Inspection Reports for
Barathaven Memory Care
1030 Barathaven Blvd, Dardenne Prairie, MO 63368, MO, 63368
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
70% occupied
Based on a March 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 46
Deficiencies: 1
Date: Mar 28, 2024
Visit Reason
The document is a plan of correction following an inspection related to electrical wiring maintenance at Barathaven Alzheimer's Special Care Center.
Findings
The facility failed to properly maintain the building's electrical wiring as required by the National Electrical Code. The deficiency affected all 46 residents, and no documentation was provided for the required two-year electrical wiring certification.
Deficiencies (1)
19 CSR 30-86.032(13) Electrical wiring was not properly maintained or inspected every two years as required. No documentation was provided for the two-year electrical wire certification.
Report Facts
Facility census: 46
Inspection Report
Plan of Correction
Census: 42
Deficiencies: 1
Date: Mar 27, 2023
Visit Reason
The visit was conducted to review deficiencies related to facility compliance, specifically regarding boiler inspection certifications.
Findings
The facility failed to have current approved boiler inspection certifications as required by regulation. An expired boiler operating permit was found during record review.
Deficiencies (1)
State Statute A9998 was not met due to failure to have current approved boiler inspection certifications. The facility census was 42 residents potentially affected. An expired boiler operating permit was also found.
Report Facts
Facility census: 42
Inspection Report
Plan of Correction
Census: 39
Deficiencies: 1
Date: Jul 22, 2022
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction following a survey completed on 07/22/2022 at Barathaven Alzheimer's Special Care Center. The visit was to assess compliance with protective oversight and other regulatory requirements.
Findings
The facility failed to provide protective oversight to three residents with falls and aggressive behaviors, resulting in serious injuries and death of Resident #1. The facility also failed to investigate incidents thoroughly and implement interventions to prevent further harm. The facility census was 39 at the time of the survey.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide 24-hour protective oversight for residents on voluntary leave, resulting in injuries and death due to falls and aggressive behaviors.
Report Facts
Facility census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Responsible for conducting root cause analysis and corrective actions |
Inspection Report
Plan of Correction
Census: 45
Deficiencies: 2
Date: Feb 11, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction following a state survey inspection of Barathaven Alzheimer's Special Care Center conducted on 02/11/2020.
Findings
The facility failed to update evacuation plans for residents needing assistance and did not ensure tuberculosis (TB) screening and testing compliance for staff and residents. Deficiencies were noted in individualized evacuation plans and TB testing documentation for employees and residents.
Deficiencies (2)
19 CSR 30-86.045(3)(A)(7) Evacuation Plan-Amend/Revise, assessment. The facility failed to update individualized evacuation plans for Residents #1, #2, and #4 to reflect the level of assistance needed during evacuation.
19 CSR 30-86.047(19) TB Screen Residents & Staff. The facility failed to ensure three employees had completed a two-step tuberculosis test and one employee had an annual TB test. The facility also failed to ensure one resident had a two-step TB test upon admission and two residents had annual TB signs and symptoms screening.
Report Facts
Facility census: 45
Number of employees sampled: 10
Number of residents sampled for TB screening: 5
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 2
Date: Jun 11, 2019
Visit Reason
The inspection was conducted due to a complaint investigation involving allegations of resident-to-resident abuse between two residents in an assisted living facility.
Complaint Details
The complaint involved resident-to-resident abuse between Resident #5 and Resident #6. The facility did not report the allegation as required. Resident #5 was punched in the eye by Resident #6, and the facility failed to update the ISP or report the incident properly.
Findings
The facility failed to update individualized service plans (ISPs) to reflect changes in residents' conditions and incidents. The facility also failed to report an allegation of resident abuse involving two residents to the Department of Health and Senior Services as required.
Deficiencies (2)
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop. The facility failed to update the individualized service plan for three residents after changes in condition or incidents occurred.
19 CSR 30-88.010(25) Report A/N to DHSS/DMH When Needed. The facility failed to report an allegation of resident abuse involving two residents to the Department of Health and Senior Services.
Report Facts
Facility census: 53
Inspection Report
Plan of Correction
Census: 55
Deficiencies: 2
Date: Mar 13, 2019
Visit Reason
The inspection was conducted as part of a licensure inspection including the fire safety portion on March 13, 2019.
Findings
The facility failed to maintain the sprinkler system according to regulations and did not provide documentation of the required five-year internal sprinkler piping test. Additionally, an open electrical junction box was observed in the kitchen area, which was not in good repair and posed a safety hazard.
Deficiencies (2)
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing: The facility failed to maintain the sprinkler system in accordance with National Fire Protection Association standards and did not provide documentation of the five-year internal sprinkler piping test.
19 CSR 30-86.032(13) Electrical Wiring: An open junction box was observed in the kitchen above the walk-in cooler, indicating the electrical system was not maintained in good repair and posed a safety hazard.
Report Facts
Facility census: 55
Inspection Report
Plan of Correction
Census: 63
Deficiencies: 1
Date: Oct 1, 2018
Visit Reason
The inspection was conducted to evaluate compliance with staffing requirements and care standards at Barathaven Alzheimer's Special Care Center, focusing on ensuring adequate staff numbers and skills to provide care.
Findings
The facility failed to ensure an adequate number of staff on duty to assist residents, resulting in residents not receiving proper care such as assistance with transfers and showers. Several residents experienced falls and inadequate monitoring due to staffing shortages.
Deficiencies (1)
19 CSR 30-86.047(28)(B) Staffing-Appropriate Number & Skills, 24 hrs. The facility failed to ensure an adequate number of staff on duty to assist residents, resulting in falls and lack of personal care for multiple residents.
Report Facts
Facility census: 63
Facility census: 61
Residents sampled: 10
Residents sampled: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Pepper | Administrator | Named as signing the deficiency and plan of correction forms and involved in staffing and scheduling corrective actions. |
Inspection Report
Plan of Correction
Census: 59
Deficiencies: 1
Date: Jul 10, 2018
Visit Reason
The inspection was conducted to investigate and document deficiencies related to resident rights and personal life regulation at Barathaven Alzheimer's Special Care Center.
Findings
The facility failed to ensure that residents' personal lives were not excessively controlled beyond reasonable adherence to meal schedules and policies. Specifically, Resident #1 was restricted in mobility and social interaction, with staff controlling where the resident could sit and spend non-meal time.
Deficiencies (1)
19 CSR 30-88.010(41) Resident Lives Not Regulated/Controlled. The facility failed to ensure the personal life of Resident #1 was not excessively controlled beyond reasonable adherence to meal schedules and other written policies, restricting the resident's mobility and social interactions.
Report Facts
Facility census: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Lepper | Administrator | Signed the statement of deficiencies and plan of correction |
Inspection Report
Life Safety
Census: 59
Deficiencies: 2
Date: Mar 12, 2018
Visit Reason
The inspection was a licensure fire safety portion survey conducted to assess compliance with fire alarm and sprinkler system maintenance and testing requirements.
Findings
The facility failed to test and maintain the fire alarm system and failed to maintain the sprinkler system in accordance with NFPA standards. Missing escutcheon rings were observed in the kitchen dry storage room and dishwashing area.
Deficiencies (2)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to test and maintain the fire alarm system in accordance with NFPA 72, 1999 edition.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing: The facility failed to maintain the sprinkler system as required by NFPA 13 (1999 Edition).
Report Facts
Resident census: 59
Inspection Report
Plan of Correction
Census: 55
Deficiencies: 3
Date: Feb 7, 2018
Visit Reason
The inspection was conducted to evaluate compliance with state regulations regarding individualized evacuation plans, community based assessments, and individualized service plans for residents.
Findings
The facility failed to complete individualized evacuation plans, update community based assessments with significant changes, and update individualized service plans for sampled residents. Deficiencies were identified based on interviews, record reviews, and observations.
Deficiencies (3)
19 CSR 30-86.045(3)(A)(6)(C) Individual Evacuation Plan - Evaluate: The facility failed to complete an individualized evacuation plan (IEP) for one resident identified as needing one. The resident required more than minimal assistance and an IEP was necessary but not documented.
19 CSR 30-86.047(28)(F)(1)(C) Community Based Assessment-Significant Change: The facility failed to update one resident's community based assessment (CBA) with significant changes. The resident's condition had declined but the CBA was not updated accordingly.
19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements: The facility failed to update one resident's individualized service plan (ISP) with a change in condition. The resident had a decline in condition requiring an updated ISP including an Individualized Evacuation Plan.
Report Facts
Facility census: 55
Facility census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Cooper | Administrator | Signed inspection and plan of correction documents |
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