Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at South County Health Care Center during CMS and state inspections, most recent first.
Two residents did not receive multiple doses of prescribed medications, including IV antibiotics and antihypertensives, due to medication unavailability following a pharmacy change. Staff interviews confirmed delays in medication delivery and inadequate emergency supplies, resulting in missed treatments and lack of documentation during the transition.
The facility failed to maintain sanitary conditions in food storage and preparation areas, risking cross-contamination and food-borne illness. Observations showed unlabeled food items, dirty floors, and incomplete temperature logs. A dietary aide prepared food without gloves, and dented cans and opened bags were found in storage. The Dietary Manager and staff acknowledged the need for cleanliness and proper food handling.
The facility failed to ensure privacy for residents during showers by not providing a shower curtain in the 100 hall shower room, affecting three residents. Observations showed the lack of a curtain and no indication of room occupancy. Residents expressed discomfort and embarrassment, with some reducing shower frequency. The Administrator removed the curtain due to safety concerns but did not implement a solution for independent residents.
A facility failed to follow proper infection control techniques during medication administration. A CMT did not wash or sanitize hands before or after administering medications to several residents, handled medication cups with bare hands, and failed to change gloves or perform hand hygiene after handling medication carts and administering eye drops. The facility's leadership expected staff to adhere to hand hygiene protocols.
Failure to Administer Medications as Ordered During Pharmacy Transition
Penalty
Summary
Facility staff failed to administer medications as ordered by physicians for two residents out of a sample of five, in a facility with a census of 82. The facility's own policies required medications to be administered as ordered and within a specific time frame, but multiple doses of critical medications were missed for both residents. For one resident with complex medical conditions including osteomyelitis, hypertension, heart failure, atrial fibrillation, and chronic obstructive pulmonary disease, there were numerous missed doses of IV antibiotics, antihypertensives, anticoagulants, and other essential medications. Documentation showed that these medications were not available and not administered over several days, with some missed doses specifically noted as due to medication unavailability. The resident's medical records indicated significant health events during this period, including episodes of severe hypertension, lightheadedness, and a fall. Progress notes documented that the resident experienced elevated blood pressure readings, lightheadedness, and eventually required transfer to the hospital, where diagnoses included cerebellar infarct, acute kidney injury, and osteomyelitis. There was also a lack of nursing documentation regarding some of the elevated blood pressure readings and missed medication administrations. For another resident with vascular dementia, cervical disc degeneration, chronic kidney disease, and hypertension, there were also missed doses of prescribed medications, including donepezil and gabapentin, over several days. Interviews with staff revealed that the facility had recently changed pharmacies, resulting in delays and gaps in medication availability. Staff reported that the previous pharmacy supplied medications only through the end of the month, and the new pharmacy was unable to provide medications immediately due to insurance and supply issues. The facility did not have a secondary pharmacy or adequate emergency medication supplies to cover the transition period.
Sanitation Deficiencies in Food Storage and Preparation
Penalty
Summary
The facility failed to maintain sanitary conditions in its food storage and preparation areas, which increased the risk of cross-contamination and food-borne illness for all residents served by the kitchen. Observations revealed numerous items in the walk-in refrigerator and freezer that were not labeled or dated, and the floors were covered in dirt and debris. Additionally, the double door freezer inside the kitchen contained undated and unlabeled food items in plastic storage bags. The facility's policy required that all food be appropriately dated to ensure proper rotation by expiration dates, but this was not adhered to. Further observations in the dry food storage room showed several dented cans, opened and unsealed bags of food without dates or labels, and dry goods stored in bins containing dirt, debris, and dead insects. The stove top, oven, and lower storage counter were also found to be covered in dirt and debris. The Dietary Manager admitted to not having logs for the refrigerator, freezers, and dishwasher for the last week, and the logs for July and August were incomplete, with only a few days recorded. During food preparation, a dietary aide was observed preparing sandwiches without wearing gloves and placing bread directly on a dirty counter. The Dietary Manager and other staff acknowledged the expectation for gloves to be worn when handling food and for food to be kept off counters. The Administrator and Assistant Director of Nursing also confirmed these expectations, along with the removal of expired or dented food items and maintaining cleanliness in the food storage and preparation areas.
Privacy Violation in Shower Room
Penalty
Summary
The facility failed to protect residents' right to privacy during bathing by not ensuring that other residents did not enter the shower room during showers and by not providing a shower curtain in the 100 hall shower room. This deficiency affected two sampled residents and one resident outside the sample. Observations revealed that the shower room lacked a curtain, and there was no indication to those outside the room that it was occupied. Interviews with residents indicated discomfort and embarrassment due to the lack of privacy, with some residents reducing their shower frequency as a result. The facility did not provide a policy regarding protection of privacy during bathing. The Administrator acknowledged the removal of the shower curtain, citing safety concerns for residents requiring physical assistance who might pull on the curtain. However, this action led to privacy issues for residents who shower independently. Housekeeping staff confirmed the absence of a shower curtain for the duration of their employment, which was a month. The Administrator suggested designating another shower room with a curtain for independent residents, but this was not implemented at the time of the survey.
Infection Control Lapses During Medication Administration
Penalty
Summary
The facility failed to adhere to proper infection control techniques during medication administration for several residents. Observations revealed that a Certified Medication Technician (CMT) did not wash or sanitize their hands before or after administering medications to multiple residents. Specifically, during medication administration for one resident, the CMT did not use hand sanitizer or wash their hands before or after the process. Similar lapses were observed with other residents, where the CMT handled medication cups with bare hands and failed to perform hand hygiene after disposing of the cups. Additionally, the CMT was observed administering eye drops to a resident without changing gloves after handling the medication cart, and did not wash or sanitize hands after removing gloves. During interviews, the CMT claimed to normally practice hand hygiene, but the observed actions contradicted this statement. The facility's Administrator and Director of Nursing expressed an expectation for staff to perform hand hygiene between handling clean and dirty items and between residents during medication administration.
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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 Arnold
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodland Manor Nursing Center | 2.6 mi | — | 1 | 0 |
| Delmar Gardens South | 2.7 mi | — | 0 | 0 |
| Maple Grove Wellness & Rehabilitation | 3.2 mi | — | 0 | 0 |
| Delmar Gardens Of Meramec Valley | 3.2 mi | — | 5 | 0 |
| Fieser Nursing Center | 3.7 mi | — | 22 | 0 |
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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.