Inspection Reports for
Daybreak Nursing Center
410 H ROAD, SIKESTON, MO, 63801-5350
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
66 residents
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy 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
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
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 |
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