Inspection Reports for
Friendship Village Assisted Living &Amp; Memory Care

19 CSR 30-86.022(7)(A) Exits-2 per Floor-Remote/Unobstructed: Based on observation and interview, the facility failed to ensure the doors leading to the exits were unobstructed by placing a mural (book shelf) on a memory care exit door which obstructed the clear view of the exit.

19 CSR 30-86.022(7)(D)(1 - 8) Area of Refuge Requirements: Based on observation and interview, the facility failed to post instructions adjoining the intercom system explaining the use of the Area of Refuge and failed to post a diagram sign at the bottom of the exit stairwells showing AOR locations for two of two exits.

19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: Based on observation, interview and record review, the facility failed to complete the required monthly logging (recapitulation) of the residents' medications for six of seven sampled residents.

19 CSR 30-86.022(15)(A) Wastebaskets. Metal/UL/FM-Requirements: The facility failed to ensure all trash cans were metal, UL or FM fire-resistant rated; non-compliant trash cans were observed in resident rooms. The surveyor noted prohibited trash cans in rooms 218, 317, 337 and 340 and the administrator stated they would be removed.

19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles: The facility failed to supervise the use of extension cords and unapproved multi-plug adapters; non-compliant plug adapters were observed in resident rooms. The surveyor observed non-compliant plug adapters in rooms 117, 135, 140, 153, 161, 218 and 231 and the administrator stated they would remove the adapters.

19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on observation, interview and record review, the facility failed to ensure individualized service plans outlined resident needs and services for three of four sampled residents (Residents #1, #4, and #3).

19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: Based on interview and record review, the facility failed to maintain a comprehensive medical record for two of four sampled residents (Residents #1 and #3).

19 CSR 30-8.022(2)(D) Inspection Rights, No Fire Hazard General Requirements: The facility had family rooms on multiple floors containing operable microwave/oven combinations that allowed resident access and presented a fire hazard, potentially affecting all residents.

19 CSR 30-86.047(20)(J) Personnel Record-physician statement, employ: Based on interview and record review, the facility failed to ensure each employee had a written statement signed by a licensed physician or physician's designee indicating the employee could work in long-term care for two of five sampled employees.

19 CSR 30-86.047(28)(F)(2) Community Based Assessment - DHSS Form: Based on interview and record review, the facility failed to complete a community based assessment (CBA) using form MO 580-2835 for six of six sampled residents and used computer-generated forms lacking the Missouri state form identification.

19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: Based on interview and record review, the facility failed to ensure individualized service plans (ISPs) were developed to include resident needs, preferences, services to be provided and goals for three of six sampled residents.

19 CSR 30-87.030(3) Clean Clothing, Hair Restraints: Based on observation and interview, the facility failed to ensure staff wore proper hair restraints during meal preparation and meal service for one observed meal.

19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS: Based on observation and interview, the facility failed to remove scoops from bulk food containers after use and left scoops in bulk containers during the day of observation, resulting in potential contamination.