Inspection Reports for
Joy Assisted Living for Seniors

19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on interview and record review the facility failed to ensure residents received proper care when one resident's outpatient shoulder surgery was canceled and not completed/rescheduled due to bed bug bites on the resident's skin and staff did not document related outpatient surgery in nurses' notes.

19 CSR 30-87.020(12) Floor Surfaces: Based on observation, interview, and record review the facility failed to ensure all floors were clean when dining and kitchen floors had sticky black splotchy areas and sticky black colored spots in the drink/self-serve area.

19 CSR 30-87.020(31) Kitchen Waste Containers Covered: Based on observation, interview, and record review the facility failed to ensure that three waste containers in food-preparation and dish-washing areas were kept covered when not in use; the cans were lined with removable bags, contained food waste, and had no lids visible.

19 CSR 30-87.020(39) Inspect/Rodent Control: Based on observation, interview, and record review the facility failed to maintain an effective pest control system during ongoing bed bug issues, with live bed bugs observed in resident rooms, numerous pesticide/steam treatments documented, and residents reporting bites and persistent infestation.

19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: Based on observation and interview the facility failed to ensure all non-food contact surfaces were kept clean when refrigerators, freezers, ovens, microwave, toaster, dishwasher, cook tops, and ice machine were observed with built-up residue, rust, sticky smears, grease, and other soiling.

19 CSR 30-86.032(33) Call Systems Requirements: The facility failed to maintain a fully functional call light system for resident rooms, affecting eight sampled residents whose call lights were not working and for whom timely repairs or alternative means of summoning staff were not consistently provided, and the facility lacked a policy related to call light systems.

19 CSR 30-87.020(39) Inspect/Rodent Control: The facility failed to maintain an effective pest control system to prevent and remediate bed bug infestations, affecting eight sampled residents across multiple halls and lacked a pest control/room cleanliness policy; observations and interviews documented live and dead bed bugs, stained bedding and walls, and inconsistent or ineffective treatments.

19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements: Based on interview and record review, facility staff failed to review and update one resident's Individualized Service Plan to reflect aggressive and exit-seeking behaviors. The resident eloped from the facility and staff documentation and interviews showed multiple incidents and that the ISP had not been updated to reflect the resident's behaviors.

19 CSR 30-88.010(29) Dignity/Privacy: Based on interview and record review, the facility failed to ensure all residents were treated with dignity and respect when a staff member cursed at Resident #1 while assisting the resident with a shower; multiple staff statements and resident interviews corroborated the incident.

19 CSR 30-86.047(19) TB Screen Residents & Staff: Based on interview and record review, facility staff failed to ensure the required two-step tuberculosis screening tests were administered timely for three of four staff members, and record review showed the facility did not provide a policy regarding screening TB tests for employees.

19 CSR 30-86.047(46) Safe & Effective Medication System: Based on interview and record review, facility staff failed to implement a safe and effective medication system when staff failed to notify the nurse, manager, administrator, and physician of multiple blood sugar check refusals for one resident with diabetes, and record review showed numerous missed/refused blood sugar checks were not documented or reported.

19 CSR 30-86.047(19) TB Screen Residents & Staff: Based on record review and interview, the facility failed to complete the required two-step tuberculosis screening for two employees within the required timeframe.

19 CSR 30-86.047(28)(F)(1)(C) Community Based Assessment-Significant Change: Based on interview and record review, the facility failed to update one resident's community based assessment after a significant change in condition.

19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements: Based on record review and interview, the facility failed to review and update one resident's Individual Service Plan after a significant change and did not document wound treatments or related orders in the ISP.

19 CSR 30-86.047(40) Self-Control of Medication Requirements: Based on interview and record review, the facility lacked adequate policy and monitoring to ensure resident self-administration of medications was addressed, and staff did not monitor or have a physician order for self-administration for one resident.