Inspection Reports for
Villas of Jackson LLC the

19 CSR 30-86.022(5)(A) Fire Drill/Evacuation Plan, Consultation: The facility failed to request annual fire department consultation or provide documentation of scheduled consultation for review of fire and evacuation plans; no current annual fire department consultation was on file for the main building or the memory care building.

19 CSR 30-86.022(9)(D) Complete Fire Alarm Systems: The facility failed to ensure the memory care building's complete fire alarm system was tested semi-annually; no semi-annual fire alarm inspection was on file for the memory care building.

19 CSR 30-86.022(11)(A) Sprinkler Systems: The facility failed to maintain the sprinkler system in the memory care building; sprinkler escutcheon rings were dislodged and sprinkler heads had been withdrawn from the ceiling leaving openings that could impair sprinkler operation.

19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: Based on observation and interview during the fire safety inspection on January 9, 2020 the facility had an unapproved plastic wastebasket in use in resident room 202 and failed to ensure only metal or UL- or FM-fire-resistant rated wastebaskets were used.

19 CSR 30-86.022(17) Oxygen Storage Requirements: Based on observation and interview during the fire safety inspection on January 9, 2020 the facility failed to store portable oxygen cylinders in approved racks or secured as observed in multiple resident rooms (including rooms 406, 321, 305 and 210).

19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected: Based on observation and interview during the fire safety inspection on January 9, 2020 the facility had an unapproved electrical extension cord in use in resident room 202.

19 CSR 30-88.010(4). Resident Rights-Admission/Annual Review: Based on interview and record review, the facility staff failed to ensure three out of five sampled residents had their resident rights reviewed annually and the records did not contain signed resident rights for the current year for Residents #1, #2, and #3.

19 CSR 30-86.022(10)(l) Smoke Section Partitions > than 20 beds: The smoke separation door in the 300 hallway failed to fully close on multiple releases due to a malfunctioning push bar, leaving approximately a 3/4 inch opening that would allow smoke and hot gases to pass; the deficiency affected all 48 residents.