Deficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
80% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 8
Deficiencies: 2
Date: Oct 31, 2025
Visit Reason
The inspection was conducted to assess compliance with smoking regulations and protective oversight requirements at Lake George Assisted Living.
Findings
The facility failed to provide non-combustible ashtrays and receptacles in designated smoking areas and did not assess a resident's ability to smoke safely without supervision. The facility's smoking policy was not fully implemented or understood by staff and administration.
Deficiencies (2)
19 CSR 30-86.022(14)(A) Smoking in Designated Areas & Supervised Smoking was not met as the facility failed to provide non-combustible ashtrays and receptacles in two smoking areas. The facility census was eight.
19 CSR 30-86.047(35) Protective Oversight was not met as staff failed to assess one resident to determine if they could smoke safely without supervision. The facility census was eight.
Report Facts
Facility census: 8
Inspection Report
Life Safety
Census: 9
Deficiencies: 1
Date: Nov 4, 2024
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with fire alarm system testing and maintenance requirements.
Findings
The facility failed to ensure the complete fire alarm system was tested and maintained according to NFPA 72, 1999 edition. No semi-annual inspection had been performed as required, affecting 9 out of 9 residents.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to perform the required semi-annual fire alarm system inspection and maintenance as per NFPA 72, 1999 edition. This deficiency affected all 9 residents present during the inspection.
Report Facts
Facility census: 9
Inspection Report
Plan of Correction
Census: 8
Deficiencies: 1
Date: Apr 15, 2022
Visit Reason
The inspection was conducted to assess compliance with medication administration regulations following observed deficiencies in the facility's medication system.
Findings
The facility failed to provide a safe and effective medication administration system, including lack of policy on medication administration, failure to notify physicians of medication errors, and failure to document administered medications properly.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to provide a safe medication administration system, did not notify a resident's physician of medication errors, and failed to document administered medications properly.
Report Facts
Facility census: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anne Reeves | Administrator | Named as provider/supplier representative signing the deficiency statement |
Inspection Report
Plan of Correction
Census: 9
Deficiencies: 3
Date: Oct 10, 2019
Visit Reason
The document is a plan of correction submitted in response to deficiencies identified during a facility inspection on 2019-10-10.
Findings
The facility failed to properly screen residents and staff for tuberculosis, maintain required personnel records including physician statements for new hires, and complete annual resident rights reviews. Deficiencies were documented related to tuberculosis screening, personnel records, and resident rights documentation.
Deficiencies (3)
19 CSR 30-88.047(19) TB Screen Residents & Staff: The facility failed to screen two of three sampled employees and two of three sampled residents for tuberculosis as required.
19 CSR 30-88.047(20)(1) Personnel Record-physician statement: The facility failed to maintain written statements signed by a licensed physician or designee indicating eligibility to work in a long-term care facility for three newly hired employees.
19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: The facility failed to complete appropriate paperwork or document resident rights and responsibilities annually for two of three sampled residents.
Report Facts
Facility census: 9
Days late for TST: 38
Deficiency counts: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary D. Neustifter | RD/DON | Named as responsible for corrective actions related to tuberculosis screening and resident rights |
Inspection Report
Plan of Correction
Census: 9
Deficiencies: 2
Date: Oct 7, 2019
Visit Reason
The visit was a licensure inspection focused on fire safety and emergency preparedness, including fire drills and fire alarm system testing.
Findings
The facility failed to conduct the required number of fire drills every three months on each shift and did not have documentation of a semi-annual fire alarm system inspection. The facility census was nine residents at the time of inspection.
Deficiencies (2)
19 CSR 30-88.022(5)(D) Fire Drill Requirements were not met as the facility failed to conduct one fire drill every three months on each shift. Nine of nine residents were affected.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain was not met as the facility lacked documentation of a semi-annual fire alarm system inspection. Nine of nine residents were affected.
Report Facts
Facility census: 9
Fire drills performed: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Neustifter | RN | Named in plan of correction signatures and responsible for scheduling fire drills and inspections |
Inspection Report
Routine
Census: 9
Deficiencies: 1
Date: Oct 11, 2018
Visit Reason
The inspection was conducted to review compliance with fire alarm system testing and maintenance requirements as part of the fire safety portion of the licensure inspection.
Findings
The facility failed to have the fire alarm system inspected semi-annually according to NFPA 72, 1999 edition standards. No documentation of a semi-annual fire alarm system inspection was found for March 2018, and the previous annual fire alarm inspection report was missing.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to have the fire alarm system inspected semi-annually as required by NFPA 72, 1999 edition. No documentation was available for the semi-annual inspection in March 2018.
Report Facts
Resident census: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandi Cox | LAN/INN | Signed as Laboratory Director or Provider/Supplier Representative |
Viewing
Loading inspection reports...
