Inspection Reports for
Crowley Ridge Care Center
1204 NORTH OUTER RD, DEXTER, MO, 63841-8684
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
56% occupied
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 1
Date: Jun 10, 2025
Visit Reason
The inspection was conducted due to a complaint alleging misappropriation of a resident's property by the Social Services Director (SSD). The investigation was initiated after notification of suspected theft from Resident #1's bank account.
Complaint Details
Complaint #MO2255231 regarding misappropriation of Resident #1's funds by SSD. The complaint was substantiated by investigation and police report. SSD admitted to the misuse but denied involvement during interview. Resident's family agreed not to press charges if funds were returned.
Findings
The facility failed to protect Resident #1 from misappropriation of property when the SSD used the resident's banking information for personal use, transferring funds to the SSD's Cash App account. The SSD admitted to the police department the misuse and was terminated. The facility took corrective actions including staff in-service and plans to refund the resident.
Deficiencies (1)
Failure to protect Resident #1 from misappropriation of property by SSD who used resident's banking information for personal use.
Report Facts
Census: 50
Amount misappropriated: 1035
Date of inspection: Jun 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Director | Named in misappropriation of resident funds | |
| Administrator | Interviewed regarding facility policy and expectations |
Inspection Report
Routine
Census: 48
Deficiencies: 3
Date: Mar 20, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including completion of significant change Minimum Data Set (MDS) assessments, trauma informed care, and medication administration accuracy.
Findings
The facility failed to complete a significant change MDS assessment within 14 days of hospice admission for one resident, did not provide trauma informed care for a resident with PTSD, and had a medication error rate of 7.89% due to improper insulin administration techniques affecting three residents.
Deficiencies (3)
Failed to complete a significant change Minimum Data Set (MDS) assessment within 14 days of admission to hospice services for Resident #50.
Failed to identify, assess, and provide supportive interventions for Resident #47 with PTSD; care plan did not address personalized triggers or interventions.
Failed to maintain medication error rates below 5%; insulin pens were not primed before administration, resulting in a 7.89% error rate affecting Residents #37, #38, and #39.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 3
Medication administration opportunities: 38
Medication errors: 3
Medication error rate: 7.89
Facility census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Named in medication administration errors for failing to prime insulin pens |
| MDS Coordinator | Interviewed regarding expectations for significant change MDS and care plan | |
| Administrator | Interviewed regarding expectations for MDS and care plan reflecting resident's current condition | |
| Director of Nursing (DON) | Interviewed regarding medication administration expectations |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Date: Feb 10, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the misappropriation of narcotic medications for four residents at the facility.
Complaint Details
Complaint #MO 248707. The complaint involved missing narcotic tablets for four residents. The investigation substantiated that CMT A misappropriated the medication and was terminated.
Findings
The facility failed to prevent the misappropriation of narcotic medications for four residents. An investigation revealed that a Certified Medication Technician (CMT A) was responsible for the missing narcotic tablets and was subsequently terminated. The facility took corrective actions including notifying authorities and in-servicing staff on narcotic policies.
Deficiencies (1)
Failed to prevent the misappropriation of narcotic medication for four residents.
Report Facts
Residents affected: 4
Census: 46
Missing tablets: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CMT A | Certified Medication Technician | Named in narcotic medication misappropriation finding and termination. |
| CMT B | Certified Medication Technician | Reported concerns about CMT A's narcotic record keeping and destruction of narcotics. |
| DON | Director of Nursing | Conducted audit and investigation of narcotic discrepancies. |
| ADON | Assistant Director of Nursing | Assisted in audit of medication cart and narcotic box. |
Inspection Report
Routine
Census: 43
Deficiencies: 4
Date: Apr 5, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to PASARR screening, food storage and safety, infection prevention and control, and nurse aide training at Crowley Ridge Care Center.
Findings
The facility failed to ensure two residents received required Level II PASARR screenings, improperly stored food increasing risk of contamination, did not follow infection control protocols including medication handling, and failed to provide required annual nurse aide training on Abuse Prevention and Dementia Care.
Deficiencies (4)
Failed to ensure two residents received required Level II PASARR screening after positive Level I screening.
Failed to store and distribute food under sanitary conditions, including unlabeled containers, dented cans stored with food, and personal items in food storage.
Failed to follow standard precautions to prevent infection spread, including medication cart contamination and improper insulin pen storage.
Failed to provide required annual competencies on Abuse Prevention and Dementia Care for two nurse aides.
Report Facts
Facility census: 43
In-service hours for CNA C: 16.5
In-service hours for CNA D: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Technician A | Certified Medication Technician | Named in infection control deficiency related to medication cart contamination |
| Licensed Practical Nurse B | Licensed Practical Nurse | Named in infection control deficiency related to insulin pen storage |
| Certified Nursing Assistant C | Certified Nursing Assistant | Named in nurse aide training deficiency for missing annual competencies |
| Certified Nursing Assistant D | Certified Nursing Assistant | Named in nurse aide training deficiency for missing annual competencies |
| Social Services Director | Social Services Director | Interviewed regarding missing Level II PASARR screenings for residents #8 and #16 |
| Administrator | Administrator | Interviewed regarding expectations for PASARR screening, food storage, infection control, and nurse aide training |
Inspection Report
Census: 41
Deficiencies: 2
Date: Nov 4, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, including respiratory care and infection prevention and control.
Findings
The facility failed to obtain a physician's order for oxygen use for one resident out of 12 sampled, and failed to ensure that at least one person had completed specialized training for the Infection Preventionist position. Both deficiencies were cited with minimal harm or potential for actual harm.
Deficiencies (2)
Failed to obtain a physician's order for oxygen use for one resident (Resident #138) out of 12 sampled residents.
Failed to ensure at least one person had completed specialized training in infection prevention and control for the Infection Preventionist position.
Report Facts
Residents affected: 1
Residents affected: Many residents affected by infection preventionist training deficiency
Facility census: 41
Sampled residents: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding oxygen order and infection preventionist training |
| Licensed Practical Nurse A | Licensed Practical Nurse | Interviewed regarding missing oxygen order for Resident #138 |
| Administrator | Administrator | Interviewed regarding expectation of oxygen order and infection preventionist training |
| Registered Nurse D | Registered Nurse | Shared responsibility for Infection Preventionist role |
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