Inspection Reports for
Cameron Nursing Center

801 EUCLID AVE, CAMERON, MO, 64429-2003

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 12.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

124% worse than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

24 18 12 6 0
2022
2023
2024
2025

Occupancy

Latest occupancy rate 63% occupied

Based on a November 2025 inspection.

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

Occupancy rate over time

40% 60% 80% 100% Jan 2022 Oct 2023 Mar 2024 Mar 2025 Nov 2025

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
NameTitleContext
Housekeeper AInterviewed regarding cleaning procedures and restroom conditions
Certified Nurses Assistant (CNA) AInterviewed about restroom cleaning and call light system replacement with whistles
Licensed Practical Nurse (LPN) AInterviewed about call light system issues and staff instructions
AdministratorInterviewed 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
NameTitleContext
Dietary ManagerDietary ManagerLacked certification and training, responsible for food preparation and sanitation
Director of NursingDirector of NursingResponsible for care plan updates, infection control oversight, and side rail assessments
AdministratorAdministratorFacility oversight and expectations for compliance
CMT ACertified Medication TechnicianObserved leaving medication cart unlocked
LPN ALicensed Practical NurseProvided expectations for catheter care and medication administration
Infection Prevention NurseInfection Prevention NurseUnaware of isolation signage and PPE requirements
Housekeeper AHousekeeperUnaware of special cleaning procedures for infectious diseases
SLPSpeech Language PathologistReported diet order inconsistencies and lack of training for dietary staff

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: 1 Date: Oct 11, 2023

Visit Reason
The inspection was conducted due to a complaint regarding racial comments and mental abuse by a Certified Nurse Aide (CNA A) towards Resident #1.

Complaint Details
The complaint involved racial comments and mental abuse by CNA A towards Resident #1, including denying ice because 'it's a white thing,' wearing a white pillowcase over the head while making racial remarks, and playing a podcast with racial jokes. Resident #1 reported feeling uneasy, isolated, and out of place. The complaint was substantiated by interviews and record reviews.
Findings
The facility failed to ensure one resident remained free from mental abuse when staff used racial stereotypes multiple times, taunting the resident. The Administrator submitted a termination request for CNA A due to racial comments, violation of policy, and unsatisfactory performance. Interviews and record reviews confirmed the allegations.

Deficiencies (1)
Failure to protect Resident #1 from mental abuse involving racial stereotypes and taunting by staff.
Report Facts
Facility census: 60 Resident #1 BIMS score: 15 Resident #3 BIMS score: 15 Date of incident: Sep 28, 2023 Date of complaint report: Oct 2, 2023

Employees mentioned
NameTitleContext
Certified Nurse Aide ACertified Nurse AideNamed in mental abuse and racial comments findings
Director of NursingInterviewed regarding complaint and stated no previous complaints about CNA A
AdministratorInterviewed regarding complaint, submitted termination request for CNA A

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
NameTitleContext
Certified Nurse Aide BNot listed on vaccination matrix and no proof of vaccination or exemption.
Certified Nurse Aide CNot listed on vaccination matrix and no proof of vaccination or exemption.
Certified Medication Technician AHad multiple vaccination statuses marked on vaccination matrix.
Certified Nurse Aide DHad multiple vaccination statuses marked on vaccination matrix.
Certified Nurse Aide EHas an exemption on file and tests every time in building.

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