Inspection Reports for
Blue Hills Rest Home

2207 N Blue Mills Rd, Independence, MO 64058, United States, MO, 64058

Back to Facility Profile

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

76% better than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2021
2023

Occupancy

Latest occupancy rate 95% occupied

Based on a September 2023 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

70% 77% 84% 91% 98% 105% Sep 2020 Dec 2021 Sep 2023

Inspection Report

Plan of Correction
Census: 60 Deficiencies: 1 Date: Sep 27, 2023

Visit Reason
The inspection was conducted to evaluate compliance with oxygen storage requirements as per NFPA 99, 1999 Edition.

Findings
The facility failed to provide a proper oxygen storage room in accordance with NFPA 99, 1999 Edition. Oxygen tanks were observed being kept in an open hallway, which is not compliant with regulations.

Deficiencies (1)
19 CSR 30-86.022(17) Oxygen Storage Requirements: The facility failed to provide a proper oxygen storage room in accordance with NFPA 99, 1999 Edition. Oxygen tanks were kept in an open hallway by the first-floor offices.
Report Facts
Facility census: 60 Oxygen cylinders: 16

Employees mentioned
NameTitleContext
F. DingmanMaintenance SupervisorNamed in plan of correction to move oxygen storage and install ventilation
Sarah WhiteLNHAProvided staff training on new oxygen location

Inspection Report

Plan of Correction
Census: 61 Deficiencies: 2 Date: Dec 7, 2021

Visit Reason
The inspection was a state survey conducted on December 2, 2021, to assess compliance with regulations related to individual service plans and protective oversight in an assisted living facility.

Findings
The facility failed to ensure that the Individual Service Plan (ISP) was reviewed and updated appropriately, and that staff were trained on the use of assistive devices such as the Mattress with Air Loss (LALM) and side rails. The facility also failed to maintain accurate and updated side rail assessments and to provide adequate staff training on safety risks associated with side rails and the LALM mattress.

Deficiencies (2)
19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements: The facility failed to ensure the ISP was reviewed at least annually or when there was a significant change in the resident's condition. One of five sampled residents' ISPs lacked appropriate updates and safety measures related to the Mattress with Air Loss and side rails.
19 CSR 30-86.047(35) Protective Oversight: The facility failed to ensure side rail assessments were accurate, updated, and that staff were appropriately trained on the increased risk of entrapment associated with side rails and the Mattress with Air Loss for three of five sampled residents.
Report Facts
Facility census: 61 Deficiencies cited: 2

Employees mentioned
NameTitleContext
Marie DunhamAdministratorSigned the plan of correction and referenced in the report

Inspection Report

Abbreviated Survey
Census: 50 Deficiencies: 1 Date: Sep 30, 2020

Visit Reason
The visit was an abbreviated survey conducted to assess infection control procedures related to COVID-19 following an outbreak and to verify compliance with disease reporting and isolation protocols.

Findings
The facility failed to follow appropriate infection control procedures including isolating residents who tested positive for COVID-19, ensuring staff wore proper personal protective equipment, and maintaining proper infection control practices during care and medication administration. The facility had a COVID-19 outbreak affecting multiple residents.

Deficiencies (1)
19 CSR 30-86.047(34)(C) Disease/Infection Control: The facility failed to isolate residents who tested positive for COVID-19 and did not ensure staff wore gowns when caring for infected residents. Infection control procedures during meal times and medication administration were inadequate.
Report Facts
Facility census: 50 COVID-19 positive residents: 10 Residents affected by outbreak: 9

Employees mentioned
NameTitleContext
Marie DunhamAdministratorNamed in the plan of correction and infection control oversight
Sarah WhiteAdministrator AssistantNamed in the plan of correction and infection control oversight

Viewing

Loading inspection reports...