Inspection Reports for
Daybreak Nursing Center
410 H ROAD, SIKESTON, MO, 63801-5350
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
13 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
136% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
24
18
12
6
0
Occupancy
Latest occupancy rate
94% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 66
Deficiencies: 3
Date: Nov 17, 2025
Visit Reason
The inspection was conducted to assess compliance with safety and care standards, including supervision during resident smoking breaks, trauma-informed care for residents with PTSD, and medication administration accuracy.
Findings
The facility failed to ensure adequate supervision during resident smoking breaks, resulting in potential accident hazards for two residents. The facility also failed to provide trauma-informed care by not identifying and addressing PTSD triggers and interventions for two residents. Additionally, the facility had a medication error rate exceeding 5%, with insulin administration errors noted.
Deficiencies (3)
Failure to ensure all residents were kept free from possible accident hazards during scheduled resident smoke breaks due to inadequate supervision and failure to use safety aprons.
Failure to identify, assess, and provide supportive interventions for residents with PTSD, including lack of a PTSD policy and failure to include triggers and interventions in care plans.
Failure to maintain medication error rates below 5%, with insulin administration errors including failure to prime insulin pens prior to administration.
Report Facts
Facility census: 66
Medication administration opportunities: 28
Medication errors: 3
Medication error rate: 10.71
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN D | Licensed Practical Nurse | Named in medication error findings for failing to prime insulin pens prior to administration |
| CNA A | Certified Nurse Assistant | Named in supervision failure during resident smoking break |
| CNA B | Certified Nurse Assistant | Named in supervision failure and smoking apron use during resident smoking break |
| Assistant Director of Nursing | ADON | Provided statements regarding supervision requirements during smoking breaks and PTSD care |
| Director of Nursing | DON | Provided statements regarding supervision during smoking breaks and medication administration expectations |
| Administrator | Provided statements regarding supervision during smoking breaks and resident safety | |
| Social Service Director | SSD | Provided statements regarding PTSD assessments and care planning |
| MDS Coordinator | Provided statements regarding inclusion of PTSD triggers and interventions in care plans |
Inspection Report
Annual Inspection
Census: 65
Deficiencies: 5
Date: Oct 10, 2024
Visit Reason
Annual survey inspection of Daybreak Nursing Center to assess compliance with federal and state regulations.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, providing adequate personal hygiene care, proper labeling and storage of drugs and biologicals, food safety and sanitation, and pest control. Multiple environmental and care-related issues were observed that had the potential to affect all residents.
Deficiencies (5)
F584 Safe/Clean/Comfortable/Homelike Environment: The facility failed to provide a safe, clean, comfortable, and homelike environment as evidenced by peeled paint, exposed sheetrock, unclean shower rooms, and other maintenance issues.
F677 ADL Care Provided for Dependent Residents: The facility failed to provide adequate personal hygiene and showers at least twice weekly for certain residents, resulting in missed care opportunities.
F761 Label/Store Drugs and Biologicals: The facility failed to store medications properly, maintain medication refrigerator temperatures, and label medications correctly, risking resident safety.
F812 Food Procurement, Store, Prepare, Serve-Sanitary: The facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and foodborne illness.
F925 Maintains Effective Pest Control Program: The facility failed to maintain an effective pest control program, with ongoing spider infestations reported by residents and staff.
Report Facts
Facility census: 65
Missed shower opportunities: 13
Missed shower opportunities: 12
Missed shower opportunities: 3
Missed nail care opportunities: 13
Missed nail care opportunities: 13
Missed nail care opportunities: 4
Inspection Report
Life Safety
Census: 65
Deficiencies: 6
Date: Oct 10, 2024
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code of the National Fire Protection Association (NFPA) and related fire safety regulations.
Findings
The facility failed to meet several fire safety requirements including maintaining hazardous areas free of penetrations, maintaining the sprinkler system free of corrosion and debris, and maintaining smoke barriers to resist passage of smoke. Multiple deficiencies were observed related to fire barriers, sprinkler system maintenance, and smoke barrier integrity.
Deficiencies (6)
K321 Hazardous Areas - Enclosure: The facility failed to maintain hazardous areas free of penetrations, including a missing two-foot by two-foot section of sheetrock in the hot water heater closet. This affected all residents and staff.
K353 Sprinkler System - Maintenance and Testing: The facility failed to maintain the sprinkler system by allowing buildup of corrosion and debris on sprinkler heads and improper placement of a sprinkler head adjacent to an HVAC duct, potentially interfering with water flow.
K372 Subdivision of Building Spaces - Smoke Barrier: The facility failed to maintain smoke barriers, with missing sheetrock sections in the 100 hall smoke wall attic space, potentially allowing passage of smoke.
A2008 Hazardous Areas: Refer to K321 for details on failure to maintain hazardous areas with proper fire-resistant construction and self-closing doors.
A2034 Sprinkler System-Test/Maintain: Refer to K353 for failure to inspect, test, and maintain sprinkler systems according to regulations.
A2054 Smoke Section Walls/Doors: Refer to K372 for failure to maintain smoke barriers with continuous fire-rated walls and self-closing doors.
Report Facts
Facility census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brad Thornsbury | LNHA | Laboratory Director/Provider/Supplier Representative signing the report and plan of correction |
Inspection Report
Routine
Census: 65
Deficiencies: 5
Date: Oct 10, 2024
Visit Reason
The inspection was a routine survey to assess compliance with regulatory standards related to resident environment, personal hygiene care, medication storage and labeling, food safety, and pest control at Daybreak Nursing Center.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, providing adequate personal hygiene and shower care to residents, properly storing and labeling medications, ensuring sanitary food storage and preparation practices, and maintaining an effective pest control program. These deficiencies had the potential to affect all or many residents.
Deficiencies (5)
Failed to provide a safe, clean, comfortable, and homelike environment with issues such as peeled paint, exposed sheetrock, broken shower drain, and unsanitary shower room conditions.
Failed to provide adequate personal hygiene and shower care for residents, including missed showers and nail care, and refusal to shave facial hair as requested.
Failed to store medications properly and label opened medications with dates; medication refrigerator temperatures were often above recommended levels.
Failed to store and distribute food under sanitary conditions, including unsealed and undated food packages, carbon buildup on cookware, lack of hair nets, and improper glove use.
Failed to maintain an effective pest control program, with multiple resident reports of spiders and inadequate documentation of pest control treatments.
Report Facts
Facility census: 65
Missed showers and nail care: 13
Missed showers and nail care: 12
Missed showers and nail care: 3
Missed nail care: 13
Missed nail care: 4
Medication refrigerator temperature above 41 degrees: 18
Medication refrigerator temperature above 41 degrees: 21
Medication refrigerator temperature above 41 degrees: 6
Medication refrigerator temperature not documented: 11
Medication refrigerator temperature not documented: 8
Medication refrigerator temperature not documented: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | ADON | Interviewed regarding medication labeling, shower sheets, and hygiene care |
| Director of Nursing | DON | Interviewed regarding expectations for shower sheets, nail care, and medication refrigerator temperature monitoring |
| Housekeeper B | Interviewed about reporting maintenance issues | |
| Housekeeper C | Interviewed about reporting maintenance issues | |
| Shower Aide E | Interviewed about shower room cleanliness and shower sheet completion | |
| Maintenance Supervisor | MS | Interviewed about maintenance reporting and pest control |
| Director of Operations | DOP | Interviewed about staff reporting environmental concerns |
| Dietary Manager | DM | Interviewed about food storage, preparation, and sanitation practices |
| Dietary Aide D | Observed mishandling food and improper glove use |
Inspection Report
Plan of Correction
Census: 53
Deficiencies: 13
Date: May 19, 2023
Visit Reason
The document is a Plan of Correction submitted by Daybreak Nursing Center following a survey conducted from 05/16/2023 to 05/19/2023. It addresses deficiencies cited during the inspection.
Findings
The facility failed to provide resident rights information on how to file complaints, maintain a safe and homelike environment, complete significant change assessments timely, ensure food safety, and properly dispose of garbage and refuse. Multiple environmental and procedural deficiencies were observed that could affect all residents.
Deficiencies (13)
F574 Resident rights information was not provided on how to file a formal complaint to the Department of Health and Senior Services. Five residents reported not receiving this information and no signage was visible.
F584 The facility failed to provide a safe, clean, comfortable, and homelike environment. Observations included peeling paint, dust buildup, missing ceramic tiles, and maintenance issues affecting resident safety.
F637 The facility failed to complete a significant change Minimum Data Set assessment for one resident within 14 days after discharge from hospice services.
F812 The facility failed to store and distribute food under sanitary conditions, with buildup of dust, debris, and black baked-on substances observed on kitchen equipment and surfaces.
F814 The facility failed to properly dispose of garbage and refuse. Observations included open dumpsters with trash bags exposed and no staff ensuring lids were closed.
A3038 The facility failed to maintain furniture and equipment in good condition, with broken or damaged items noted.
A4092 The facility failed to keep all utensils and equipment sanitized and stored to prevent contamination.
A6009 Intake and exhaust air ducts were not maintained to prevent dust and contaminating materials.
A6015 Walls, ceilings, doors, windows, and skylights were not clean and maintained in good repair.
A6032 Waste containers and dumpsters were not easily cleanable or covered with tight-fitting lids.
A7067 Nonfood-contact surfaces of equipment were not cleaned as often as necessary to prevent accumulation of dust and debris.
A7085 Dishwashing machines were not thoroughly cleaned daily or as needed to maintain satisfactory operating condition.
A8007 Resident rights and facility rules were not posted in a conspicuous location with updated information.
Report Facts
Facility census: 53
Deficiency counts: 13
Inspection Report
Life Safety
Census: 53
Deficiencies: 4
Date: May 19, 2023
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code, focusing on hazardous areas and essential electrical systems.
Findings
The facility failed to maintain hazardous areas separate from other areas and had unsealed pipe penetrations in multiple locations. The generator failed to power up during a load test, indicating a lack of proper maintenance and testing.
Deficiencies (4)
K321 Hazardous Areas - The facility failed to maintain hazardous areas separate from other areas, with unsealed pipe penetrations in the hot water heater closet, sprinkler riser room, and beauty parlor hot water heater closet.
K918 Electrical Systems - The facility failed to maintain a properly functioning generator, which failed to power up during the load test conducted on 05/18/23.
A2008 Hazardous Areas - Hazardous areas were not separated by at least a one-hour fire-resistant construction as required by regulation.
A3001 Substantially Constructed/Maintained - The building was not maintained in good repair according to construction standards and NFPA 101 requirements.
Report Facts
Facility census: 53
Inspection Report
Routine
Census: 53
Deficiencies: 5
Date: May 19, 2023
Visit Reason
The inspection was conducted to assess compliance with resident rights, safety, environment, assessment procedures, food sanitation, and waste disposal at Daybreak Nursing Center.
Findings
The facility was found deficient in providing residents with information on how to file formal complaints, maintaining a safe and homelike environment, completing significant change assessments, storing and distributing food under sanitary conditions, and properly managing garbage disposal. These deficiencies had the potential to affect many or all residents.
Deficiencies (5)
Failed to provide resident rights information on how to formally file a complaint to the Department of Health and Senior Services.
Failed to provide a safe, clean, comfortable and homelike environment including maintenance issues such as peeling paint, missing tiles, and buildup of substances.
Failed to complete a significant change Minimum Data Set (MDS) assessment for one resident after discharge from hospice services.
Failed to store and distribute food under sanitary conditions, including buildup of substances on kitchen equipment and lack of cleaning documentation.
Failed to ensure dumpster was closed at all times and maintained to keep pests out and garbage contained.
Report Facts
Facility census: 53
Deficiencies cited: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant D | Certified Nursing Assistant | Mentioned in relation to dumpster lid closure and maintenance reporting |
| Dietary Manager | Dietary Manager | Mentioned regarding kitchen cleaning expectations and dumpster lid closure |
| MDS Coordinator | MDS Coordinator | Mentioned regarding missed significant change MDS assessment |
| Resident Assessment Instrument Coordinator | RAI Coordinator | Mentioned regarding missed significant change MDS assessment |
| Social Service Director | Social Service Director | Mentioned regarding lack of resident complaint information dissemination |
| Activity Director | Activity Director | Mentioned regarding lack of resident complaint information dissemination |
| Administrator | Administrator | Mentioned regarding resident complaint information and expectations for maintenance and dumpster lid closure |
| Housekeeper E | Housekeeper | Mentioned regarding maintenance reporting |
| Nursing Assistant F | Nursing Assistant | Mentioned regarding maintenance reporting |
| Licensed Practical Nurse G | Licensed Practical Nurse | Mentioned regarding maintenance reporting |
| Kitchen Aid A | Kitchen Aid | Mentioned regarding kitchen cleaning |
| Kitchen Aid B | Kitchen Aid | Mentioned regarding kitchen cleaning and dumpster lid closure |
| Kitchen Aid C | Kitchen Aid | Mentioned regarding kitchen cleaning and dumpster lid closure |
Inspection Report
Routine
Deficiencies: 0
Date: Dec 17, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with relevant CMS and CDC guidelines.
Findings
The facility was found to be in compliance with 42 CFR 483.73 and CDC recommended practices for COVID-19 preparedness and infection control.
Inspection Report
Routine
Deficiencies: 0
Date: Dec 1, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with relevant federal regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended infection control practices for COVID-19.
Inspection Report
Plan of Correction
Census: 36
Deficiencies: 6
Date: Oct 9, 2020
Visit Reason
The document is a Plan of Correction submitted by Miner Nursing Center following a survey conducted on 10/09/2020 to address deficiencies cited during the inspection.
Findings
The facility was found deficient in preparation and orientation for resident transfers, accuracy of assessments, development and implementation of comprehensive care plans, and following physician orders for residents. Specific issues included failure to document transfer preparation, inaccurate assessments, incomplete care plans for residents at risk of falls and seizures, and failure to update care plans and follow physician orders related to dialysis and fluid restrictions.
Deficiencies (6)
F624 Preparation for Safe/Orderly Transfer/Discharge: The facility failed to document preparation and orientation for transfer to the hospital for two residents. The facility census was 36.
F641 Accuracy of Assessments: The facility failed to ensure the accuracy of assessments for one resident, including documentation of an indwelling urinary catheter.
F656 Develop/Implement Comprehensive Care Plan: The facility failed to develop and implement individualized care plans with specific interventions for two residents. The facility census was 36.
F657 Care Plan Timing and Revision: The facility failed to revise and update comprehensive care plans with specific interventions to meet individual resident needs for two residents. The facility census was 36.
A4974 Nursing Care per Resident Condition: The facility failed to provide personal attention and nursing care consistent with current acceptable nursing practice. Refer to F658.
F658 Services Provided Meet Professional Standards: The facility failed to follow physician's orders for one resident, including monitoring and updating care plans related to dialysis, fluid restrictions, and seizure interventions.
Report Facts
Facility census: 36
Sampled residents: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Interviewed regarding documentation and care plan issues | |
| MDS Coordinator | Interviewed regarding assessment accuracy and care plan monitoring |
Inspection Report
Life Safety
Census: 36
Deficiencies: 3
Date: Oct 9, 2020
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code of the National Fire Protection Association (NFPA) and related fire safety regulations.
Findings
The facility failed to maintain adequate fire ratings in hazardous areas, maintain functioning smoke doors, and keep the emergency generator in working order. These deficiencies potentially affected all residents and staff.
Deficiencies (3)
K321 Hazardous Areas - The facility failed to maintain adequate fire rating in hazardous areas due to a 12"x12" hole in the sheetrock of the activity room hot water closet.
K374 Doors - The facility failed to maintain functioning smoke doors as the 200 hall smoke doors did not close with the activation of the alarm.
K918 Electrical Systems - The facility failed to maintain the emergency generator in working order as it would not start during the generator function test.
Report Facts
Facility census: 36
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: May 27, 2020
Visit Reason
A COVID-19 focused infection control and emergency preparedness survey was conducted to assess compliance with CMS and CDC guidelines.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 infection control and emergency preparedness requirements under 42 CFR 483.73.
Inspection Report
Annual Inspection
Census: 35
Deficiencies: 8
Date: Jun 6, 2019
Visit Reason
The inspection was the annual survey of Miner Nursing Center to assess compliance with federal regulations and ensure resident rights, care, and safety.
Findings
The facility was found deficient in multiple areas including resident dignity and rights, use of physical restraints, abuse/neglect policies, comprehensive care planning, medication administration, infection control, and staff training. Several residents' care plans and documentation were incomplete or not properly followed.
Deficiencies (8)
F550 Resident Rights: The facility failed to ensure the dignity of one resident by not addressing urine under the wheelchair in the dining room and lacking a Resident Dignity policy.
F604 Right to be Free from Physical Restraints: The facility failed to assess, document, and properly manage the use of finger control mittens for one resident, lacking medical justification and ongoing evaluation.
F607 Develop/Implement Abuse/Neglect Policies: The facility failed to check the Certified Nurse Assistant (CNA) registry prior to hiring for one of five sampled staff.
F656 Develop/Implement Comprehensive Care Plan: The facility failed to ensure individualized care plans for two residents, including infection control and positioning devices.
F657 Care Plan Timing and Revision: The facility failed to include residents in care plan meetings and did not invite one resident to attend.
F658 Services Provided Meet Professional Standards: The facility failed to follow medication guidelines for one resident, including crushing tablets improperly and not following swallowing precautions.
F730 Nurse Aide Perform Review: The facility failed to conduct at least twelve hours of nurse aide in-service education annually based on performance reviews.
F880 Infection Prevention & Control: The facility failed to maintain an effective infection control program, including improper handling of medication and failure to prevent spread of infection for one resident.
Report Facts
Facility census: 35
Sample size: 12
Number of deficiencies cited: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in interviews regarding resident care and restraint use |
| Certified Nurse Aide B | Certified Nurse Aide | Interviewed about resident care and urine cleanup |
| Licensed Practical Nurse A | Licensed Practical Nurse | Interviewed about resident care and urine cleanup |
| Business Office Manager | Business Office Manager | Interviewed about CNA registry checks |
| Certified Nurse Assistant | Certified Nurse Assistant | Interviewed about mittens application |
| MDS Coordinator | MDS Coordinator | Interviewed about care planning and mittens use |
| Physical Therapist | Physical Therapist | Interviewed about resident contractures and positioning |
| Social Service Designee | Social Service Designee | Interviewed about care plan meeting invitations |
Inspection Report
Life Safety
Census: 35
Deficiencies: 10
Date: Jun 6, 2019
Visit Reason
The inspection was a life safety code survey conducted to assess the facility's compliance with emergency preparedness and fire safety regulations.
Findings
The facility failed to maintain a comprehensive emergency preparedness program and adequate life safety measures including exit illumination, exit signage, gas-fired equipment ventilation, and combustible decorations. Multiple deficiencies were cited related to emergency preparedness policies, training, testing, and physical safety features.
Deficiencies (10)
E004: The facility failed to establish and maintain a comprehensive emergency preparedness program affecting all staff and residents.
E009: The facility failed to document efforts to contact local, tribal, regional, state, and federal emergency officials for collaborative planning.
E015: The facility failed to maintain adequate subsistence needs including a minimum three-day emergency water supply onsite.
E025: The facility failed to maintain copies of mutual aid agreements for relocation sites in the emergency preparedness program.
E037: The facility failed to maintain documentation of required emergency preparedness training for all staff.
E039: The facility failed to conduct required emergency preparedness exercises including full-scale and tabletop drills.
K281: The facility failed to maintain adequate exit illumination, affecting all residents and staff.
K293: The facility failed to maintain adequate exit signage, including directional signs in hallways.
K522: The facility failed to maintain gas-fired equipment with proper intake air ventilation within 18 inches of the floor.
K753: The facility failed to maintain rooms free of combustible decorations, including a candle found in a resident room.
Report Facts
Facility census: 35
Emergency water supply required: 120
Inspection Report
Plan of Correction
Census: 34
Deficiencies: 4
Date: May 11, 2018
Visit Reason
The document is a Plan of Correction submitted by Miner Nursing Center following a survey conducted on 05/11/2018. It addresses deficiencies cited during the inspection related to resident transfers, bed-hold policies, dialysis care, and infection control.
Findings
The facility failed to notify residents and their representatives in writing of transfers to hospitals, failed to provide written notification of bed-hold policies at transfer, lacked documentation and monitoring of dialysis care, and did not maintain adequate infection control practices for blood glucose monitoring.
Deficiencies (4)
F623 Notice before transfer. The facility failed to notify residents and their representatives in writing of facility-initiated transfers to hospitals for sampled residents. The facility census was 34.
F625 Notice of bed hold policy. The facility failed to provide written notification of their bed-hold policy to residents and representatives at the time of transfer for two sampled residents. The facility census was 34.
F698 Dialysis. The facility failed to provide documentation of ongoing assessments and monitoring for one resident receiving dialysis, including physician orders and care plan documentation.
F880 Infection Prevention & Control. The facility failed to maintain infection control practices for blood glucose monitoring, including proper disinfection of glucometers and adherence to manufacturer guidelines.
Report Facts
Facility census: 34
Residents sampled: 3
Residents referenced: 2
Residents referenced: 1
Residents referenced: 2
Inspection Report
Life Safety
Census: 34
Deficiencies: 6
Date: May 11, 2018
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code of the National Fire Protection Association (NFPA) and related fire safety regulations.
Findings
The facility failed to maintain the fire sprinkler system, smoke barrier walls, and gas-fired heating equipment in compliance with NFPA codes. Deficiencies included loaded sprinkler heads with paint and debris, penetrations in smoke barrier walls, and inadequate ventilation for gas-fired dryers.
Deficiencies (6)
K353 Sprinkler System - Maintenance and Testing: The facility had loaded sprinkler heads with paint and debris, violating NFPA 25 requirements. Maintenance supervisor stated the sprinklers would be fixed.
K372 Subdivision of Building Spaces - Smoke Barrier: The facility failed to maintain smoke barrier walls free of penetrations, including sealed pipes and electrical conduit. Maintenance supervisor planned repairs.
K522 HVAC - Any Heating Device: The facility failed to maintain gas-fired equipment with proper intake air ventilation within 18 inches of the floor. Maintenance supervisor said ventilation would be installed.
A1096 Heating System, Ventilation per Code/NFPA: The heating system did not meet local, state, and NFPA code requirements. Refer to K522 for details.
A2034 Sprinkler System-Test/Maintain: The sprinkler system did not meet regulatory requirements. Refer to K353 for details.
A2054 Smoke Section Walls/Doors: Smoke sections were not properly separated by one-hour fire-rated walls as required. Refer to K372 for details.
Report Facts
Facility census: 34
Deficiencies cited: 6
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