Deficiencies (last 5 years)
Deficiencies (over 5 years)
3.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
67% occupied
Based on a August 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 8
Deficiencies: 1
Date: Aug 2, 2024
Visit Reason
The document is a plan of correction related to a deficiency found during a survey regarding emergency discharge procedures at Bristol Manor of Jefferson City.
Findings
The facility failed to provide proper notification to a resident and the Ombudsman regarding an emergency discharge. The facility lacked a policy on discharge or emergency discharge notices and did not document Ombudsman notification in the resident's emergency discharge letter.
Deficiencies (1)
19 CSR 30-88.010(18) Emergency Discharges: The facility failed to provide proper notification for an emergency discharge to the resident and the Ombudsman. The facility did not have a policy on discharge or emergency discharge notices.
Report Facts
Facility census: 8
Inspection Report
Plan of Correction
Census: 9
Deficiencies: 2
Date: Sep 5, 2023
Visit Reason
The inspection was conducted to investigate deficiencies related to protective oversight and abuse/neglect policies following observed resident behaviors and complaints.
Findings
The facility failed to provide 24-hour protective oversight for residents exhibiting aggressive behaviors, and failed to properly investigate and report allegations of resident-to-resident verbal and physical abuse. Staff did not administer prescribed medication or intervene adequately to prevent disruptive behaviors.
Deficiencies (2)
19 CSR 30-86.042(39) Protective Oversight was not provided 24 hours a day as required. Facility staff failed to monitor and intervene to prevent aggressive behaviors by Resident #1 that caused other residents to isolate and stop eating meals.
19 CSR 30-88.010(23) The facility failed to develop and implement policies to prohibit mistreatment, neglect, and abuse of residents. Staff did not thoroughly investigate or report verbal and physical abuse by Resident #1 toward other residents.
Report Facts
Facility census: 9
Inspection Report
Plan of Correction
Census: 9
Deficiencies: 5
Date: Nov 2, 2021
Visit Reason
The inspection was conducted to assess compliance with tuberculosis screening, drug regimen review, resident record admission information, resident record requirements, and personal clothing/possessions regulations at Bristol Manor of Jefferson City.
Findings
The facility failed to screen residents and staff for tuberculosis as required, did not ensure medication regimen reviews by a pharmacist or registered nurse for five sampled residents, failed to maintain complete resident admission records, monthly summaries, and personal inventory records for sampled residents. The Temporary Manager was unsure of the status of corrective actions.
Deficiencies (5)
19 CSR 30-86.042(18) TB Screen Resident/Staff: The facility failed to screen or administer tuberculosis tests to five sampled employees and four sampled residents. The facility census was nine.
19 CSR 30-86.042(58) Drug Regimen Review: The facility failed to ensure a pharmacist or registered nurse reviewed the medication regimen for five sampled residents. The facility census was nine.
19 CSR 30-86.042(62)(A) Resident Record Admission Info: The facility failed to ensure resident records included required admission information such as preferred dentist, social security number, Medicare/Medicaid number, and emergency contact information for five sampled residents. The facility census was nine.
19 CSR 30-86.042(62)(B) Resident Record Requirements: The facility failed to maintain monthly summaries including weights, medication consumption, and referrals for five sampled residents. The facility census was nine.
19 CSR 30-88.010(36) Personal Clothing/Possessions: The facility failed to complete personal inventory records for three of five sampled residents. The facility census was nine.
Report Facts
Facility census: 9
Number of sampled residents: 5
Number of sampled employees: 5
Inspection Report
Plan of Correction
Census: 7
Capacity: 12
Deficiencies: 4
Date: Aug 8, 2019
Visit Reason
The inspection was conducted to assess compliance with regulations regarding physician orders, kitchen waste container coverage, food protection and storage, and personal clothing/possessions documentation at Bristol Manor of Jefferson City.
Findings
The facility was found deficient in following physician medication orders, maintaining covered kitchen waste containers, storing and labeling food properly, and documenting residents' personal possessions. Observations and interviews confirmed these deficiencies.
Deficiencies (4)
19 CSR 30-86.042(52)(A) Physicians Orders Followed. Facility staff failed to follow physician's orders for medication administration for one resident. There was no order on file for an over-the-counter medication given.
19 CSR 30-87.020(31) Kitchen Waste Containers Covered. Facility staff failed to keep one metal trash can in the kitchen pantry covered when not in use.
19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS. Facility staff failed to store and maintain food in a safe and sanitary manner, including sealing, dating, and labeling opened prepackaged food.
19 CSR 30-88.010(36) Personal Clothing/Possessions. Facility staff failed to document and maintain a personal inventory for two residents. One resident's record lacked an inventory sheet and another's inventory list was incomplete.
Report Facts
Facility census: 7
Facility capacity: 12
Inspection Report
Plan of Correction
Census: 10
Deficiencies: 2
Date: Apr 1, 2019
Visit Reason
The inspection was conducted as part of the fire safety portion of the licensure inspection on April 1, 2019, to evaluate compliance with fire drill and wastebasket safety regulations.
Findings
The facility failed to conduct the required number of fire drills on each shift every three months and failed to ensure that wastebaskets were metal or UL- or FM-fire-resistant rated. Both deficiencies affected all ten residents present during the inspection.
Deficiencies (2)
19 CSR 30-86.022(5)(D) Fire Drill Requirements were not met as the facility failed to conduct one fire drill every three months on each shift. The facility census on April 1, 2019 was ten residents.
19 CSR 30-86.022(15)(A) Wastebaskets were not metal or UL- or FM-fire-resistant rated as required. Observations showed non-fire rated wastebaskets in multiple resident rooms and the manager's quarters.
Report Facts
Fire drills required: 12
Fire drills performed: 13
Facility census: 10
Inspection Report
Plan of Correction
Census: 10
Deficiencies: 1
Date: Mar 15, 2019
Visit Reason
The inspection was conducted to evaluate food protection and temperature control compliance at Bristol Manor of Jefferson City.
Findings
Facility staff failed to protect food from potential contamination by not resealing prepackaged food after opening and storing multiple unlabeled and undated food items in the kitchen and storage areas.
Deficiencies (1)
19 CSR 30-87.030(13) Food-Protected, Temp. Need to Contact DHSS. Facility staff failed to protect food from potential contamination and did not reseal prepackaged food after opening. Multiple unlabeled and undated food items were found in the kitchen and storage freezers.
Report Facts
Facility census: 10
Inspection Report
Plan of Correction
Census: 8
Deficiencies: 2
Date: Mar 12, 2018
Visit Reason
The inspection was conducted as part of the licensure inspection focusing on fire safety compliance, including fire drills and fire alarm system maintenance.
Findings
The facility failed to conduct the required number of fire drills on each shift and did not have the fire alarm system inspected semi-annually as required by NFPA 72 standards.
Deficiencies (2)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation: Facility failed to conduct one fire drill every three months on each shift, affecting eight residents. At least four of the required drills must be unannounced, including one resident evacuation annually.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: Facility failed to have the fire alarm system inspected semi-annually by a qualified service representative as required by NFPA 72, 1999 edition.
Report Facts
Fire drills missed: 1
Residents affected: 8
Fire alarm inspections missed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Furnell | Senior VP | Signed the plan of correction document. |
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