ST ANDREW'S AT FRANCIS PLACE in EUREKA, MO was fined $77,664 by CMS following 33 deficiency citations identified during federal surveys.

ST ANDREW'S AT FRANCIS PLACE (EUREKA, MO) — $77,664 in CMS Fines

Outcome: ST ANDREW'S AT FRANCIS PLACE in EUREKA, MO was fined $77,664 by CMS following 33 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.


• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.


• Reasonably accommodate the needs and preferences of each resident.


• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.


• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.


• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.


• Ensure services provided by the nursing facility meet professional standards of quality.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.