Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St Genevieve Nursing during CMS and state inspections, most recent first.
Failure to issue SNF ABNs after Medicare Part A ended: two residents remained in the facility after their Medicare Part A stays ended, but the facility did not provide the required SNF ABN before continued services. The AIT stated the prior BOM had not been completing SNF ABNs for residents who stayed after Part A ended, and leadership confirmed an SNF ABN would be expected in those situations.
Failure to Notify Residents, Representatives, and Ombudsman of Hospital Transfers: The facility did not provide written notice of hospital transfers or a copy of the bed hold policy to four sampled residents or their representatives. The record also showed no evidence that the ombudsman was notified of the transfers, and the facility's policy did not address written transfer notification.
QAPI meetings were not documented on a quarterly basis, with an approximately eight-month gap in meeting records. Documentation showed meetings in early 2025 and again in early 2026, but none in between, and the facility policy did not address quarterly QAPI meetings. The Administrator, AIT, and Regional Business Office Manager stated QAPI meetings should occur regularly, at least quarterly, with appropriate interdisciplinary team members.
Infection control practices were not maintained during wound care for a resident with a heel wound and during catheter care for a resident with an indwelling urinary catheter. An LPN handled wound supplies without hand hygiene or a barrier, did not wear a gown, reused soiled scissors, dropped and reused scissors from the floor, and returned supplies to the treatment cart with bare hands. A CNA continued catheter care with the same gloves after removing the brief, touched the bathroom door and cabinet with dirty gloves, and later changed gloves before finishing care.
The facility failed to maintain resident dignity during feeding as staff stood over residents instead of sitting at eye level. Observations showed a CNA and an NA standing while assisting multiple residents with eating. Interviews confirmed that staff should sit next to residents during feeding.
The facility did not complete required background checks for two CNAs before their employment start dates, as mandated by their policy. The HR/Payroll Manager admitted to not using a checklist, resulting in misplaced documentation. The Administrator, DON, and HR/Payroll Manager confirmed that these checks should be completed for all new hires.
A facility failed to maintain a medication error rate below five percent, resulting in a 7.14% error rate. An LPN did not prime an insulin pen before administering doses to a resident with Type II Diabetes Mellitus on two occasions. The facility lacked a policy on insulin administration, and the LPN acknowledged the oversight.
The facility staff failed to follow proper infection control practices during meal assistance, as CNAs did not sanitize hands between assisting residents. Additionally, food storage and labeling practices were inadequate, with multiple unlabeled and undated items found. Kitchen staff also failed to sanitize equipment and change gloves appropriately, and temperature logs were incomplete or missing.
A facility failed to maintain proper infection control practices when staff did not perform hand hygiene between FSBS checks and insulin administration, and did not disinfect the glucometer per manufacturer's recommendations. Observations showed an RN and an LPN not sanitizing hands between tasks and not allowing the glucometer to remain wet for the required time. Interviews revealed a lack of understanding of proper procedures, with staff admitting to not following protocol.
Failure to Issue SNF ABNs After Medicare Part A Ended
Penalty
Summary
The facility failed to provide a CMS Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) to two residents who were discharged from Medicare Part A services with benefit days remaining and continued to reside in the facility. Review of the ABN instructions showed that when Medicare is not likely to cover a service, the patient or representative must be notified before the service is provided, the form must be reviewed and signed in advance, and a copy must be retained on file. Resident #31 was discharged from Medicare Part A services on 03/12/26 and remained in the facility, but the facility did not issue a SNF ABN. Resident #44 was discharged from Medicare Part A services on 11/17/25, remained in the facility, and also did not receive a SNF ABN. During interview, the Administrator in Training stated the previous BOM had not been doing SNF ABNs for residents who stayed in the facility after their Medicare Part A stay ended, and the Administrator, Administrator in Training, and Regional BOM stated they would expect a SNF ABN to be issued when a resident's Medicare Part A stay ended and the resident remained in the facility.
Failure to Notify Residents, Representatives, and Ombudsman of Hospital Transfers
Penalty
Summary
The facility failed to notify residents and/or their representatives in writing of hospital transfers and failed to provide a copy of the bed hold policy upon transfer to the hospital for four sampled residents: Residents #8, #13, #40, and #44. The facility's Bed Hold Policy and Agreement Form stated that the facility was to notify the resident/responsible party of the bed hold policy and obtain an acknowledgement for each occurrence of hospital or therapeutic home leave, but the policies provided did not address written notification upon transfer to the hospital. Resident #8, admitted on 12/28/23, had two hospital transfers with no documentation that written notification of the transfers or a copy of the bed hold policy was provided to the resident and/or representative, and no evidence that the ombudsman was notified. Resident #13, admitted on 07/24/23, also had two hospital transfers with no documentation of written transfer notice or bed hold policy delivery and no evidence of ombudsman notification. Resident #40, admitted on 01/27/26, and Resident #44, admitted on 09/30/25, each had a hospital transfer with no documentation that written notification of the transfer or a copy of the bed hold policy was provided to the resident and/or representative, and there was no evidence that the ombudsman was notified of the transfers.
QAPI Meetings Not Held Quarterly
Penalty
Summary
The facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) program met at least quarterly, as shown by a lack of documented QAPI meetings over an extended period. Review of QAPI meeting documentation provided by the Administrator in Training showed meetings on January 21, 2025, April 22, 2025, May 20, 2025, and February 10, 2026, with no documentation of any QAPI meetings between May 20, 2025, and February 10, 2026, a gap of approximately eight months. The facility policy provided did not address quarterly QAPI meetings, and there was no documentation that the QAPI program was implemented on a consistent and ongoing basis during that time. During interview on 03/26/26 at 12:15 P.M., the Administrator, Administrator in Training, and Regional Business Office Manager stated they would expect QAPI meetings to be held on a regular basis, at least quarterly, and to include appropriate members of the interdisciplinary team.
Infection Control Failures During Wound and Catheter Care
Penalty
Summary
The facility failed to maintain proper infection control practices during wound care for one resident with a heel wound. During observation, an LPN brought wound care supplies from the treatment cart to the resident’s bedside without performing hand hygiene and placed the items on the nightstand without a barrier. The LPN washed hands, put on gloves, but did not put on a gown, then removed the resident’s heel protector boot and sock, cut off the old dressing with scissors taken from the nightstand, and continued using the same scissors after they were placed back on the nightstand. The LPN also sprayed wound cleanser onto gauze, changed gloves only after stating, “I should have changed my gloves,” and later used the same scissors after dropping them on the floor. The wound care continued with additional breaks in infection control. The LPN cut Aquacel with the same soiled scissors and applied it to the wound, then dropped the scissors while cutting tape, picked them up from the floor, and used them again to finish securing the dressing. The LPN later placed a piece of Aquacel back into the original package and stored it with the resident’s wound supplies in the wardrobe. The LPN removed the trash bag from the room, discarded trash and gloves in a hall container, obtained a new trash bag from staff in the hall, and placed it in the resident’s trash can with bare hands while touching the sides of the can. The LPN then returned the wound cleanser, gauze, and scissors to the treatment cart with bare hands. The facility also failed to maintain proper infection control practices during catheter care for one resident with an indwelling urinary catheter. During observation, a CNA sanitized hands, gathered supplies, and put on a gown, gloves, and mask, but after removing the resident’s brief and before starting catheter care, continued with the same gloves while cleaning the perineal area and catheter tubing. The CNA touched the bathroom door and cabinet with dirty gloves, then later removed gloves, sanitized hands, and put on clean gloves before completing care. The CNA later removed the gown, gloves, and mask and washed hands. The Administrator, Administrator in Training, and Infection Preventionist stated they expected staff to wear a gown for wound care, change gloves between dirty and clean care, avoid touching items in the room with dirty gloves, sanitize scissors if dropped and before and after use, use a barrier for wound supplies, and sanitize supplies used for other residents before returning them to the treatment cart.
Failure to Maintain Resident Dignity During Feeding
Penalty
Summary
The facility failed to ensure that staff provided care in a manner that maintained the dignity of residents during feeding. Observations revealed that Nursing Assistant (NA) B and Certified Nursing Assistant (CNA) A stood over residents while assisting them with eating, rather than sitting and being at eye level. This occurred with two residents from the sample and three residents outside the sample. During interviews, both CNA A and NA B acknowledged that they should be sitting next to residents when feeding them. The Administrator and Director of Nursing also confirmed that staff should sit and be at eye level with residents during feeding.
Failure to Conduct Required Background Checks for New Hires
Penalty
Summary
The facility failed to adhere to its policy of conducting necessary background checks before the employment start date for two certified nurse aides (CNAs) out of a sample of ten employees. The facility's policy, titled 'Abuse, Prevention and Prohibition,' mandates that all employees undergo criminal background checks, state and federal required checks, employment reference checks, and license/certification confirmation. However, the personnel files for CNA D and CNA E showed that the facility did not complete the Criminal Background Check (CBC), Employee Disqualification List (EDL), and Nurse Aide (NA) Registry checks prior to their hire dates. During interviews, the Human Resource/Payroll Manager acknowledged the oversight, stating that although the checks were reportedly completed, the documentation could not be found. The manager admitted to not using a checklist to ensure all necessary checks were completed and filed, which led to the misplacement of the folders containing the background check information for the two CNAs. The Administrator, Director of Nursing (DON), and Human Resource/Payroll Manager all confirmed that they expected these checks to be completed for all new hires before they started working at the facility.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent, resulting in an error rate of 7.14%. This deficiency was identified during a survey where there were 28 opportunities for medication administration, and two errors were made. The errors involved a resident with Type II Diabetes Mellitus who was prescribed Humalog insulin via a Kwik Pen according to a sliding scale. The Licensed Practical Nurse (LPN) responsible for administering the insulin failed to prime the insulin pen with two units before dosing and administering the insulin on two separate occasions. The first incident occurred when the LPN administered three units of insulin without priming the pen, and the second incident involved the administration of six units without priming. During interviews, the LPN acknowledged the failure to prime the pen as per the manufacturer's instructions. The facility did not have a policy related to insulin administration, and the Administrator and Director of Nursing expressed that they expected insulin pens to be primed according to the manufacturer's instructions.
Infection Control and Food Safety Deficiencies
Penalty
Summary
The facility staff failed to adhere to proper infection control practices during meal assistance, as observed with several residents. Certified Nursing Assistant (CNA) A and Nursing Assistant (NA) B did not sanitize their hands between assisting different residents with eating, which included holding utensils and touching residents' hands. This lack of hand hygiene was observed with multiple residents, increasing the risk of cross-contamination and food-borne illness. Interviews with the Administrator, Director of Nursing (DON), and the involved staff confirmed that hand sanitization was expected but not practiced. The facility also failed to maintain proper food storage and labeling practices. Observations revealed multiple instances of unlabeled and undated food items in the dry storage room, refrigerators, and freezer. These included bags of chips, taco seasoning, cake mix, apple slices, prepared salad, sliced cheese, deli meat, boiled eggs, and frozen meat. Additionally, there was ice buildup in the freezer, and the temperature logs for refrigerators and freezers were incomplete or missing, with several recorded temperatures exceeding the safe limit of 41 degrees. Further deficiencies were noted in the kitchen's food preparation practices. The Dietary Manager did not sanitize a thermometer before using it to test food temperatures, and a Dietary Aide failed to change gloves between handling different food items and surfaces. Interviews with the Dietary Manager and staff indicated an expectation for proper glove use and temperature logging, which was not met. The facility's failure to follow its own policies and procedures for infection control, food storage, and preparation posed a risk to resident safety.
Infection Control Deficiency in LTC Facility
Penalty
Summary
The facility failed to maintain appropriate infection control practices for two residents within the sample and one resident outside the sample. The deficiency was identified when staff did not perform hand hygiene between finger stick blood sugar (FSBS) checks and insulin administration, and failed to disinfect the glucometer according to the manufacturer's recommendations. The facility's policy required hand hygiene and proper disinfection of the glucometer, but these procedures were not followed by the staff. During observations, a registered nurse (RN) and a licensed practical nurse (LPN) were seen not sanitizing their hands between tasks and not properly disinfecting the glucometer. The RN was observed performing FSBS on two residents without sanitizing hands between tasks and not allowing the glucometer to remain wet for the required two minutes after disinfection. Similarly, the LPN was observed using the same gloves for FSBS and insulin administration, and not allowing the glucometer to remain wet for the required time. Interviews with the staff revealed a lack of understanding of the proper procedures for hand hygiene and disinfection. Both the RN and LPN admitted to not following the correct protocol, with the RN unsure of the required contact time for the disinfectant and the LPN mistakenly believing the disinfectant was bleach. The facility's administrator and director of nursing acknowledged the expectation for staff to follow proper infection control practices, including changing gloves and sanitizing hands between tasks.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 62 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sainte Genevieve
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverview At The Park Care And Rehabilitation Cent | 1.8 mi | ★★★★★ | 1 | 0 |
| Three Springs Sr Living & Rhab | 13.2 mi | ★★★★★ | 3 | 0 |
| Independence Care Center Of Perry County | 19.1 mi | ★★★★★ | 9 | 0 |
| Estates Of Perryville, Llc, The | 19.8 mi | ★★★★★ | 13 | 0 |
| Randolph County Care Center | 21.1 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for St Genevieve Nursing.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.