3 Reports
Inspection Report — Sep 22, 2025
Complaint Investigation
Date: Sep 22, 2025
Visit Reason
Missouri Department of Health and Senior Services State Form licensure survey; complaint investigation number MO258284 is cited in the file.
Complaint Details
MO258284; substantiation not stated in the document.
Findings
One state deficiency for failure to develop and implement policies prohibiting misappropriation of resident property and for an insufficient and untimely investigation after Resident #1's controlled narcotic medication was reported missing; medication count discrepancies were documented.
Deficiencies (1)
19 CSR 30-88.010(23) Develop/Implement A/N Policies: Based on interview and record review the facility failed to develop and implement written policies and procedures that prohibited misappropriation of resident property when Resident #1's controlled narcotic medication went missing, and the facility failed to conduct a sufficient and timely investigation.
Report Facts
unaccounted hydrocodone pills: 28
unaccounted hydrocodone pills: 29
Inspection Report — Apr 19, 2024
Complaint Investigation
Date: Apr 19, 2024
Visit Reason
Missouri Department of Health and Senior Services State Form; complaint investigation citing MO234464 and MO234469.
Complaint Details
MO234464, MO234469; the complaint investigation determined a Class I violation (imminent danger).
Findings
One Missouri State Form deficiency was cited for failure to keep a resident free from physical abuse involving skin tears, bruising and bleeding to Resident #1. The violation was determined to be an imminent danger (Class I) during the complaint investigation and the imminent danger was removed at exit.
Deficiencies (1)
19 CSR 30-88.010(22) Free From Abuse: Based on observation, interview, and record review, the facility failed to keep one resident (Resident #1) free from physical abuse when a Level One Medication Aide's actions resulted in skin tears, bruising and bleeding to the resident's ears and arms. The complaint investigation determined the violation was an imminent danger which was removed at exit.
Report Facts
residents affected: 1
Inspection Report — May 23, 2023
Routine
Date: May 23, 2023
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
One Missouri state licensure deficiency was cited related to food safety involving failure to label/date and discard opened or expired refrigerated foods, potentially affecting all residents.
Deficiencies (1)
19 CSR 30-87.030(11) Food-Safe, Obtain From Appropriate Sources: Based on observation and interview, the facility failed to date opened food to ensure it was free from spoilage and dispose of expired or spoiled foods. This potentially affected all residents.
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