Inspection Reports for
Farmington Presbyterian Manor

The visit was complaint-related due to resident grievances about dietary services, failure to follow physician's orders for weights and oxygen therapy, and unsafe environmental conditions. Substantiation status is not explicitly stated.

The facility failed to adequately address resident complaints about dietary services including food temperature and staffing, failed to consistently follow physician's orders for resident weights and oxygen therapy, and allowed hazardous storage of items on over bed light fixtures. These deficiencies affected multiple residents and posed minimal harm or potential for actual harm.

The facility failed to develop and implement complete care plans with specific interventions for three residents (Residents #7, #8, and #60) out of 16 sampled. Care plans did not address hearing aid use, changes in condition, or specific health issues such as seizures and syncope. The facility's census was 62.

Complaint # MO219588. The investigation found the facility responsible for an immediate jeopardy level violation related to resident safety with transfer bars on the bed. The immediate jeopardy was removed on the same day after corrective action.

The facility failed to keep one resident safe, resulting in an immediate jeopardy situation that was removed the same day after corrective action. The resident experienced near strangulation and was transferred to the emergency room. The facility lacked a proper policy on mobility rails and used an incorrect Side Rail Assessment form.

The facility failed to ensure safe transfer techniques for four residents, with staff placing hands improperly during transfers. Additionally, the facility failed to ensure appropriate placement of indwelling catheter tubing and drainage bags for three residents, with tubing and bags touching the floor or placed improperly.