Inspection Reports for
Clark County Nursing Home
1260 N JOHNSON ST, KAHOKA, MO, 63445-1100
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
52% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 1
Date: Mar 4, 2025
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to obtain notification and permission from a resident or their emergency contact before performing a urinary catheterization and urine drug screen.
Complaint Details
The complaint investigation found that the facility did not have a physician order or resident/emergency contact permission for a urine drug screen performed after a straight catheterization. The resident's physician and facility staff interviews confirmed the lack of consent and orders. The facility also lacked a policy for urine drug screening procedures.
Findings
The facility failed to obtain consent from Resident #1 or their emergency contact prior to performing a straight catheterization and urine drug screen. There was no physician order for the urine drug screen, and the facility lacked a policy for obtaining such tests or following physician orders. The resident's physician and facility staff confirmed these deficiencies.
Deficiencies (1)
Failure to provide for the rights of one resident by performing urinary catheterization and urine drug screen without notification and permission from the resident or emergency contact.
Report Facts
Residents Affected: 1
Facility Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DON | Director of Nursing | Interviewed regarding the catheterization and urine drug screen procedures without consent or physician order |
| Administrator | Facility Administrator | Interviewed about expectations for physician orders and resident permission for urine drug screens |
| Resident's Physician | Physician | Interviewed about facility's capability to test urine for drugs and need for permission |
Inspection Report
Routine
Census: 59
Deficiencies: 14
Date: Jan 29, 2025
Visit Reason
The inspection was conducted as a routine regulatory survey of Clark County Nursing Home to assess compliance with healthcare facility regulations, including resident care, safety, and infection control.
Findings
The facility was found deficient in multiple areas including failure to assess and document restraint use, failure to provide timely discharge and bed hold notices, incomplete significant change assessments, improper medication administration techniques, inadequate pressure ulcer care, lack of restorative nursing services for range of motion, unsafe wheelchair propulsion practices, improper labeling and storage of medications and food, failure to follow infection control practices, and lack of a comprehensive Legionella water management program.
Deficiencies (14)
Failed to assess use of pressure alarms as restraints and failed to document restraint evaluation.
Failed to provide written notice of discharge and transfer rights to residents and representatives.
Failed to provide written notice of bed hold policy to residents and representatives.
Failed to complete significant change status assessments within 14 days for residents with declines in condition.
Failed to follow proper medication administration techniques for insulin pens and eye drops.
Failed to provide appropriate pressure ulcer care including updated care plans, pressure relief, and proper mattress settings.
Failed to provide restorative nursing services to maintain or improve range of motion and prevent contractures.
Failed to ensure safe wheelchair propulsion with foot pedals and proper supervision.
Failed to label and discard expired medications and insulin vials/pens, and failed to secure controlled substances properly.
Failed to label and discard expired or opened food items and failed to maintain food service equipment cleanliness.
Failed to follow infection control standards for blood glucose monitoring and oxygen/nebulizer equipment storage and cleaning.
Failed to develop and implement a comprehensive Legionella water management program including risk assessment, water flow mapping, monitoring, and staff education.
Failed to assess resident risk for side rail use, obtain consent, and document entrapment risk prior to use of side rails.
Failed to provide trauma informed care and assessment for a resident with PTSD, including identification of triggers and care plan interventions.
Report Facts
Facility census: 59
Insulin vial open duration: 54
Water temperature: 106.5
Water temperature: 104.2
Water temperature: 107.8
Water temperature: 108.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN B | Registered Nurse | Named in medication administration technique deficiency |
| CMT C | Certified Medication Technician | Named in medication administration and infection control deficiencies |
| DON | Director of Nursing | Provided multiple interviews regarding deficiencies and facility practices |
| Administrator | Facility Administrator | Provided interviews regarding facility policies and deficiencies |
| Wound Care Nurse | Wound Care Nurse | Named in pressure ulcer care deficiencies |
| MDS Coordinator | MDS Coordinator | Named in significant change assessment deficiencies |
| Dietary Manager | Dietary Manager | Named in food labeling and storage deficiencies |
| Dietary Supervisor | Dietary Supervisor | Named in food labeling and storage deficiencies |
| Maintenance Technician | Maintenance Technician | Named in Legionella water management deficiencies |
| Infection Preventionist | Infection Preventionist | Named in infection control and Legionella deficiencies |
| CNA E | Certified Nursing Assistant | Named in oxygen tubing storage deficiency |
| CMT N | Certified Medication Technician | Named in blood glucose monitoring infection control deficiency |
| CNA/CMT M | Certified Nurse Assistant/Certified Medication Technician | Named in wheelchair propulsion deficiency |
Inspection Report
Routine
Census: 59
Deficiencies: 9
Date: May 4, 2023
Visit Reason
The inspection was a routine regulatory survey of Clark County Nursing Home to assess compliance with healthcare facility regulations, including care planning, fall prevention, infection control, and vaccination policies.
Findings
The facility failed to develop and implement timely baseline care plans, update care plans to reflect current resident needs, ensure safe resident transfers and wheelchair transport, provide continuous oxygen therapy as ordered, obtain informed consent and assess for safe use of bed rails, maintain food safety and hygiene standards, and implement proper infection control practices including hand hygiene and nebulizer mask storage. Additionally, the facility lacked policies for pneumococcal vaccination administration and failed to provide or document vaccination education and administration per CDC guidelines.
Deficiencies (9)
Failed to develop and implement baseline care plans within 48 hours of admission for residents.
Failed to update resident care plans to reflect current care needs and interventions.
Failed to use proper technique and gait belts during resident transfers and failed to use foot rests during wheelchair transport.
Failed to provide continuous oxygen therapy during resident transport as ordered, resulting in low oxygen saturation.
Failed to obtain informed consent, educate residents or representatives, and assess for safe use of bed rails including entrapment zone measurements.
Failed to ensure food items were properly labeled, dated, sealed, and discarded when expired; failed to ensure staff used sanitary practices and wore hair restraints.
Failed to ensure nursing staff performed proper infection control practices including hand hygiene, glove use, and nebulizer mask coverage.
Failed to develop and implement policies and procedures for pneumococcal vaccinations and failed to provide vaccinations or education per CDC recommendations.
Failed to regularly inspect bed frames, mattresses, and bed rails for safety and entrapment risks and to document such inspections.
Report Facts
Residents sampled: 19
Facility census: 59
Deficiency count: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA F | Certified Nurse Aide | Named in findings related to improper transfer technique and failure to perform hand hygiene during perineal care. |
| CNA G | Certified Nurse Aide | Named in findings related to improper transfer technique and failure to perform hand hygiene during perineal care. |
| Quality Assurance Nurse | Quality Assurance Nurse | Provided information on facility policies and deficiencies during interviews. |
| Director of Nursing | Director of Nursing | Provided information on expectations for care plans, oxygen use, bed rail use, and infection control. |
| Administrator | Facility Administrator | Provided information on facility policies and expectations during interviews. |
| CMT B | Certified Medication Technician | Observed transporting resident without oxygen and not using portable oxygen during transport. |
| CMT C | Certified Medication Technician | Observed administering nebulizer treatment and transporting resident without covering nebulizer mask. |
| Dietary Staff O | Dietary Staff | Observed not wearing gloves when handling ready to eat food. |
| NA L | Nursing Assistant | Observed feeding resident with bare hands and failing to perform hand hygiene during perineal care. |
| Activity Aide M | Activity Aide | Observed touching resident food with bare hands without hand hygiene. |
Inspection Report
Routine
Census: 65
Deficiencies: 3
Date: Sep 19, 2019
Visit Reason
The inspection was conducted to evaluate the facility's compliance with professional standards of care, medication administration, infection control, and other regulatory requirements.
Findings
The facility failed to provide appropriate care to prevent constipation in several residents by not monitoring and documenting bowel movements or administering medications as ordered. Additionally, there were medication administration errors related to insulin dosing and a failure to implement a comprehensive infection prevention program for Legionella.
Deficiencies (3)
Failure to monitor and document bowel movements and administer medications to prevent constipation for multiple residents.
Failure to administer insulin according to manufacturer's recommendations, risking incomplete dosing.
Failure to maintain and implement an infection prevention and control program to prevent water-borne pathogens including Legionella.
Report Facts
Residents affected: 3
Residents affected: 1
Residents affected: Few
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Interviewed regarding bowel movement documentation and medication administration |
| CMT B | Certified Medication Technician | Interviewed regarding bowel movement logs and medication administration |
| DON | Director of Nursing | Interviewed regarding bowel movement documentation, medication administration, and infection control policies |
| RN C | Registered Nurse | Observed administering insulin incorrectly and interviewed about insulin administration practices |
| Administrator | Interviewed regarding Legionella prevention policy implementation |
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