Inspection Reports for
Mill Creek Village Senior Living

19 CSR 30-88.010(23) Develop/Implement A/N Policies: Based on interview and record review, staff failed to implement the facility's abuse policy to ensure resident safety when facility staff allowed Certified Medication Aid (CMA) A to work during the investigation; the facility investigation did not document suspension of the CMA during the investigation.

19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard General Requirements: The surveyor found no carbon monoxide detectors in either building and that staff failed to keep the facility free of fire hazard; the deficiency affected all 49 residents.

19 CSR 30-86.022(10)(A) Hazardous Area Requirements Protection from Hazards: The facility failed to ensure storage of unnecessary combustible materials (several five-gallon paint buckets) in the furnace room and other prohibited areas; the deficiency affected all 49 residents.

19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert.: The facility failed to maintain current annual sprinkler inspection documentation in accordance with NFPA 25; no current annual sprinkler report was located.

19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements Trash and Rubbish Disposal: The facility used non-metal and non-UL/FM fire-resistant wastebaskets throughout the buildings (approximately ten unapproved wastebaskets observed); the deficiency affected all 49 residents.

19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected: The facility failed to properly maintain electrical wiring and had multiple unapproved extension cords and multi-plug adapters in resident rooms; the deficiency affected all 49 residents.

19 CSR 30-87.030(64) Grills/Griddles/Microwaves/Other-Clean Daily: Based on observation, interview, and record review, facility staff failed to maintain kitchen equipment in a clean and sanitary manner; observations included debris and grease build-up on stove burners, the oven door, stove sides, and a deep fryer in kitchens one and two.

19 CSR 30-87.030(83) Dishwashing Machine - Clean Daily/As Needed: Based on observation, interview, and record review, facility staff failed to maintain the dishwasher in a clean and sanitary condition; observations included debris build-up under and on the outside of the dishwasher, lime build-up at the door hinge, and debris where the door shuts in the kitchens.

19 CSR 30-86.022(10)(A) Hazardous Area Requirements: The facility failed to ensure the kitchen was separated from the remainder of the facility by a minimum of smoke-stop partitions, leaving the activity/dining area open to the kitchen and allowing smoke and toxic gases to pass. Observation on January 9, 2020 found the Activity Kitchen open to the Activity Area.

19 CSR 30-86.047(47)(G) Medication Administration, Documented: Based on interviews and record reviews, facility staff failed to ensure medication administration was recorded on the Medication Administration Record (MAR) as directed by physician orders for multiple residents and failed to document results of PRN medications.

19 CSR 30-87.030(13) Food-Protected, Temp. Need to Contact DHSS: Based on observation and interview, facility staff failed to protect food from potential contamination, failed to reseal and properly label opened/prepackaged food, and refrigerators/freezers did not have accurate or visible thermometers and demonstrated poor cleaning and storage practices.

19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS: Based on observation and interview, facility staff failed to protect food from potential contamination and failed to reseal or properly label prepackaged food after opening.