Inspection Reports for
Parkside Manor, LLC

300 S SAINT CHARLES ST, BOWLING GREEN, MO, 63334-2221

Back to Facility Profile

8 Reports

2020–2026

Inspection Report — Feb 11, 2026

Complaint Investigation
Date: Feb 11, 2026

Visit Reason
Missouri state licensure survey (State Form); complaint investigation (MO 00260681).

Complaint Details
MO 00260681; the complaint investigation resulted in a cited deficiency (severity noted as Class I* on the form and later lowered to Class II at exit).
Findings
One Missouri State Form deficiency for failure to follow a resident's individualized service plan/diet resulting in a choking event and the resident's death. The deficiency line printed as Class I* on the form, with a note that the severity was lowered to Class II at exit.

Deficiencies (1)
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on interview and record review, the facility failed to provide one resident (Resident #1) the ordered pureed diet and staff gave an intact banana. The resident choked and expired.
Report Facts
residents_reviewed: 3 residents_affected: 1

Inspection Report — Dec 13, 2023

Routine
Date: Dec 13, 2023

Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.

Findings
3 state deficiencies were cited addressing fire extinguisher maintenance (missing documented monthly pressure checks), lack of required electrical wiring inspection and unfinished repairs, and rooms not kept neat creating clutter and a trip/excessive fire load hazard.

Deficiencies (3)
19 CSR 30-86.022(3)(D) Fire Extinguishers UL/FM, Maintain/Check: The facility failed to document monthly pressure checks on all fire extinguishers; tags indicated they had been inspected previously but no monthly signatures were present showing the checks were completed.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected: The facility failed to provide documentation of electrical wiring inspections every two years by a qualified electrician and deficiencies listed on the inspection report had not been repaired.
19 CSR 30-86.032(23) Rooms Neat, Orderly, Cleaned Daily: Observation showed resident room 107 had excessive clothing in piles and personal property on the floor, creating a trip hazard and an excessive fire load.
Report Facts
residents affected by deficiencies: 43

Inspection Report — Jun 1, 2023

Complaint Investigation
Date: Jun 1, 2023

Visit Reason
Missouri Department of Health and Senior Services State Form (state licensure survey); complaint investigation citing MO218655, MO218702, MO218672, MO218700.

Complaint Details
Complaint investigation numbers cited: MO218655, MO218702, MO218672, MO218700; whether allegations were substantiated is not stated in the form.
Findings
Two state licensure deficiencies were cited: one for failure to provide care per an individualized service plan for a resident and one for failure to maintain the required resident fund surety bond amount.

Deficiencies (2)
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on interview and record review, the facility failed to ensure that one resident of five sampled residents received proper care as defined by the resident's individualized service plan when a registered nurse failed to use proper intervention techniques to address the resident's behaviors.
19 CSR 30-88.020(14) Resident Fund Bond Requirements: Based on interview and record review, the facility failed to purchase a surety bond in the amount required by rule; the facility's database showed a $10,000 surety bond which was $12,500 below the required bond amount calculated from resident trust balances.
Report Facts
residents sampled: 5 total resident trust fund (June 2022 through May 2023): 175473.72 monthly average resident trust balance: 14622.81 rounded average used for bond calculation: 15000 required surety bond amount: 22500 surety bond on file: 10000 bond shortfall: 12500 resident fund ledger balance on 6/1/23: 13182.1

Inspection Report — Mar 29, 2023

Routine
Date: Mar 29, 2023

Visit Reason
Missouri Department of Health and Senior Services State Form surveys; survey type not stated.

Findings
Two state licensure deficiencies were cited regarding sprinkler system inspection/certification and lack of an installation permit/MO ID tag for a newly installed boiler. Both deficiencies were Class II and the boiler permit deficiency was noted as uncorrected from the previous inspection.

Deficiencies (2)
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert.: Based on record review and interview the facility failed to maintain the sprinkler system; the annual sprinkler inspection was past due.
11 CSR 40-2.025 Installation Permits: Uncorrected from previous inspection on 12-15-22. Based on observation, record review and interview the facility failed to have an installation permit or MO ID# tag for a newly installed boiler and there was no documentation of an installation or operating permit.
Report Facts
residents affected: 42

Inspection Report — Feb 17, 2023

Complaint Investigation
Date: Feb 17, 2023

Visit Reason
Missouri state licensure survey (State Form); complaint investigation MO213988.

Complaint Details
Complaint number MO213988; substantiation not stated in the document.
Findings
Four state licensure deficiencies were cited addressing an uncovered electrical outlet creating a safety hazard, inadequate lighting / missing light covers and glare prevention, light fixtures and vents not maintained/clean, and toilet room fixtures unclean or not draining and in need of repair.

Deficiencies (4)
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected: Based on observation and interview, the facility failed to eliminate a safety hazard when an electrical outlet did not have a cover; the facility census was 38.
19 CSR 30-86.032(15) Lighting Intensity, No Glare: Based on observation, record review, and interview, the facility failed to provide shades over lights to prevent glare and provide sufficient lighting in resident-use areas; observation showed an overhead light in the bathroom of Room #110 did not have a cover and the cover was on a shelf.
19 CSR 30-86.032 Light fixtures, vent covers, wall-mounted fans, decorative materials and similar equipment attached to walls and ceilings shall be easily cleanable and shall be maintained clean and in good repair.: Based on observation, record review, and interview, the facility failed to maintain light fixtures and vent covers in good repair and clean; multiple room lights did not work and vents were covered with dust.
19 CSR 30-87.020(41) Toilet Room Requirements: Based on observation and interview, the facility failed to keep toilet fixtures clean and in good repair; observations showed water in a sink not draining with a brownish ring and scum, towels on the floor beside a toilet, and reports of leaking toilets.

Inspection Report — Jun 15, 2022

Complaint Investigation
Date: Jun 15, 2022

Visit Reason
Missouri state licensure survey (State Form); complaint investigation citing MO201693.

Complaint Details
MO201693; substantiation not stated in the document.
Findings
One Missouri State Form deficiency (Class II) related to restriction of a resident's freedom of movement and seclusion/restriction practices. The file cites complaint MO201693.

Deficiencies (1)
19 CSR 30-86.022(16)(B) Freedom of Movement, Not Locked In/Out: Based on record review and interview the facility failed to provide freedom of movement for one resident of five sampled residents and prevented the resident from leaving his/her room except when accompanied by staff; the resident was restricted to his/her room following incidents.
Report Facts
residents sampled: 5 residents affected: 1

Inspection Report — May 18, 2022

Complaint Investigation
Date: May 18, 2022

Visit Reason
Missouri Department of Health and Senior Services State Form (Statement of Deficiencies); complaint investigation with complaint numbers MO197401 and MO197418.

Complaint Details
Complaint numbers MO197401 and MO197418; the form does not state whether the allegations were substantiated.
Findings
One state licensure deficiency for failure to notify the Missouri State Ombudsman's office about a resident's 30-day discharge. Record review and interviews showed the ombudsman did not receive the discharge letter and the administrator was not aware notification was required.

Deficiencies (1)
19 CSR 30-88.010(15) 30 Day Notice-Transfer/Discharge: The facility failed to notify the appropriate regional coordinator of the Missouri State Ombudsman's office of one resident's 30-day discharge who had no next of kin or legal representative; record review and interviews confirmed the regional coordinator did not receive the discharge letter and the administrator stated she did not know notification was required.

Inspection Report — Jan 6, 2020

Routine
Date: Jan 6, 2020

Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.

Findings
One Missouri State Form deficiency was cited concerning the range hood extinguishing system certification; it was past due for its semiannual inspection (Class III).

Deficiencies (1)
19 CSR 30-86.022(4)(C) Range Hood Certification: Based on observation and interview, the facility failed to have the range hood extinguishing system certified at least twice annually. An inspection tag dated April 2019 showed it was past due for its semiannual inspection.
Report Facts

Viewing

Loading inspection reports...