Inspection Reports for
The Bungalows at Branson Meadows

19 CSR 30-86.042(40) Physicians Orders & Proper Care: Based on interview and record review, the facility failed to provide ordered wound care treatments, failed to document wound treatment and timely wound assessments for one resident with a heel wound, and the resident was admitted to the hospital for treatment of an infected heel wound.

19 CSR 30-88.010(23) Develop/Implement A/N Policies: Based on interview and record review, the facility failed to follow its abuse/neglect policies and failed to complete and document a full investigation of an allegation of misappropriation of a resident's (Resident #2) bank card.

19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: Based on observation and interview on July 9, 2024, the facility failed to ensure only metal or UL- or FM-fire-resistant rated wastebaskets were used for trash. Observations showed non-compliant wastebaskets in multiple resident rooms and the facility census was 61.

19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected: Based on observation and interview on July 9, 2024, the facility failed to ensure electrical wiring was installed and maintained in accordance with the National Electrical Code. Observations in the facility kitchen found a junction box cover missing and separated MC cable exposing energized wiring and the facility census was 61.

19 CSR 30-86.042(18) TB Screen Resident/Staff: Based on interview and record review, the facility failed to ensure required two-step tuberculin testing was completed for four sampled new employees and staff did not document the required second step TB test results.

19 CSR 30-86.042(51) Safe/Effective Medication System: Based on observation, interview, and record review, the facility failed to ensure a safe and effective medication administration system for four residents when staff failed to prime insulin pens, failed to ensure MAR directions and medication labels matched, and failed to notify the physician of changes in prescribed medication amounts.

19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: Based on record review and interview, the facility failed to conduct a review of resident rights at least annually with each resident and/or their next of kin for six residents.

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 30, 2018, the facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. The facility provided no documentation of the semiannual fire alarm inspection and the maintenance supervisor said they did not know a semiannual inspection was required.