Inspection Reports for
Cameron Nursing Center
801 EUCLID AVE, CAMERON, MO, 64429-2003
Back to Facility ProfileDeficiencies (last 8 years)
Deficiencies (over 8 years)
11.4 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
107% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
24
18
12
6
0
Occupancy
Latest occupancy rate
63% occupied
Based on a November 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 75
Deficiencies: 3
Date: Nov 3, 2025
Visit Reason
The inspection was conducted based on complaint 2655967 regarding failure to maintain a clean environment in resident restrooms and failure to provide appropriate call system methods while the call light system was malfunctioning.
Complaint Details
Complaint 2655967 involved concerns about unclean resident restrooms and malfunctioning call light system causing resident safety and emotional distress issues. The complaint was substantiated with observations and interviews confirming the issues.
Findings
The facility failed to maintain a clean, safe, and odor-free environment in resident restrooms, with dried substances and puddles observed. Additionally, the call light system was malfunctioning for about two weeks, causing residents to use whistles and bells to summon staff, which led to anxiety, emotional distress, and safety concerns among residents.
Deficiencies (3)
Failure to maintain a clean, neat, and orderly environment in resident restrooms, including dried substances on surfaces and strong urine odor.
Failure to provide appropriate and adequate methods for residents to call for staff while the call light system was being repaired, causing resident distress and safety risks.
Failure to rinse and cover the graduate used to empty catheter bags after use.
Report Facts
Facility census: 75
Duration of call light malfunction: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper A | Interviewed regarding cleaning procedures and restroom conditions | |
| Certified Nurses Assistant (CNA) A | Interviewed about restroom cleaning and call light system replacement with whistles | |
| Licensed Practical Nurse (LPN) A | Interviewed about call light system issues and staff instructions | |
| Administrator | Interviewed about expectations for restroom cleaning and call light system malfunction |
Inspection Report
Routine
Census: 67
Deficiencies: 18
Date: Mar 20, 2025
Visit Reason
Routine inspection of Cameron Nursing Center to assess compliance with regulatory requirements including resident rights, care planning, infection control, dietary services, and safety measures.
Findings
The facility had multiple deficiencies including failure to respond to resident council grievances, failure to provide resident rights education, inadequate infection control practices, improper care planning, unsafe environmental conditions, improper medication storage, dietary management issues, and failure to ensure proper immunization documentation and administration.
Deficiencies (18)
Failed to consider views of resident council and act promptly on grievances.
Failed to ensure residents were informed of their rights periodically both orally and in writing.
Failed to provide training on State Long Term Care Ombudsman program and complaint filing.
Failed to maintain a safe, clean, comfortable, and homelike environment including noise control and cleanliness.
Failed to develop and implement comprehensive resident-centered care plans addressing infections, catheter care, and side rails.
Failed to ensure timeliness and interdisciplinary review of care plans and involvement of residents and families.
Failed to maintain professional standards in infection control including isolation precautions, PPE use, and immunization documentation.
Failed to provide appropriate catheter care and prevent urinary tract infections.
Failed to provide sufficient fluids to maintain hydration for a resident with a catheter.
Failed to ensure proper assessment, consent, installation, and maintenance of bed rails.
Failed to store medications securely and left medications unattended at bedside.
Dietary manager lacked appropriate certification and training; food was served at unsafe temperatures and not prepared according to recipes.
Failed to prepare food in a form consistent with resident's dietary orders.
Failed to follow sanitary food handling practices including handwashing, glove use, hair covering, and cleaning procedures.
Failed to monitor and discard expired food items and properly sanitize kitchen equipment.
Failed to monitor and maintain safe temperatures in resident personal refrigerators and freezers.
Failed to implement infection prevention program including isolation precautions, PPE availability, and proper disposal of contaminated PPE.
Failed to obtain signed immunization refusals or administer influenza and COVID-19 vaccines to eligible residents.
Report Facts
Facility census: 67
Deficiency count: 17
Resident count: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Dietary Manager | Lacked certification and training, responsible for food preparation and sanitation |
| Director of Nursing | Director of Nursing | Responsible for care plan updates, infection control oversight, and side rail assessments |
| Administrator | Administrator | Facility oversight and expectations for compliance |
| CMT A | Certified Medication Technician | Observed leaving medication cart unlocked |
| LPN A | Licensed Practical Nurse | Provided expectations for catheter care and medication administration |
| Infection Prevention Nurse | Infection Prevention Nurse | Unaware of isolation signage and PPE requirements |
| Housekeeper A | Housekeeper | Unaware of special cleaning procedures for infectious diseases |
| SLP | Speech Language Pathologist | Reported diet order inconsistencies and lack of training for dietary staff |
Inspection Report
Life Safety
Census: 67
Capacity: 120
Deficiencies: 1
Date: Mar 18, 2025
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Survey were conducted to assess compliance with Medicare/Medicaid requirements and the 2012 Edition of the National Fire Protection Association (NFPA) 101 Life Safety Code.
Findings
The facility was found to be in compliance with emergency preparedness requirements but was noncompliant with delayed egress locking requirements of NFPA 101 Life Safety Code. One of six doors failed to sound an audible alarm after 15 seconds of pressure and failed to open, potentially affecting staff and 10 residents.
Deficiencies (1)
K222 Egress Doors: The facility failed to meet delayed egress locking requirements when one exit door did not sound an audible alarm after 15 seconds of pressure and failed to open. This deficient practice affected one of six doors and had the potential to impact staff and 10 residents.
Report Facts
Number of occupied beds: 67
Total licensed capacity: 120
Number of doors affected: 1
Number of residents potentially affected: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Hunter | Administrator | Signed the statement of deficiencies and plan of correction |
| Maintenance Director | Confirmed finding and was re-educated on delayed egress lock requirements |
Inspection Report
Life Safety
Census: 64
Capacity: 120
Deficiencies: 4
Date: Mar 1, 2024
Visit Reason
The inspection was conducted to assess compliance with the Life Safety Code and related fire safety regulations at Cameron Nursing Center.
Findings
The facility failed to maintain emergency lighting and electrical receptacles in accordance with NFPA standards. Deficiencies included lack of battery-operated emergency lighting in the medication room and missing receptacle plates in room 512.
Deficiencies (4)
K291 Emergency Lighting: The facility failed to maintain one emergency task lighting in the medication room as required by NFPA 99. No battery-operated lighting was present and the light switch could be manually turned off, potentially affecting residents requiring medication during power outages.
K912 Electrical Systems - Receptacles: The facility failed to maintain electrical receptacles free from damage or in good condition, with three missing receptacle plates in room 512. This deficiency potentially affected residents occupying that room.
A2050 Emergency Lighting: Facilities must have emergency lighting of sufficient intensity supplied by an emergency service or battery system with automatic transfer switch. This regulation was not met as evidenced by the K291 deficiency.
A3030 Electrical Wiring & Equipment Maintained: Electrical wiring and equipment must be installed and maintained per NFPA 70 standards. This regulation was not met as evidenced by the K912 deficiency.
Report Facts
Facility capacity: 120
Resident census: 64
Missing receptacle plates: 3
Plan of correction completion date: Apr 8, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Hunter | Administrator | Signed the deficiency statement on 3/18/2024 |
| Regional Maintenance Director | Educated Administrator and Maintenance Supervisor on emergency lighting and electrical receptacle requirements as part of corrective actions | |
| Maintenance Supervisor | Interviewed regarding building wiring and responsible for monitoring emergency lighting compliance | |
| Maintenance Director | Interviewed about room 512 condition and involved in corrective actions |
Inspection Report
Routine
Census: 64
Deficiencies: 13
Date: Mar 1, 2024
Visit Reason
Routine inspection of Cameron Nursing Center to assess compliance with regulatory standards including environment, resident care, medication management, dietary services, and infection control.
Findings
The facility had multiple deficiencies including failure to maintain a clean and safe environment, inadequate notification of transfers and discharges, insufficient assistance with activities of daily living, medication errors, improper food handling and storage, failure to provide meaningful activities, and lapses in infection control practices.
Deficiencies (13)
Failed to maintain a clean, safe, homelike environment with dirty floors, doors, handrails, and damaged fixtures.
Failed to provide timely and adequate written notice of transfer or discharge to residents or their representatives.
Failed to provide adequate care and assistance with activities of daily living including peri care and showering.
Failed to provide meaningful activities to meet residents' needs and preferences.
Failed to provide appropriate catheter care and maintain proper positioning of catheter tubing.
Failed to ensure pharmacist medication regimen reviews were monitored and addressed timely by physicians.
Medication administration errors with a 20% error rate observed including improper insulin administration and blood sugar monitoring.
Failed to follow manufacturer instructions and provide proper resident education for nasal spray and inhaler use.
Failed to properly store and dispose of medications including expired and discontinued drugs.
Failed to serve food at safe temperatures and maintain palatable, attractive meals; multiple resident complaints of cold and unappetizing food.
Failed to accommodate resident food preferences and provide alternate meal options when requested items were unavailable.
Failed to maintain kitchen and dining room in a sanitary and well-maintained condition including dirty vents, food debris, expired food, and damaged surfaces.
Failed to maintain effective infection control practices including hand hygiene and glove use by dietary staff, lack of water management plan for Legionella, and incomplete TB testing for new employees.
Report Facts
Medication error rate: 20
Resident census: 64
Temperature of hot food: 114
Temperature of cold food: 51
Expired food dates: Expired salad dressing (3/14/22) and mayonnaise (7/3/23) found in kitchen refrigerator
Number of medications in disposal tote: 79
Number of bubble packs in disposal tote: 38
Number of employees missing 2-step TB test: 4
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 2
Date: Oct 11, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged abuse and neglect involving racial stereotyping and mistreatment of residents by staff.
Complaint Details
The complaint was substantiated based on observation, interviews, and record review. The investigation found that a Certified Nurse Aide used racial stereotypes and made racial jokes, causing emotional distress to residents. The CNA was terminated and staff education was conducted.
Findings
The facility failed to ensure one resident remained free of mental abuse when staff used racial stereotypes multiple times, taunting the resident. The facility policies on abuse prevention and resident rights were reviewed, and a Certified Nurse Aide was terminated due to racial comments and violation of policy.
Deficiencies (2)
F600 Freedom from Abuse, Neglect, and Exploitation: The facility failed to ensure one resident remained free from mental abuse when staff used racial stereotypes multiple times, taunting the resident.
A8023 Develop/Implement Abuse and Neglect Policies: The facility did not develop and implement written policies prohibiting mistreatment, neglect, and abuse of residents, including reporting requirements.
Report Facts
Facility census: 60
Sampled residents: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Hunter | Administrator | Signed the inspection report and plan of correction |
Inspection Report
Plan of Correction
Census: 70
Capacity: 120
Deficiencies: 2
Date: May 10, 2023
Visit Reason
The inspection was conducted to assess compliance with life safety code requirements, specifically regarding horizontal exits and fire door maintenance at Cameron Nursing Center.
Findings
The facility failed to inspect, test, and maintain smoke barrier doors and non-rated doors in the means of egress, which could result in equipment failure during an emergency. The facility had a capacity of 120 and a census of 70 at the time of the survey.
Deficiencies (2)
K 226 Horizontal Exits: Facility staff failed to inspect, test, and maintain smoke barrier doors and non-rated doors in the means of egress as required by NFPA 101 Life Safety Code. This failure could result in equipment failure and affect all facility occupants during an emergency.
A3001 19 CSR 30-85.032(2) Substantially Constructed/Maintained: The building is not maintained in good repair as required, referencing the deficiency K226 related to horizontal exits and fire door maintenance.
Report Facts
Facility capacity: 120
Facility census: 70
Waiver extension duration: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Hunter | Administrator | Signed the report and plan of correction; referenced in interview about door replacement |
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 2
Date: Feb 21, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding failure to provide necessary showering and personal hygiene services to residents.
Complaint Details
The complaint was substantiated as evidenced by failure to provide adequate showering and hygiene services to residents, affecting seven residents.
Findings
The facility failed to ensure residents received necessary grooming and personal hygiene services, specifically showers, as evidenced by interviews, observations, and medical record reviews. Seven residents were affected by missed or insufficient showers, and shower preferences were not properly accommodated or documented.
Deficiencies (2)
F677 ADL Care Provided for Dependent Residents: The facility failed to ensure residents received necessary grooming and personal hygiene when showers were not provided and did not allow residents to choose shower preferences, affecting seven residents.
A4076 Clean, Dry, Odor Free: The facility failed to ensure each resident was clean, dry, and free of offensive body and mouth odor, referencing the F677 deficiency.
Report Facts
Facility census: 67
Inspection Report
Routine
Deficiencies: 0
Date: Nov 9, 2022
Visit Reason
A COVID-19 focused infection control and emergency preparedness survey was conducted to assess compliance with CMS and CDC recommended practices and federal regulations.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 infection control and with 42 CFR 483.73 related to emergency preparedness.
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 3
Date: Oct 11, 2022
Visit Reason
The inspection was conducted as a Complaint State Licensure Survey on October 11, 2022, to investigate allegations related to unsanitary conditions and odor issues in resident bathrooms.
Complaint Details
The visit was complaint-related, triggered by allegations of unsanitary bathroom conditions and strong urine odors. The complaint was substantiated as the findings confirmed the odor and sanitation issues.
Findings
The facility failed to maintain sanitary conditions in resident bathrooms, resulting in strong urine odors affecting residents. Observations and interviews confirmed that cleaning practices were inadequate despite housekeeping efforts and policies.
Deficiencies (3)
F921: The facility did not maintain a safe, functional, sanitary, and comfortable environment as evidenced by unsanitary resident bathrooms with strong urine odor affecting residents. This deficiency affected two of three sampled residents and was supported by observations and interviews.
A6011: No deodorizers or sprays were used to eliminate odors; odors were not eliminated at the source by prompt cleaning and proper ventilation. This regulation was not met as evidenced by strong odors persisting in resident bathrooms.
A6012: Floors were not maintained in good repair and cleanliness; the floor surfaces around toilets were stained and not properly cleaned. This regulation was not met as evidenced by stained floor tiles and inadequate cleaning.
Report Facts
Facility census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| House Keeper A | Observed cleaning bathrooms and using cleaning products during inspection | |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for bathroom cleaning and odor elimination |
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 2
Date: Jun 24, 2022
Visit Reason
The inspection was conducted due to a complaint investigation regarding abuse and neglect policies and volunteer background checks at the facility.
Complaint Details
The complaint was substantiated based on findings that a volunteer made a resident feel uncomfortable and the facility failed to conduct background checks on volunteers as required.
Findings
The facility failed to develop and implement adequate abuse and neglect policies, specifically not completing criminal background checks on volunteers. A volunteer was found to have made a resident feel uncomfortable, and the facility had no records of background checks for volunteers.
Deficiencies (2)
F607: The facility failed to develop and implement abuse and neglect policies, including conducting criminal background checks on volunteers. A volunteer made a resident feel uncomfortable, and the facility had no records of background checks for volunteers.
A8023: The facility did not develop and implement written policies prohibiting mistreatment, neglect, and abuse of residents and misappropriation of property. This deficiency references F607 and is classified as Class II.
Report Facts
Facility census: 63
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: May 26, 2022
Visit Reason
A COVID-19 focused emergency preparedness and infection control survey was conducted on 5/25/22 and 5/26/22 to assess compliance with relevant CMS and CDC requirements.
Findings
The facility was found to be in compliance with 42 CFR 483.73 and CDC recommended practices for COVID-19 preparedness and infection control.
Inspection Report
Routine
Census: 67
Deficiencies: 14
Date: Jan 28, 2022
Visit Reason
The inspection was conducted as a routine regulatory survey of Cameron Nursing Center to assess compliance with healthcare facility regulations and standards.
Findings
The facility was found to have multiple deficiencies including failure to maintain resident dignity, failure to ensure safe medication administration, failure to notify physicians of significant weight loss and changes in condition, failure to update care plans, inadequate provision of activities, insufficient nursing staff coverage, unsafe use of bed rails, inadequate infection control practices, and failure to maintain food safety standards.
Deficiencies (14)
Failure to maintain resident dignity including staff not knocking before entering rooms, rude behavior, and failure to keep residents covered.
Failure to ensure residents safely self-administer medications with pills left unattended.
Failure to notify physicians of significant weight loss and changes in resident condition.
Failure to update care plans for significant weight loss, bed rails, and dialysis.
Failure to provide services meeting professional standards including failure to place fall mats as ordered and delayed urine specimen collection.
Failure to provide adequate activities to meet resident interests and needs.
Failure to ensure resident safety related to falls and unsafe transfer practices.
Failure to maintain adequate nutritional status and implement interventions after significant weight loss.
Failure to provide safe and appropriate respiratory care including undated oxygen tubing and uncovered nebulizer tubing.
Failure to assess, obtain consent, and document physician orders for use of bed rails, and failure to perform entrapment assessments.
Failure to provide sufficient nursing staff to meet resident needs including showers, grooming, repositioning, and timely call light response.
Failure to procure, store, and dispose of food in a safe and sanitary manner including undated food items and dirty ice scoop holders.
Failure to maintain proper infection control including hand hygiene, perineal care, and medication administration practices.
Failure to fully develop and implement staff COVID-19 vaccination policy and failure to track and document vaccination status for all staff.
Report Facts
Weight loss percentage: 9.28
Weight loss percentage: 6.2
Weight loss percentage: 8.71
Facility census: 67
RN coverage gaps: 3
Staff vaccination rate: 97.3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide B | Not listed on vaccination matrix and no proof of vaccination or exemption. | |
| Certified Nurse Aide C | Not listed on vaccination matrix and no proof of vaccination or exemption. | |
| Certified Medication Technician A | Had multiple vaccination statuses marked on vaccination matrix. | |
| Certified Nurse Aide D | Had multiple vaccination statuses marked on vaccination matrix. | |
| Certified Nurse Aide E | Has an exemption on file and tests every time in building. |
Inspection Report
Plan of Correction
Census: 73
Deficiencies: 2
Date: Dec 17, 2021
Visit Reason
The inspection was conducted to evaluate compliance with transfer and discharge requirements at Redwood of Cameron nursing facility.
Findings
The facility failed to provide an appropriate immediate discharge letter for one sampled resident and did not complete required Notice of Discharge paperwork. The resident exhibited severe aggressive behaviors leading to an emergency discharge without proper documentation and notification.
Deficiencies (2)
F622 Transfer and Discharge Requirements: The facility failed to provide an appropriate immediate discharge letter to one resident and did not complete required Notice of Discharge paperwork. Documentation of transfer or discharge was incomplete and did not meet regulatory standards.
A8015 19 CSR 30-88.010(15) 30 Day Notice-Transfer/Discharge: The facility did not provide required 30-day advance notice of transfer or discharge to the resident, next of kin, attending physician, and responsible agency as mandated. This regulation was not met as evidenced by the referenced F622 deficiency.
Report Facts
Facility census: 73
Deficiencies cited: 2
Inspection Report
Plan of Correction
Census: 60
Deficiencies: 5
Date: Sep 28, 2021
Visit Reason
The inspection was conducted to assess compliance with federal regulations regarding care provided to dependent residents and nutrition/hydration status maintenance.
Findings
The facility failed to provide adequate showers to dependent residents as scheduled and did not ensure proper nutrition and hydration management, including failure to forward Registered Dietitian recommendations to physicians for residents with weight loss.
Deficiencies (5)
F677: The facility failed to provide showers as scheduled for eight dependent residents requiring staff assistance. The facility also lacked a policy on showers.
F692: The facility failed to ensure acceptable nutritional status and hydration, including failure to forward Registered Dietitian recommendations for residents with weight loss to physicians. This affected two residents.
A4074: Each resident shall receive personal attention and nursing care consistent with current acceptable nursing practice. This regulation was not met as evidenced by deficiencies related to F677.
A4075: Each resident shall be clean, dry, and free of body and mouth odor offensive to others. This regulation was not met as evidenced by deficiencies related to F677.
A5001: Each resident shall be served nutritious food properly prepared and seasoned, meeting physician orders and nutritional needs. This regulation was not met as evidenced by deficiencies related to F692.
Report Facts
Facility census: 60
Residents affected: 8
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joni Stanger | Administrator | Signed the plan of correction |
| Director of Nursing (DON) | Mentioned in plan of correction and interviews | |
| Assistant Director of Nursing (ADON) | Interviewed regarding shower provision | |
| Licensed Practical Nurse (LPN) A | Interviewed regarding shower provision | |
| Certified Nurses Aide (CNA) A | Interviewed regarding shower provision |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Aug 9, 2021
Visit Reason
A COVID-19 focused emergency preparedness and infection control survey was conducted to assess the facility's compliance with related federal regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19 infection control.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jan 20, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey and a COVID-19 Focused Emergency Preparedness survey were conducted from January 14, 2021 to January 20, 2021 to assess compliance with CMS and CDC recommended practices and federal regulations.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 infection control and with 42 CFR 483.73 related to emergency preparedness.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Dec 21, 2020
Visit Reason
A COVID-19 focused infection control and emergency preparedness survey was conducted from December 17, 2020 to December 21, 2020 to assess compliance with CMS and CDC recommended practices and 42 CFR 483.73 regulations.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 infection control and with 42 CFR 483.73 related to emergency preparedness.
Inspection Report
Routine
Deficiencies: 0
Date: Oct 28, 2020
Visit Reason
A COVID-19 focused infection control and emergency preparedness survey was conducted from October 26 to October 28, 2020.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 infection control and with 42 CFR 483.73 (b)(6) for emergency preparedness.
Inspection Report
Routine
Deficiencies: 0
Date: Oct 5, 2020
Visit Reason
A COVID-19 focused infection control and emergency preparedness survey was conducted to assess compliance with CMS and CDC recommended practices and federal regulations.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 infection control and with 42 CFR 483.73 related to emergency preparedness.
Inspection Report
Abbreviated Survey
Census: 59
Deficiencies: 2
Date: May 19, 2020
Visit Reason
A COVID-19 focused emergency preparedness survey was conducted to assess the facility's infection prevention and control measures related to COVID-19.
Findings
The facility was found to be in compliance with federal COVID-19 emergency preparedness regulations but failed to post signs alerting staff and visitors to use precautions and PPE for residents on isolation. The facility also lacked receptacles for soiled PPE in residents' rooms and failed to properly screen and monitor residents for COVID-19 symptoms.
Deficiencies (2)
F880 Infection Prevention & Control: The facility failed to post signs to alert staff and visitors to use precautions and PPE for residents on isolation and did not provide receptacles for soiled PPE in residents' rooms.
A4085 Infection Control/Communicable Disease: The facility failed to report residents diagnosed with communicable diseases to the Missouri Department of Health within seven days as required.
Report Facts
Facility census: 59
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacci Frazer | Administrator | Signed the deficiency report and plan of correction |
Inspection Report
Annual Inspection
Census: 62
Deficiencies: 4
Date: Apr 4, 2019
Visit Reason
Annual inspection survey conducted to assess compliance with federal regulations related to medication administration, medication storage, infection control, and immunizations at Redwood of Cameron facility.
Findings
The facility failed to meet requirements for medication error rates, proper medication storage, infection prevention and control, and influenza and pneumococcal immunizations. Deficiencies included medication errors, expired medications, improper labeling, failure to follow infection control procedures, and incomplete immunization documentation.
Deficiencies (4)
F759 Medication Errors: The facility had a medication error rate of 7.14%, exceeding the 5% threshold, with errors in insulin administration and timing of meals for residents.
F761 Medication Storage: The facility failed to ensure medications were stored properly, including expired insulin and eye medication, and lacked proper labeling and temperature controls.
F880 Infection Control: The facility failed to ensure staff followed infection prevention practices, including hand hygiene and proper handling of wound dressings, risking infection transmission.
F883 Influenza and Pneumococcal Immunizations: The facility did not ensure all residents were offered or received immunizations timely, and documentation was incomplete for some residents.
Report Facts
Medication error rate: 7.14
Facility census: 62
Sampled residents for infection control: 19
Sampled residents for immunization review: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Frazier | Administrator | Signed the plan of correction and report |
| Director of Nursing | Interviewed regarding insulin administration and infection control practices | |
| Licensed Practical Nurse (LPN) A | Observed administering insulin and interviewed about medication administration | |
| Licensed Practical Nurse (LPN) B | Observed providing wound care and interviewed about infection control |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 4, 2019
Visit Reason
This document is a plan of correction related to a facility survey conducted on April 4, 2019, for Redwood of Cameron.
Findings
The Emergency Preparedness portion of the survey did not result in deficiencies. The facility met the applicable provisions of the 2012 edition of the Life Safety Code. No state licensure deficiencies were cited as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodie Sturgeon | Administrator | Signed as laboratory director or provider/supplier representative on the plan of correction document. |
Inspection Report
Re-Inspection
Census: 69
Deficiencies: 9
Date: Jun 22, 2018
Visit Reason
This is a re-inspection visit to verify correction of previously cited deficiencies from the June 22, 2018 survey.
Findings
The facility was found to have multiple deficiencies related to resident care, environment, infection control, medication administration, and safety. The plan of correction outlines steps to address these issues including staff education, equipment purchase, and monitoring.
Deficiencies (9)
F558 Reasonable Accommodations Needs/Preferences: The facility failed to make arrangements to meet transportation needs of residents, affecting one resident with bariatric wheelchair needs.
F584 Safe/Clean/Comfortable/Homelike Environment: The facility failed to maintain a safe, clean, and comfortable environment, with observations of dirty floors, debris, damaged walls, and unclean resident areas.
F658 Services Provided Meet Professional Standards: The facility failed to ensure staff followed professional standards in medication administration, affecting three residents.
F677 ADL Care Provided for Dependent Residents: The facility failed to ensure dependent residents received complete perineal care and showers, affecting two residents.
F689 Free of Accident Hazards/Supervision/Devices: The facility failed to ensure staff used proper techniques to reduce accidents during mechanical lift use, affecting three residents.
F690 Bowel/Bladder Incontinence, Catheter, UTI: The facility failed to provide appropriate catheter care and treatment to prevent urinary tract infections, affecting four residents.
F695 Respiratory/Tracheostomy Care and Suctioning: The facility failed to provide proper respiratory care and tracheostomy suctioning, affecting two residents.
F759 Free of Medication Error Rates 5 Percent or More: The facility failed to ensure medication error rates were below 5%, with a 14.81% error rate affecting four residents.
F880 Infection Prevention & Control: The facility failed to establish and maintain an infection control program, including proper hand hygiene and wound care, affecting multiple residents.
Report Facts
Facility census: 69
Medication error rate: 14.81
Number of sampled residents affected: 17
Number of residents affected by catheter care deficiency: 4
Number of residents affected by mechanical lift deficiency: 3
Inspection Report
Life Safety
Census: 69
Capacity: 120
Deficiencies: 5
Date: Jun 22, 2018
Visit Reason
The inspection was conducted to assess compliance with the 2012 edition of the Life Safety Code of the National Fire Protection Association and related fire safety regulations.
Findings
The facility failed to maintain the Type V protected wood frame construction standard, had missing fire alarm horns and strobes in the courtyard, improperly installed portable fire extinguishers, and corridor doors that did not latch properly. The facility also failed to conduct fire drills at varied times as required.
Deficiencies (5)
K161: The facility failed to maintain the Type V (111) protected wood frame construction standard as required by NFPA 101. Staff had not sealed openings in the ceiling around pipes, sprinkler heads, and other items, affecting four of eight smoke compartments.
K341: The facility failed to provide (install) horns or strobes in one outside courtyard in accordance with NFPA 70 and 72, affecting all staff and residents in the courtyard.
K355: The facility failed to install portable fire extinguishers in accordance with NFPA 10, including mounting height and securing extra extinguishers, affecting at least three smoke compartments.
K363: The facility failed to provide corridor doors that latch properly and contain no holes, affecting 22 residents in the affected areas.
K712: The facility failed to conduct fire drills at varied times as required, potentially affecting staff readiness in the event of an actual fire.
Report Facts
Facility capacity: 120
Resident census: 69
Residents affected by door deficiency: 22
Fire drills reviewed: 7
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