Assisted living facility · Richmond Heights, MO
Trustwell Living at Richmond Heights
1055 Bellevue Avenue, Richmond Heights, MO 63117-1827 · licensed for 88 residents · operated by Hsre-Asl Richmond Heights Trs
Sources: Missouri DHSS LTC Directory and Show Me Long Term Care.
The latest inspection, in plain English
Missouri inspectors' most recent visit on file was on Dec 10, 2025 (state licensure). They cited 6 requirements that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class I/II, II, II/III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 17 citations in total.
Inspection history
Show all findings
Dec 10, 2025 · State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| Exits, Stairways, and Fire Escapes. (A) Each floor of a facility shall have at least two (2) unobstructed exits remote from each other. I/II 2. For a facility whose plans were approved after December 31, 1987, for more than twenty (20) beds, the required exits shall be doors leading directly outside, one- (1-) hour enclosed stairs or outside stairs or a two- (2-) hour rated horizontal exit as defined by paragraph 3.3.61 of 2000 edition NFPA 101. The one- (1-) hour enclosed stairs shall exit directly outside at grade. Access to these shall not be through a resident bedroom or a hazardous area. | I/II | 1/13/2026 |
| Protection from Hazards. (A) In assisted living facilities and residential care facilities licensed on or after November 13, 1980, for more than twelve (12) beds, hazardous areas shall be separated by construction of at least a one- (1-) hour fire-resistant rating. In facilities equipped with a complete fire alarm system, the one- (1-) hour fire separation is required only for furnace or boiler rooms. Hazardous areas equipped with a complete sprinkler system are not required to have this one- (1-) hour fire separation. Doors to hazardous areas shall be self-closing and shall be kept closed unl | II | 1/13/2026 |
| Trash and Rubbish Disposal. (A) Only metal or UL- or FM-fire-resistant rated wastebaskets shall be used for trash. | II | 1/13/2026 |
| Oxygen storage shall be in accordance with NFPA 99, 1999 Edition. | II/III | 1/13/2026 |
| The building shall be substantially constructed and shall be maintained in good repair and in accordance with the construction and fire safety rules in effect at the time of initial licensing. | II/III | 1/13/2026 |
| If extension cords are used, they must be Underwriters ' Laboratory (UL)-approved or shall comply with other recognized electrical appliance approval standards and sized to carry the current required for the appliance used. Only one (1) appliance shall be connected to one (1) extension cord and only two (2) appliances may be served by one (1) duplex receptacle. If extension cords are used, they shall not be placed under rugs, through doorways or located where they are subject to physical damage. | II/III | 1/13/2026 |
Oct 27, 2025 · Complaint Investigation / State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| General Requirements. (A) If the facility admits or retains any individual needing more than minimal assistance due to having a physical, cognitive or other impairment that prevents the individual from safely evacuating the facility, the facility shall: 6. At a minimum the evacuation plan shall include the following components: A. The responsibilities of specific staff positions in an emergency specific to the individual; | II | 2/10/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (G) Develops an individualized service plan (ISP), which means the planning document prepared by an assisted living facility which outlines a resident ' s needs and preferences, services to be provided, and goals expected by the resident or the resident ' s legal representative in partnership with the facility; | II | 2/10/2026 |
| Medication Orders. (A) No medication, treatment or diet shall be administered without an order from an individual lawfully authorized to prescribe such and the order shall be followed. | II/III | 2/10/2026 |
| The facility shall maintain a record in the facility for each resident, which shall include the following: (B) A review monthly or more frequently, if indicated, of the resident ' s general condition and needs; a monthly review of medication consumption of any resident controlling his or her own medication, noting if prescription medications are being used in appropriate quantities; a daily record of administration of medication; a logging of the medication regimen review process; a monthly weight; a record of each referral of a resident for services from an outside service; and a record of an | III | 2/10/2026 |
| Requirements for training related to safely transferring residents. (A) The facility shall ensure that all staff responsible for transferring residents are appropriately trained to transfer residents safely. Individuals authorized to provide this training include a licensed nurse, a physical therapist, a physical therapy assistant, an occupational therapist or a certified occupational therapy assistant. The individual who provides the transfer training shall observe the caregiver ' s skills when checking competency in completing safe transfers, shall document the date(s) of training and compet | II/III | 2/10/2026 |
| The outer clothing of all employees shall be clean and employees shall use effective hair restraints to prevent the contamination of food or food-contact surfaces. | III | 2/10/2026 |
| At all times, including while being stored, prepared, displayed, served or transported to or from the facility, food shall be protected from potential contamination, including dust, insects, rodents, unclean equipment and utensils, unnecessary handling, coughs and sneezes, flooding, drainage and overhead leakage or overhead drippage from condensation. The temperature of potentially hazardous food shall be forty-five degrees Fahrenheit (45��F) or below or one hundred forty degrees Fahrenheit (140��F) or above at all times, except as otherwise provided in this section. In the event of a fire, fl | II/III | 2/10/2026 |
| The facility shall develop and implement written policies and procedures that prohibit mistreatment, neglect, and abuse of any resident and misappropriation of resident property and funds, and develop and implement policies that require a report to be made to the department for any resident or to both the department and the Department of Mental Health for any vulnerable person whom the administrator or employee has reasonable cause to believe has been abused or neglected. | II/III | 2/10/2026 |
| Each resident shall be treated with consideration, respect, and full recognition of his or her dignity and individuality, including privacy in treatment and care of his or her personal needs. All persons, other than the attending physician, the facility personnel necessary for any treatment or personal care, or the department or Department of Mental Health staff, as appropriate, shall be excluded from observing the resident during any time of examination, treatment, or care unless consent has been given by the resident. | II/III | 2/10/2026 |
Feb 25, 2025 · Complaint Investigation
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| The operator shall designate an individual for administrator who is currently licensed as an administrator by the Missouri Board of Nursing Home Administrators, in accordance with Chapter 344, RSMo. | II | 5/19/2025 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (G) Develops an individualized service plan (ISP), which means the planning document prepared by an assisted living facility which outlines a resident ' s needs and preferences, services to be provided, and goals expected by the resident or the resident ' s legal representative in partnership with the facility; | II | 5/19/2025 |
From Missouri's Show Me Long Term Care site, in the state's own wording.
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Questions about Trustwell Living at Richmond Heights
Answers computed from Missouri state data for this facility.
What kind of facility is Trustwell Living at Richmond Heights?
Trustwell Living at Richmond Heights is licensed by the Missouri Department of Health and Senior Services as a assisted living facility for up to 88 residents. LIMITED LIABILITY COMPANY
How did Trustwell Living at Richmond Heights do on its last state inspection?
Missouri inspectors' most recent visit on file was on Dec 10, 2025 (state licensure). They cited 6 requirements that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class I/II, II, II/III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 17 citations in total.
Does Trustwell Living at Richmond Heights offer memory care?
Yes. The state directory lists an Alzheimer's special care unit with 26 beds.
Does Trustwell Living at Richmond Heights have a Medicare star rating?
No. Medicare rates nursing homes only. Assisted living and residential care in Missouri are licensed and inspected by the state, so we show the state's inspection findings instead.
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Inspection findings reflect conditions on the inspection date and may since have been corrected.