3 Reports
Inspection Report — Jun 10, 2024
Routine
Date: Jun 10, 2024
Visit Reason
Missouri Department of Health and Senior Services State Form (state licensure survey); the survey type is not stated.
Findings
One state deficiency citing failure to follow abuse and neglect policies and inadequate handling of an alleged resident abuse incident, placing Resident #1 at risk; the facility's investigation and subsequent personnel actions are described in the record.
Deficiencies (1)
19 CSR 30-88.010(23) Develop/Implement A/N Policies: Based on interview and record review, the facility failed to follow its abuse and neglect policy when an alleged incident occurred and employees were allowed to continue contact with residents, involving one sampled resident (Resident #1).
Report Facts
residents sampled: 1
residents affected: 1
Inspection Report — Jan 22, 2019
Routine
Date: Jan 22, 2019
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
4 Missouri state deficiencies were cited for topics including individualized evacuation planning, individualized service plan updates for transfers and wandering, medication administration and device cleaning (eye drops and glucometer), and employee hair/beard restraints during meal preparation.
Deficiencies (4)
19 CSR 30-86.045(3)(A)(5) Individual Evacuation Plan - In Resident ISP: Based on observation, interview and record review, the facility failed to ensure a resident who could not evacuate the facility with minimal assistance had an individualized evacuation plan in the individual service plan for one of seven sampled residents.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on observation, interview and record review, the facility failed to update individualized service plans (ISPs) to address increased need for staff assistance with transfers, anxiety and wandering for two of seven sampled residents.
19 CSR 30-86.047(46) Safe & Effective Medication System: Based on observation, interview and record review, the facility failed to implement a safe and effective medication system when staff failed to use proper technique administering eye drops and failed to disinfect a resident's glucometer before or after use for four of seven sampled residents.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints: Based on observation and interview, the facility failed to ensure staff wore proper beard restraints during meal preparation for two observed meals.
Report Facts
residents sampled: 7
residents affected: 2
residents affected: 4
Inspection Report — Apr 19, 2018
Routine
Date: Apr 19, 2018
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
One state licensure deficiency (Class II) for failure to perform required semi-annual fire alarm battery load testing and to maintain the complete fire alarm system.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: Based on record review and interview during the fire safety inspection on April 19, 2018 the facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition; documentation showed the semi-annual inspection was performed but a load test on the batteries had not been done.
Report Facts
residents affected: 30
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