Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
58% occupied
Based on a April 2025 inspection.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 29
Deficiencies: 1
Date: Apr 9, 2025
Visit Reason
The inspection was conducted to investigate compliance with employee disqualification list (EDL) checks for newly hired staff at Bradford Court Assisted Living by AMI.
Findings
The facility failed to document EDL checks for three newly hired staff members prior to their employment start dates. The Administrator acknowledged responsibility for completing EDL checks but could not locate the checks for the three staff members.
Deficiencies (1)
19 CSR 30-86.047(13)(B) EDL Inquiry: The facility failed to document a check of the employee disqualification list for three newly hired staff members prior to their employment start dates. The Administrator could not find the EDL checks for these employees.
Report Facts
Facility census: 29
Inspection Report
Plan of Correction
Census: 21
Deficiencies: 1
Date: Jan 28, 2020
Visit Reason
The inspection was conducted to investigate and document deficiencies related to the facility's medication system, specifically regarding a significant narcotic medication discrepancy.
Findings
The facility failed to ensure a safe and effective medication system for one resident due to a missing narcotic medication count. Staff failed to properly account for 60 tablets of a controlled narcotic medication, leading to drug screening and termination of involved employees.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to ensure a safe and effective medication system as staff did not properly account for 60 tablets of a controlled narcotic medication for one resident. The facility census was 21.
Report Facts
Medication tablets missing: 60
Facility census: 21
Medication tablets received: 180
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LIMA A | Level One Medication Aide | Alerted Administrator and DON about narcotic card count discrepancy |
| Administrator | Interviewed regarding narcotic count procedures and discrepancies | |
| Director of Nursing (DON) | Investigated narcotic count discrepancy and oversaw narcotic counts |
Inspection Report
Plan of Correction
Census: 24
Deficiencies: 1
Date: Dec 5, 2019
Visit Reason
The inspection was conducted to investigate deficiencies related to appropriate action and notification following resident incidents, including falls and behavior changes requiring medication.
Findings
The facility failed to take appropriate action after a resident fall, including assessment, follow-up monitoring, and notification of the physician and legal representative. Staff also failed to notify a resident's family about a behavior change requiring new medication.
Deficiencies (1)
19 CSR 30-86.047(37) Appropriate Action & Notification: The facility staff failed to document assessment, follow-up monitoring, or notification of the physician and legal representative after a resident fall. Staff also failed to notify a resident's family of a behavior change requiring new medication.
Report Facts
Facility census: 24
Inspection Report
Plan of Correction
Census: 24
Deficiencies: 4
Date: Nov 7, 2019
Visit Reason
The inspection was conducted as a fire safety inspection on November 7, 2019, to assess compliance with fire hazard, fire drill/evacuation plan, fire safety training, and wastebasket requirements.
Findings
The facility failed to provide entry to all portions of the building for inspection, failed to request or receive consultation from the local fire department, did not ensure fire safety training was provided to all employees every six months, and used non-fire-resistant wastebaskets in the facility.
Deficiencies (4)
19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard. The facility failed to provide entry to all portions of the building for inspection on November 7, 2019. The facility census was twenty-four residents.
19 CSR 30-86.022(5)(A) Fire Drill/Evacuation Plan, Consultation. The facility failed to request or receive a consultation from the local fire department or notify the State Fire Marshal in writing on November 7, 2019. The facility census was twenty-four residents.
19 CSR 30-86.022(6)(A)(1-3) Fire Safety Training Requirements-employees. The facility failed to ensure fire safety training was provided to all employees at least every six months. The facility census was twenty-four residents.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to use only metal, UL or FM fire-resistant wastebaskets. A plastic wastebasket was observed in resident room E-1. The facility census was twenty-four residents.
Report Facts
Facility census: 24
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