Inspection Reports for
Clearview Nursing Center
430 SALCEDO ROAD, SIKESTON, MO, 63801-4802
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
45% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
59 residents
Based on a December 2024 inspection.
Occupancy over time
Inspection Report
Routine
Census: 59
Deficiencies: 9
Date: Dec 6, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, treatment, environment, assessments, medication administration, infection control, and staff training at Clearview Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to respond to resident grievances, incomplete documentation of code status orders, unsafe and unclean environment, inaccurate resident assessments, failure to conduct required PASARR screenings, inadequate nutritional monitoring, medication administration errors, improper infection control practices, and insufficient nurse aide training.
Deficiencies (9)
Failed to respond or act upon grievances and failed to keep documentation of inventory for residents.
Failed to obtain physician's order for code status and inconsistently document code status for residents.
Failed to provide a safe, clean, comfortable and homelike environment.
Failed to accurately code the Minimum Data Set (MDS) assessments for residents.
Failed to provide required PASARR screening for residents with mental disorders or intellectual disabilities.
Failed to implement, monitor, and modify interventions to maintain acceptable nutritional status for a resident.
Failed to maintain medication error rate below 5%, including failure to prime insulin pens and improper medication administration.
Failed to implement Enhanced Barrier Precautions during wound care and failed to perform proper hand hygiene during blood sugar testing.
Failed to conduct at least twelve hours of nurse aide in-service training and failed to provide required annual competencies in Dementia Care.
Report Facts
Facility census: 59
Weight loss percentage: 10.38
Medication error rate: 8.11
Number of residents sampled: 15
Number of nurse aide in-service hours required: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN J | Registered Nurse | Named in medication administration errors and infection control deficiencies |
| CNA A | Certified Nurse Assistant | Named in nurse aide training deficiency |
| CNA B | Certified Nurse Assistant | Named in nurse aide training deficiency |
| SSD | Social Service Director | Named in grievance and PASARR screening deficiencies |
| DON | Director of Nursing | Named in multiple interviews regarding deficiencies and expectations |
| Administrator | Facility Administrator | Named in interviews regarding grievance policy and nurse aide training |
| QA Nurse | Quality Assurance Nurse | Named in interviews regarding weight monitoring and insulin administration |
| Housekeeper C | Named in environmental concerns reporting | |
| Housekeeper D | Named in environmental concerns reporting | |
| Maintenance Supervisor | Named in environmental concerns reporting | |
| CMT K | Certified Medication Technician | Named in medication administration deficiency |
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 8
Date: Oct 20, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal regulations for nursing homes.
Findings
The facility was found deficient in multiple areas including failure to document PASARR screenings, incomplete care plans for residents with specific needs, inadequate dialysis care and monitoring, lack of trauma-informed care for residents with PTSD, failure to address pharmacist recommendations timely, lack of certified dietary manager, incomplete infection preventionist training, and missing required annual CNA training in dementia care and abuse prevention.
Deficiencies (8)
Failure to provide documentation of Level I PASARR screening for two residents.
Failure to implement complete care plans with specific interventions for six residents.
Failure to provide safe, appropriate dialysis care and monitoring for two residents.
Failure to provide trauma-informed care and supportive interventions for two residents with PTSD.
Failure to ensure physician response to pharmacist's gradual dose recommendations for two residents.
Failure to employ a clinically qualified nutritional professional as Food and Nutritional Service Manager.
Failure to designate a qualified infection preventionist with completed specialized training.
Failure to provide required annual dementia care and abuse prevention training for two CNAs.
Report Facts
Residents affected: 2
Residents affected: 6
Residents affected: 2
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 52
Residents affected: 2
Facility census: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Social Service Director (SSD) | Interviewed regarding PASARR screening for Residents #38 and #41 |
| Administrator | Facility Administrator | Interviewed regarding expectations for PASARR, care plans, pharmacist recommendations, and dietary manager certification |
| Certified Medication Technician A | Certified Medication Technician (CMT) | Interviewed regarding oxygen use for Resident #13 |
| Licensed Practical Nurse B | Licensed Practical Nurse (LP) | Interviewed regarding oxygen use and care planning for Resident #13 |
| Resident #18 | Resident | Interviewed regarding dialysis treatments and care |
| MDS Coordinator | Minimum Data Set Coordinator | Interviewed regarding PTSD assessments and dialysis communication |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding care plans, dialysis care, pharmacist recommendations, infection preventionist training, and CNA training |
| Licensed Practical Nurse E | Licensed Practical Nurse (LPN) | Interviewed regarding dialysis access site assessment |
| Dietary Manager | Dietary Manager (DM) | Interviewed regarding certification status |
| Quality Assurance Nurse | Quality Assurance Nurse | Interviewed regarding CNA training tracking |
| Certified Nurse Aide C | Certified Nurse Aide (CNA) | Training record reviewed for dementia care and annual training |
| Certified Nurse Aide D | Certified Nurse Aide (CNA) | Training record reviewed for dementia care and annual training |
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 1
Date: Aug 28, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to notify a resident's family in a timely manner after a fall with injury.
Complaint Details
Complaint #MO222749 regarding failure to notify family of a resident's fall with injury was investigated and substantiated.
Findings
The facility failed to notify the family or resident representative of a fall with injury for one resident out of three sampled residents at risk for falls. Documentation of notification was missing despite policies requiring timely communication.
Deficiencies (1)
Failed to notify a resident's family after a fall with injury in a timely manner.
Report Facts
Facility census: 54
Date of fall incident: Aug 5, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide (CNA) | Found the resident on the floor after the fall | |
| Licensed Practical Nurse (LPN) A | Interviewed; stated family or POA should be notified | |
| Licensed Practical Nurse (LPN) B | Interviewed; stated responsible party or POA should be notified | |
| Registered Nurse (RN) E | Interviewed; assessed resident and documented incident | |
| Director of Nursing (DON) | Interviewed; expected staff to notify responsible party | |
| MDS Coordinator | Interviewed; stated nurses should document actions | |
| Administrator | Interviewed; spoke with nurse who tried to call family |
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 6
Date: Dec 14, 2021
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal regulations regarding resident assessments, care planning, catheter care, infection control, and antibiotic stewardship.
Findings
The facility failed to accurately code Minimum Data Set assessments for several residents, did not implement individualized comprehensive care plans addressing residents' needs, failed to ensure proper catheter care and placement, did not maintain proper infection control practices during care, and lacked an effective antibiotic stewardship program.
Deficiencies (6)
Failed to accurately code the Minimum Data Set (MDS) assessments for multiple residents.
Failed to implement individualized comprehensive care plans with measurable goals and timely revisions for residents.
Failed to develop complete care plans within 7 days of assessment and revise them by a team of health professionals.
Failed to provide appropriate catheter care, including proper placement of indwelling catheter tubing.
Failed to maintain proper infection prevention and control measures, including hand hygiene, glove use, and catheter care.
Failed to implement an antibiotic stewardship program including infection surveillance, antibiotic use protocols, and monitoring.
Report Facts
Residents sampled: 15
Residents affected: 52
Antibiotic use records: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) C | Interviewed regarding wound care and catheter care practices | |
| Social Service Director (SSD) | Interviewed about MDS coordinator and care plan completion | |
| Director of Nursing (DON) | Interviewed about expectations for MDS coding, care plans, catheter care, and antibiotic stewardship | |
| Certified Nursing Assistant (CNA) F | Observed and interviewed regarding catheter care practices | |
| Certified Nursing Assistant (CNA) D | Observed and interviewed regarding catheter care and resident hygiene | |
| Certified Nursing Assistant (CNA) E | Observed and interviewed regarding resident care and glove use | |
| Administrator | Interviewed about staffing and antibiotic stewardship program challenges |
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