Deficiencies (over last year)
Deficiencies (over last year)
6 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
9% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 6
Date: Nov 20, 2023
Visit Reason
The inspection was conducted as an annual survey of Garden Villas South Assisted Living to assess compliance with state regulations regarding personnel records, resident medication reviews, orientation training, and emergency response procedures.
Findings
The facility was found deficient in maintaining required written physician statements for employees, documenting orientation training, completing monthly medication reviews for residents, and providing required dementia and emergency response training to staff. Several personnel files and resident records lacked proper documentation as required by regulations.
Deficiencies (6)
19 CSR 30-86.047(20)(I) Personnel Record-physician statement. The facility failed to ensure employees had a written statement by a licensed physician or designee indicating they could work in a long-term care facility for five of five sampled employees.
19 CSR 30-86.047(20)(K) Personnel Record-orientation training. The facility failed to ensure personnel files included documentation of orientation training for three of five sampled employees.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review. The facility failed to complete required monthly medication recapitulations for three of five sampled residents.
19 CSR 30-86.047(62)(B) Orientation-emergency response procedures. The facility failed to ensure staff received orientation on emergency response, infection control, resident dignity, abuse/neglect, and other required topics for two of five sampled employees.
19 CSR 30-86.047(63)(A) Alzheimer’s/Dementia Training-Direct Care Staff. The facility failed to provide required three hours of dementia training for two of five sampled employees providing direct care.
19 CSR 30-86.047(63)(B) Dementia Training-Non-Direct Care Staff. The facility failed to provide required one hour of dementia training for three of five sampled employees who have daily contact with residents with dementia.
Report Facts
Census: 49
Sampled employees: 5
Sampled residents: 5
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