Inspection Reports for
The Castlewood Senior Living
1538 N Old Castle Rd, Nixa, MO 65714, United States, MO, 65714
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
73% occupied
Based on a October 2023 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 48
Deficiencies: 1
Date: Oct 31, 2023
Visit Reason
The inspection was conducted to investigate a deficiency related to protective oversight and elopement prevention at Castlewood Senior Living.
Findings
The facility failed to provide 24-hour protective oversight for residents on voluntary leave, resulting in an elopement incident involving a resident with dementia. The facility also failed to ensure staff routinely monitored residents' electronic monitoring devices properly.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide 24-hour protective oversight for residents on voluntary leave, leading to an elopement incident involving a resident with dementia. Staff did not initiate elopement protocol timely and failed to monitor electronic monitoring devices properly.
Report Facts
Facility census: 48
Facility census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Conaty Danberg | LNHA Executive Director | Signed the inspection and plan of correction documents |
| Care Partner A | Interviewed regarding elopement incident and protocol | |
| Care Partner B | Interviewed regarding elopement incident and protocol | |
| Care Partner C | Interviewed regarding elopement drills and protocol | |
| Level One Medication Aide (LIMA) D | Interviewed regarding elopement drills and protocol | |
| Licensed Practical Nurse (LPN) B | Interviewed regarding electronic monitoring device checks | |
| LPN C | Interviewed regarding electronic monitoring device checks | |
| Memory Care Director | Interviewed regarding electronic monitoring device checks | |
| Director of Nursing (DON) | Interviewed regarding electronic monitoring device checks |
Inspection Report
Follow-Up
Census: 44
Deficiencies: 1
Date: Feb 16, 2023
Visit Reason
Follow-up inspection to verify correction of a previously cited deficiency regarding smoke sections exceeding 150 feet in length.
Findings
The facility failed to ensure smoke sections did not exceed 150 feet in length, affecting all residents present. Observations confirmed noncompliance with smoke section length requirements and no corrective work had been completed by the follow-up date.
Deficiencies (1)
19 CSR 30-86.022(10)(H) Smoke Sections: The facility failed to ensure smoke sections did not exceed 150 feet in length, affecting all residents. Observations showed a smoke section measuring 165 feet 10 inches, exceeding the allowed length.
Report Facts
Facility census: 44
Residents affected: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Plant Operations Director | Interviewed and stated unawareness of smoke section noncompliance |
Inspection Report
Plan of Correction
Census: 48
Deficiencies: 2
Date: Oct 6, 2021
Visit Reason
The inspection was conducted to identify deficiencies related to protective oversight and resident condition/medication review at Castlewood Senior Living.
Findings
The facility failed to provide adequate protective oversight for a resident, including lack of policy and training on side rails. Additionally, the facility did not maintain proper medication self-administration records for a resident.
Deficiencies (2)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to assess, develop, and implement a plan for a resident's side rails and lacked a policy for side rail use.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: The facility failed to have a system for residents who self-administer medications to document appropriate medication use.
Report Facts
Facility census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Danzy | Executive Director | Signed the report and involved in interviews regarding resident falls and side rail use |
Inspection Report
Plan of Correction
Census: 44
Deficiencies: 2
Date: Jul 29, 2020
Visit Reason
The document is a Plan of Correction submitted by Castlewood Senior Living following a state survey conducted on July 29, 2020, addressing deficiencies related to protective oversight and appropriate action and notification after a resident fall.
Findings
The facility failed to provide protective oversight for one resident after a fall, including failure to perform neurological assessments and timely physician notification. Staff did not take appropriate action after the resident's head injury and failed to notify the attending physician until the following day.
Deficiencies (2)
19 CSR 30-86.047(35) Protective Oversight: Facility staff failed to provide protective oversight for one resident after a fall by not performing neurological assessments as required. The facility census was 44.
19 CSR 30-86.047(37) Appropriate Action & Notification: Facility staff failed to take appropriate action and notify the attending physician timely after a resident's fall with a head injury. The facility census was 44.
Report Facts
Facility census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christy McClary | Director of Wellness | Named as Director of Wellness directing neurological assessments and involved in findings |
Inspection Report
Life Safety
Census: 53
Deficiencies: 1
Date: Jan 10, 2019
Visit Reason
The inspection was a fire safety inspection conducted to evaluate compliance with smoke section partitions requirements for facilities with more than 20 beds.
Findings
The facility failed to install a one-hour fire-rated smoke partition from floor to roof deck as required. The smoke partition located in the attic of the main building was constructed of chip-board with an open area allowing smoke and toxic gases to spread throughout the attic.
Deficiencies (1)
19 CSR 30-86.022(10)(l) Smoke Section Partitions > than 20 beds: The facility failed to install a one-hour fire-rated smoke partition from floor to roof deck. The existing smoke partition in the attic was constructed of chip-board with an open area allowing smoke and toxic gases to spread throughout the attic.
Report Facts
Facility census: 53
Inspection Report
Plan of Correction
Census: 55
Deficiencies: 2
Date: Jul 6, 2018
Visit Reason
The inspection was conducted to investigate deficiencies related to protective oversight and abuse policies following observations and interviews regarding resident care and family member behavior.
Findings
The facility failed to provide protective oversight during meals and did not implement adequate policies to prevent mistreatment and abuse of residents. Staff allowed family members to feed residents without proper training and failed to report abusive behavior promptly.
Deficiencies (2)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide protective oversight when staff did not monitor and assist a resident during a meal, allowing a family member to feed the resident without staff assistance.
19 CSR 30-88.010(23) Develop/Implement A/N Policies: The facility failed to implement policies prohibiting mistreatment, neglect, and abuse when staff did not follow policy after an allegation of abuse involving a resident's family member.
Report Facts
Facility census: 55
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