was identified during an observation and interview with the resident, who confirmed having a sore on the buttocks. The wound nurse's evaluation showed a Stage 2 pressure ulcer with slough present, but no treatment order was found in the physician's order summary report or the Treatment Administration Record. Despite the wound nurse obtaining an order for Santyl, it was not entered into the computer. Interviews with various staff members, including a Certified Medication Technician, Care Partner, Registered Nurse, and the Assistant Director of Nursing, revealed that the wound was not properly documented or communicated, and the treatment orders were not entered as required. The facility's policies and procedures were not followed, as confirmed by the Assistant Director of Nursing and the Administrator. They expected staff to notify the doctor, obtain treatment orders, and document wounds in the progress notes and medical record. The failure to enter the treatment orders into the medical record within the expected timeframe of 24 to 72 hours led to the deficiency. The lack of proper documentation and communication regarding the wound care for the resident highlights a significant lapse in the facility's adherence to its own policies and procedures.
Incomplete and Inaccurate Medical Record Documentation
Penalty
Summary
The facility failed to ensure that medical records were complete and accurately documented for one resident. The resident had moderately impaired cognition and multiple diagnoses, including a progressive neurological condition and pressure injuries. The care plan required specific treatments for pressure injuries on the coccyx and left buttock, including the application of wound gel and collagenase ointment. However, the Medication Administration Record (MAR) showed inconsistent documentation, with some entries marked with a '9' indicating 'other/see progress notes,' and others showing only the initials of a Certified Medication Technician (CMT). Progress notes indicated that all medications were given, but there was confusion about who actually performed the treatments and documented them. Interviews with staff revealed discrepancies in the documentation process. The CMT stated that they felt comfortable performing treatments, but the Wound Nurse and Assistant Director of Nursing (ADON) indicated that nurses were responsible for wound care. The Director of Nursing (DON) acknowledged that sometimes the computer system would not accept documentation, leading staff to use a '9' or have nurses document treatments under the CMT's login. The Administrator expected the person who completed the task to document it accurately, but this was not consistently followed, leading to incomplete and inaccurate medical records for the resident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bridgeton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avenir At Mark Twain | 0.4 mi | ★★★★★ | 40 | 0 |
| Parkwood Skilled Nursing And Rehabilitation Center | 0.9 mi | ★★★★★ | 7 | 0 |
| Life Care Center Of Bridgeton | 1.2 mi | ★★★★★ | 0 | 0 |
| Stonebridge Maryland Heights | 1.5 mi | ★★★★★ | 4 | 0 |
| Nhc Healthcare, Maryland Heights | 2 mi | ★★★★★ | 6 | 0 |
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