Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
59% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 64
Deficiencies: 5
Date: Jul 23, 2025
Visit Reason
The inspection was conducted to identify deficiencies related to individual evacuation plans, individualized service plans, medication orders, and personal clothing/possessions in the facility.
Findings
The facility failed to provide specific staff responsibilities in evacuation plans, develop individualized service plans for residents, follow physician medication orders timely, and maintain personal inventory lists for residents. Several residents' medical records and progress notes showed issues with care planning and implementation.
Deficiencies (5)
19 CSR 30-86.045(3)(A)(6)(A) Individual Evacuation Plan-Staff Requirements: The facility failed to assign specific staff positions responsible for emergency evacuation for one sampled resident.
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: The facility failed to develop individualized service plans addressing resident needs and goals for three of six sampled residents.
19 CSR 30-86.047(47)(A) Physicians Orders Followed: The facility failed to follow physician orders and administer medications within the prescribed time for one reviewed resident.
19 CSR 30-88.010(36) Personal Clothing/Possessions: The facility failed to maintain personal inventory lists for six of six sampled residents.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: The facility failed to provide proper care related to bathing, dressing, personal hygiene, and housekeeping for one resident as defined in the individualized service plan.
Report Facts
Census: 64
Census: 59
Number of residents sampled: 6
Number of residents with deficient ISPs: 3
Number of residents with missing personal inventory: 6
Inspection Report
Plan of Correction
Census: 55
Deficiencies: 5
Date: Aug 29, 2024
Visit Reason
The inspection was conducted to assess compliance with fire safety regulations including fire drills, fire drill records, fire alarm system monthly testing, sprinkler system maintenance/testing, and flame-resistant curtains/drapes.
Findings
The facility failed to conduct the required fire drills, maintain fire drill records, test the fire alarm system monthly, perform monthly sprinkler system inspections, and ensure curtains and drapes were flame resistant. These deficiencies affected all 55 residents present during the inspection.
Deficiencies (5)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct at least one fire drill every three months on each shift and no complete evacuation was done in the past year. This deficiency affects all 55 residents.
19 CSR 30-86.022(5)(E) Fire Drill Records. The facility failed to keep records of fire drills including time, date, personnel participating, length of drill, and special problems. This deficiency affects all 55 residents.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to ensure the complete fire alarm system was tested monthly. This deficiency affects all 55 residents.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to maintain and test the sprinkler system monthly as required. This deficiency affects all 55 residents.
19 CSR 30-86.022(13)(D) Curtains/Drapes, Flame Resistant. The facility failed to ensure all curtains and drapes were certified or treated with flame retardant material. This deficiency affects all 55 residents.
Report Facts
Facility census: 55
Fire drills required annually: 12
Fire drills required quarterly per shift: 1
Rooms with non-flame resistant curtains observed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding fire drills, fire alarm testing, sprinkler inspections, and curtain treatment |
Inspection Report
Life Safety
Census: 45
Deficiencies: 6
Date: Oct 24, 2023
Visit Reason
The inspection was conducted to evaluate compliance with fire safety regulations including fire drills, fire drill records, fire safety training for employees, area of refuge requirements, and fire alarm system monthly testing.
Findings
The facility failed to conduct required fire drills quarterly on each shift, maintain proper fire drill records, ensure fire safety training for all employees, post required signage for areas of refuge, and test the fire alarm system monthly. These deficiencies affected all 45 residents present during the inspection.
Deficiencies (6)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct at least one fire drill every three months on each shift and did not conduct a complete evacuation drill in the past year. The facility census was 45 residents.
19 CSR 30-86.022(5)(E) Fire Drill Records. The facility failed to keep records of fire drills including time, date, personnel participating, length of time, and narrative of special problems. The facility census was 45 residents.
19 CSR 30-86.022(6)(A)(1-3) Fire Safety Training Requirements-employees. The facility failed to ensure all employees received fire safety training during orientation and every six months. The facility census was 45 residents.
19 CSR 30-86.022(7)(D)(1-8) Area of Refuge Requirements. The facility failed to post a sign at the bottom of each exit stairway showing the location of the area of refuge for two areas. The facility census was 45 residents.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to test the complete fire alarm system monthly and document the testing. The facility census was 45 residents.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have the electrical wiring inspected every two years by a qualified electrician. The facility census was 51 residents.
Report Facts
Facility census: 45
Facility census: 51
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