Inspection Reports for
Luxe Life Senior Living
111 MOCK AVE, BLUE SPRINGS, MO, 64014-2504
Back to Facility Profile3 Reports
Inspection Report — Aug 26, 2024
Routine
Date: Aug 26, 2024
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
Ten state licensure deficiencies were cited related to fire and life-safety issues (combustibles stored under stairwells, obstructed stairways/corridors, fire alarm and sprinkler system deficiencies, hazardous area doors, smoke barrier openings), building construction and electrical maintenance, and failures in following physician orders and resident condition/medication record reviews.
Deficiencies (10)
19 CSR 30-86.022(2)(H) Combustibles Not Stored Under Stairways: Based on observation, interview and record review, the facility failed to ensure combustibles were not stored under the stairwell from F Hall and E Hall in the Assisted Living Facility (ALF); numerous boxes, crates and other items were observed under the stairwells and the EVS Director agreed the items should be moved.
19 CSR 30-86.022(7)(G) Stairways/Corridors Free of Obstructions: Based on observation, interview and record review, the facility failed to ensure the staircase from the F Hall in the ALF was maintained clear of obstructions; a couch and bed frame were observed partially blocking the stairwell which could impede egress.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain Complete Fire Alarm Systems: Based on observation, interview and record review, the facility failed to ensure the vertical sliding door between the kitchenette and dining room in the ALF was joined to the fire alarm system to close upon fire alarm activation.
19 CSR 30-86.022(10)(A) Hazardous Area Requirements Protection from Hazards: Based on observation, interview and record review, the facility failed to ensure doors to hazardous areas in the ALF (G Hall activities office, vacated resident room C212, and activities' storage room) were self-closing or not damaged, and combustible items were stored in those areas.
19 CSR 30-86.022(10)(H) Smoke Sections Protection from Hazards: Based on observation, interview and record review, the facility failed to ensure smoke barrier walls in the ALF were maintained free of openings; multiple penetrations and openings were observed in smoke barrier walls that could allow passage of smoke.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13 Sprinkler Systems: Based on observation, interview and record review, the facility failed to maintain sprinkler heads free from paint or corrosion in several ALF rooms, with paint observed on multiple sprinkler heads.
19 CSR 30-86.032(2) Substantially Constructed & Maintained: Based on observation, interview and record review, the facility failed to maintain smoke barrier walls, corridor doors, and provide staff access to locked rooms and keys as required, creating conditions that could impede fire protection and response.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected: Based on observation, interview and record review, the facility failed to prevent piggybacking and ensure electrical receptacles/covers and storage clearances near electrical panels (combustibles stored within 3 ft.) were maintained.
19 CSR 30-86.047(47)(A) Physicians Orders Followed Medication Orders: Based on interview and record review, the facility failed to ensure physician orders were being followed for sampled residents; documentation and adherence issues were identified in treatment administration records and physician order sheets.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: Based on interview and record review, the facility failed to maintain required resident records that included monthly reviews of residents' general conditions and needs for sampled residents.
Report Facts
residents potentially affected: 14
residents potentially affected: 3
residents potentially affected: 20
residents sampled for physician order review: 3
residents sampled for record review: 3
Inspection Report — Jan 14, 2020
Routine
Date: Jan 14, 2020
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
2 state deficiencies: one involving failure to conduct required unannounced fire drills under varying conditions, and one involving smoke barrier construction/maintenance with multiple penetrations and holes compromising fire resistance.
Deficiencies (2)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation: Based on record review and interview, the facility failed to conduct required unannounced fire drills under varying conditions and missed required quarterly drills on a shift, and the maintenance supervisor was unclear about drill procedures.
19 CSR 30-86.032(2) Substantially Constructed & Maintained: Based on observation and interview, the facility failed to ensure smoke barrier walls were maintained with the required one-half hour fire resistance; multiple holes and penetrations were observed around pipes, sprinkler heads, electrical conduits and ceiling tiles.
Inspection Report — Feb 28, 2019
Life Safety
Date: Feb 28, 2019
Visit Reason
CMS-2567 Life Safety (K-tag) survey and Missouri Department of Health and Senior Services State Form; the survey is a Life Safety Code inspection.
Findings
Seven deficiencies were cited: three federal Life Safety Code deficiencies concerning building construction/ceiling fire-resistance, exit signage, and oxygen cylinder storage; and four Missouri state violations related to exit sign requirements and placement, facility construction/maintenance, and oxygen system installation/labeling.
Deficiencies (4)
19 CSR 30-85.022(22) Exit Sign Requirements: Refer to K293.
19 CSR 30-85.022(23) Exit Sign Placement/Letter Size: Refer to K293.
19 CSR 30-85.032(2) Substantially Constructed/Maintained: Refer to K161.
19 CSR 30-85.032(14) Oxygen System Installation, Labeling: Refer to K923.
Report Facts
residents potentially affected: 9
residents potentially affected: 13
1 CMS Survey
Inspection Report — Feb 28, 2019
Life Safety
Date: Feb 28, 2019
Visit Reason
CMS-2567 Life Safety (K-tag) survey and Missouri Department of Health and Senior Services State Form; the survey is a Life Safety Code inspection.
Findings
Seven deficiencies were cited: three federal Life Safety Code deficiencies concerning building construction/ceiling fire-resistance, exit signage, and oxygen cylinder storage; and four Missouri state violations related to exit sign requirements and placement, facility construction/maintenance, and oxygen system installation/labeling.
Deficiencies (3)
K161 Building Construction Type and Height: The facility failed to maintain the required one-hour fire-resistance rating of the ceiling in protected areas; drop-ceiling tiles were moved out of the grid in two electrical panel rooms exposing structural members.
K293 Exit Signage: The facility failed to post required EXIT and NO EXIT signs at designated emergency evacuation routes and at an interior courtyard, leaving some exit routes unmarked.
K923 Gas Equipment - Cylinder and Container Storage: The facility failed to individually restrain portable oxygen cylinders in the oxygen storage room; cylinders were observed free-standing on the floor.
Report Facts
residents potentially affected: 9
residents potentially affected: 13
Viewing
Loading inspection reports...
