ST JAMES LIVING CENTER

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 9/25/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265225 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER ST JAMES LIVING CENTER STREET ADDRESS, CITY, STATE, ZIP 415 SIDNEY STREET, PO …

SILVERSTONE PLACE

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 9/25/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265851 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER SILVERSTONE PLACE STREET ADDRESS, CITY, STATE, ZIP 2735 EAGLESON DRROLLA, MO 65401 For …

SEVILLE CARE CENTER

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 9/3/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265521 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER SEVILLE CARE CENTER STREET ADDRESS, CITY, STATE, ZIP 35625 HIGHWAY 72, PO BOX …

ROSEWOOD CARE CENTER OF ST LOUIS

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 9/3/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265457 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER ROSEWOOD CARE CENTER OF ST LOUIS STREET ADDRESS, CITY, STATE, ZIP 11278 SCHUETZ …

PEMISCOT COUNTY MEMORIAL HOSPITAL

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 9/3/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 26A469 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER PEMISCOT COUNTY MEMORIAL HOSPITAL STREET ADDRESS, CITY, STATE, ZIP PO BOX 489, HIGHWAY …

OAKWOOD ESTATES NURSING & REHAB

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 9/3/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265719 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER OAKWOOD ESTATES NURSING & REHAB STREET ADDRESS, CITY, STATE, ZIP 5303 BERMUDA DRIVENORMANDY, …

LIFE CARE CENTER OF GRANDVIEW

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 7/31/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265355 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER LIFE CARE CENTER OF GRANDVIEW STREET ADDRESS, CITY, STATE, ZIP 6301 EAST 125TH …

JEFFERSON CITY NURSING AND REHABILITATION CTR, LLC

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 7/31/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265530 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER JEFFERSON CITY NURSING AND REHABILITATION CTR, LLC STREET ADDRESS, CITY, STATE, ZIP 1221 …

HILLSIDE MANOR HEALTHCARE AND REHAB CENTER

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 7/31/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265585 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER HILLSIDE MANOR HEALTHCARE AND REHAB CENTER STREET ADDRESS, CITY, STATE, ZIP 1265 MCLARAN …

HERITAGE CARE CENTER

Original Inspection report DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 7/31/2019FORM APPROVEDOMB NO. 0938-0391 STATEMENT OF DEFICIENCIESAND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIAIDENNTIFICATION NUMBER: 265534 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER HERITAGE CARE CENTER STREET ADDRESS, CITY, STATE, ZIP 4401 NORTH HANLEY ROADSAINT LOUIS, …