SWEET SPRINGS VILLA

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: 265606 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER SWEET SPRINGS VILLA STREET ADDRESS, CITY, STATE, ZIP 518 E MARSHALLSWEET SPRINGS, MO …

SUNSET HOME

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: 265745 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER SUNSET HOME STREET ADDRESS, CITY, STATE, ZIP 1201 S. POLKMAYSVILLE, MO 64469 For …

SUNNYVIEW NURSING HOME & APARTMENTS

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: 265715 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER SUNNYVIEW NURSING HOME & APARTMENTS STREET ADDRESS, CITY, STATE, ZIP 1311 E 28TH …

ST SOPHIA HEALTH & REHABILITATION 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: 265120 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER ST SOPHIA HEALTH & REHABILITATION CENTER STREET ADDRESS, CITY, STATE, ZIP 936 CHARBONIER …

ST PETERS MANOR CARE 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: 265589 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER ST PETERS MANOR CARE CENTER STREET ADDRESS, CITY, STATE, ZIP 230 SPENCER ROADSAINT …

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 …

SILEX COMMUNITY CARE

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: 265611 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER SILEX COMMUNITY CARE STREET ADDRESS, CITY, STATE, ZIP 111 DUNCAN MANSION ROADSILEX, MO …

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 …

ROYAL OAK 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: 265378 (X2) MULTIPLE CONSTRUCTION A. BUILDING ___________ B. WING ___________ (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OF SUPPLIER ROYAL OAK NURSING & REHAB STREET ADDRESS, CITY, STATE, ZIP 4960 LACLEDE AVENUESAINT …

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 …