3 Reports
Inspection Report — Aug 7, 2025
Complaint Investigation
Date: Aug 7, 2025
Visit Reason
Missouri state licensure survey (State Form); complaint investigation noted by CMP # M000257723.
Complaint Details
CMP # M000257723; substantiation or final outcome not stated in the file.
Findings
2 state licensure deficiencies cited concerning failure to investigate/report an alleged staff-to-resident abuse allegation and failure to ensure a resident's dignity/privacy related to staff forcibly holding a resident in a shower and inappropriate staff conduct.
Deficiencies (2)
19 CSR 30-88.010(25) Report A/N to DHSS/DMH When Needed: Based on observation, interview and record review, the facility failed to thoroughly investigate an allegation of possible staff-to-resident abuse for one sampled resident, including staff forcibly holding the resident in a shower chair and engaging in inappropriate conversation.
19 CSR 30-88.010(29) Dignity/Privacy: Based on observation, interview and record review, the facility failed to ensure the dignity of one sampled resident when staff forcibly held the resident down in a shower chair and engaged in inappropriate conversation; resident policy was not provided.
Report Facts
residents sampled: 3
Inspection Report — May 17, 2021
Routine
Date: May 17, 2021
Visit Reason
Missouri Department of Health and Senior Services State Form (Missouri licensure survey); the survey type is not stated.
Findings
1 state licensure deficiency was cited addressing inadequate protective oversight and failure to perform required post-fall neurological checks and monitoring for residents at risk for falls.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: Based on interview and record review the facility failed to provide adequate protective oversight for two sampled residents identified as being at risk for falls by not ensuring that staff conducted required neurological checks and completed the facility's post-fall monitoring per policy.
Report Facts
residents sampled: 2
Inspection Report — Jul 10, 2019
Routine
Date: Jul 10, 2019
Visit Reason
Missouri state licensure survey (State Form); the survey type is not stated.
Findings
Three state deficiencies were cited concerning fire protection and life-safety inspections: a missing/semi‑annual kitchen hood extinguishing system inspection (Class III), missing fire alarm inspection/certification documentation (Class II), and missing/insufficient sprinkler inspection/certification and residual flow testing documentation (Class II).
Deficiencies (3)
19 CSR 30-86.022(4)(C) Range Hood Extinguishing Systems: Based on interview and record review the facility failed to have the kitchen hood extinguishing system inspected semi-annually; records showed the last inspection was September 2018 and the administrator stated they were scheduling inspections.
19 CSR 30-86.022(9)(D) Fire Alarm System Inspections/Certifications: Based on interview and record review the facility lacked adequate documentation of required fire alarm inspection certification reports; only a report dated September 18, 2018 was available and the administrator said they were scheduling required inspections.
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert.: Based on record review and interviews the facility failed to provide required sprinkler inspection and certification reports and did not document residual flow (water flow) pressure testing, and maintenance staff were unsure how to perform the residual flow pressure test properly.
Report Facts
residents potentially affected: 11
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