Inspection Reports for
California Care Center
1106 SOUTH OAK, ROUTE 3, CALIFORNIA, MO, 65018-1462
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
29 residents
Based on a May 2024 inspection.
Occupancy over time
Inspection Report
Deficiencies: 0
Date: Aug 14, 2024
Visit Reason
The inspection was conducted as a regulatory survey of the California Care Center facility.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 2
Date: May 3, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding a medication error where Resident #1 was given another resident's medication, resulting in an adverse reaction and hospital admission.
Complaint Details
The complaint investigation found that the medication error was substantiated, with Resident #1 receiving Resident #2's medications leading to an adverse reaction and hospital admission. The physician was not notified immediately as required.
Findings
The facility failed to notify the physician immediately after the medication error occurred, delaying notification until Resident #1 exhibited adverse effects and was sent to the hospital. Staff did not follow medication administration policies, leading to Resident #1 receiving Resident #2's medications.
Deficiencies (2)
Facility staff failed to notify Resident #1's physician immediately after a medication error where Resident #1 was given another resident's medication, resulting in actual harm.
Facility staff failed to ensure residents remained free from significant medication errors when Resident #2's medication was administered to Resident #1, resulting in hospital admission.
Report Facts
Facility census: 29
Medication pass time: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN C | Registered Nurse | Monitored Resident #1 after medication error, delayed physician notification |
| CMT A | Certified Medication Technician | Administered medications to Resident #2 and did not verify medication intake before leaving |
| Dietary Aide B | Dietary Aide | Noticed medication cups left on table and gave medication cup to RN C |
| DON | Director of Nursing | Expected immediate physician notification after medication errors |
| Administrator | Facility Administrator | Expected immediate physician notification after medication errors |
Inspection Report
Routine
Census: 28
Deficiencies: 1
Date: Jun 12, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulations regarding maintaining a safe, clean, comfortable, and homelike environment for residents, specifically focusing on the condition and repair of resident areas.
Findings
The facility failed to maintain resident areas in good repair, with multiple observations of debris buildup, stains, damaged walls, missing baseboards, rust, and peeling materials across various rooms. Maintenance issues were not adequately reported or addressed, and the facility lacked a full-time maintenance person.
Deficiencies (1)
Failure to ensure resident areas were in good repair, including debris buildup, stains, damaged walls, missing baseboards, rust, and peeling materials.
Report Facts
Facility census: 28
Date of last documented needed repairs: Jan 2, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA D | Certified Nurse Aide | Interviewed regarding maintenance reporting and facility maintenance staffing |
| LPN E | Licensed Practical Nurse | Interviewed about maintenance reporting and observations of facility conditions |
| Director of Nursing | Director of Nursing | Interviewed about maintenance reporting and facility conditions |
Inspection Report
Routine
Census: 30
Deficiencies: 3
Date: Apr 20, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to care planning, nurse staffing postings, and infection prevention and control, including tuberculosis screening of employees.
Findings
The facility failed to revise care plans for five residents with fall prevention interventions, failed to post required nurse staffing information daily, and failed to ensure timely and complete two-step tuberculosis testing for employees.
Deficiencies (3)
Failure to revise care plans for five residents with interventions to prevent falls.
Failure to post required nurse staffing information daily, including total staff and hours worked.
Failure to implement infection prevention program ensuring two-step tuberculosis testing was completed and documented for employees.
Report Facts
Residents affected: 5
Facility census: 30
Employee files reviewed: 10
Employee files missing second PPD: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant G | CNA | Interviewed regarding helmet use and care plan interventions for falls |
| Registered Nurse B | RN | Interviewed regarding helmet checks and nurse staffing postings |
| Director of Nursing | DON | Interviewed regarding care plan expectations, nurse staffing postings, and tuberculosis testing policy |
| Administrator | Interviewed regarding care plan breakdown and nurse staffing postings | |
| Minimum Data Set Coordinator | MDS Coordinator | Interviewed regarding tuberculosis testing procedures and compliance |
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