Inspection Reports for
Golden Age Living Center
404 E THIRD ST, STOVER, MO, 65078-0947
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
87% occupied
Based on a November 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 1
Date: Nov 10, 2025
Visit Reason
The inspection was conducted due to a complaint regarding missing controlled narcotic medication for one resident (Resident #1), specifically three missing doses of Clonazepam.
Complaint Details
Complaint 2664063 regarding missing controlled narcotic medication for Resident #1 was substantiated by findings that the facility did not investigate or document the discrepancy as required by policy.
Findings
The facility staff failed to complete an investigation related to the missing controlled narcotic medication. Documentation of the investigation was absent, and the Director of Nursing did not follow facility policy for investigating and documenting the medication discrepancy. The administrator was aware of the issue but did not ensure proper follow-up or documentation.
Deficiencies (1)
Failure to complete an investigation related to missing controlled narcotic medication for one resident.
Report Facts
Residents census: 53
Missing doses: 3
Clonazepam tablets received: 155
Clonazepam tablets documented separately: 79
Clonazepam tablets documented separately: 76
Clonazepam tablets observed: 141
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse A | Licensed Practical Nurse | Interviewed regarding medication count responsibilities and investigation process |
| CMT B | Certified Medication Technician | Interviewed about awareness of medication count error and investigation |
| Director of Nursing | Director of Nursing | Interviewed about medication count procedures, investigation, and documentation |
| Administrator | Administrator | Interviewed about facility policies, investigation responsibilities, and awareness of medication count discrepancy |
Inspection Report
Annual Inspection
Census: 45
Deficiencies: 2
Date: Jan 30, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, including documentation of code status and dialysis care services.
Findings
The facility failed to consistently document residents' code status (DNR or Full Code) in the comprehensive care plans for nine residents and failed to transcribe or correct code status orders for two residents. Additionally, the facility failed to perform pre-dialysis assessments and lacked a system for ongoing communication with the dialysis clinic for one resident requiring dialysis.
Deficiencies (2)
Failure to consistently document code status (DNR or Full Code) in the comprehensive care plan for nine residents and failure to transcribe or correct code status orders for two residents.
Failure to perform pre-dialysis assessment and lack of ongoing communication with dialysis clinic for one resident requiring dialysis.
Report Facts
Residents affected: 9
Residents affected: 2
Residents affected: 1
Facility census: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Mentioned in relation to code status documentation issues and interviews about care plan and orders |
| LPN K | Licensed Practical Nurse | Mentioned in relation to dialysis communication and code status documentation |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding code status documentation and dialysis communication |
| MDS Coordinator | Responsible for updating care plans and interviewed about code status documentation | |
| Social Service Designee (SSD) | Responsible for communicating code status changes and interviewed about code status documentation | |
| Administrator | Interviewed regarding responsibilities for code status documentation and dialysis communication | |
| CNA G | Certified Nursing Assistant | Interviewed about use of care plans for code status information |
Inspection Report
Routine
Census: 46
Deficiencies: 1
Date: Dec 1, 2023
Visit Reason
The inspection was conducted to assess compliance with posting requirements for the Adult Abuse and Neglect Hotline, Long-Term Care Ombudsman information, and resident rights on the secured memory care unit (MCU).
Findings
The facility failed to post the telephone number for the Adult Abuse and Neglect Hotline, the name, address, and phone number for the Long-Term Care Ombudsman, and resident rights in a form accessible to residents and visitors on the secured MCU. Interviews with staff and residents confirmed the information was not accessible on the MCU but was located elsewhere in the facility.
Deficiencies (1)
Failure to post the telephone number for the Adult Abuse and Neglect Hotline, Long-Term Care Ombudsman contact information, and resident rights on the secured memory care unit.
Report Facts
Facility census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Aide J | Certified Nursing Aide (CNA) | Interviewed regarding posting locations and accessibility on the MCU |
| Licensed Practical Nurse K | Licensed Practical Nurse (LPN) | Interviewed regarding posting locations and accessibility on the MCU |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding posting locations and awareness of posting deficiencies on the MCU |
| Administrator | Administrator | Interviewed regarding posting locations and awareness of posting deficiencies on the MCU |
Inspection Report
Annual Inspection
Census: 83
Deficiencies: 2
Date: Oct 14, 2022
Visit Reason
The inspection was conducted to assess compliance with federally mandated resident assessment and care planning requirements, including documentation of the Care Area Assessment (CAA) section of the Minimum Data Set (MDS) and the development and implementation of complete, measurable care plans for residents.
Findings
The facility failed to document the date and location of supportive CAA documentation for 12 sampled residents and failed to develop and implement complete care plans addressing triggered care areas with measurable goals and time frames for multiple residents. Staff did not document rationales for decisions not to proceed with care plans for triggered areas, and the facility lacked a comprehensive care plan policy.
Deficiencies (2)
Failed to document the date and location of supportive Care Area Assessment (CAA) documentation for 12 sampled residents.
Failed to develop and implement complete care plans that meet all residents' needs with measurable time frames and actions for multiple residents.
Report Facts
Residents affected: 12
Residents affected: 11
Residents affected: 4
Facility census: 83
Facility census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding use of CAA documentation and care plan development | |
| Administrator | Interviewed regarding responsibilities for MDS and care plans | |
| Director of Nursing (DON) | Interviewed regarding care plan responsibilities and MDS triggered CAA | |
| CNA B | Certified Nursing Aide | Interviewed about resident care and contracture management |
| LPN C | Licensed Practical Nurse, MDS Coordinator | Interviewed about care plan development and use of hospital discharge papers |
| CNA D | Certified Nurses Aid | Interviewed about importance of accurate and up-to-date care plans |
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