Inspection Reports for
Good Shepherd Care Community
202 S West St, Concordia, MO 64020, United States, MO, 64020
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
85% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Apr 24, 2025
Visit Reason
The document is a plan of correction submitted following a survey completed on 04/24/2025 regarding deficiencies found at Good Shepherd Residential Care Facility.
Findings
The facility failed to ensure that advanced directives were reviewed annually with each resident or their legally authorized representatives. Three sampled residents' records showed no documentation of annual review of advanced directives, and the facility lacked a policy for annual review.
Deficiencies (1)
19 CSR 30-88.010(10) Advance Directive Requirements were not met as facility staff failed to review advanced directives annually with residents or their legally authorized representatives for three sampled residents. The facility also lacked a policy regarding annual review of advanced directives.
Report Facts
Sampled residents with missing annual advanced directive review: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Robson | Licensed Nursing Home Administrator (LNHA) | Signed the plan of correction form. |
| Social Services Director (SSD) | Interviewed on 04/24/25 regarding advanced directives responsibility and awareness. | |
| Administrator | Interviewed on 04/24/25 regarding knowledge of advanced directives annual review requirements. |
Inspection Report
Plan of Correction
Census: 17
Deficiencies: 1
Date: Mar 20, 2025
Visit Reason
The document is a plan of correction submitted following a fire safety inspection that identified deficiencies in the facility's fire alarm system maintenance.
Findings
The facility failed to ensure the complete fire alarm system was tested and maintained according to NFPA 72, 1999 edition. No semi-annual fire alarm inspection had been conducted, affecting all seventeen residents.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to ensure the complete fire alarm system was tested and maintained in accordance with NFPA 72, 1999 edition. No semi-annual fire alarm inspection had been conducted.
Report Facts
Facility census: 17
Inspection Report
Annual Inspection
Census: 17
Deficiencies: 1
Date: Jan 8, 2020
Visit Reason
The inspection was an annual fire safety inspection conducted to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition.
Findings
The facility failed to test and maintain the complete fire alarm system as required. Documentation for the semi-annual fire alarm inspection was not provided, and the last inspection was on December 27, 2019.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. No documentation was provided for the semi-annual fire alarm inspection.
Report Facts
Facility census: 17
Deficiency count: 1
Inspection Report
Annual Inspection
Census: 14
Deficiencies: 4
Date: Jan 8, 2019
Visit Reason
The inspection was conducted as part of the annual fire safety and licensure inspection of Good Shepherd Residential Care Facility to assess compliance with fire alarm system and electrical wiring regulations.
Findings
The facility failed to maintain a complete fire alarm system in accordance with NFPA 72, 1999 edition, including issues with strobe lights, fire alarm circuit wiring splices, and smoke section partitions. Electrical wiring was also found not maintained in good repair, with missing ground fault circuit interrupter outlets and unsealed drywall penetrations.
Deficiencies (4)
19 CSR 30-86.022(9)(A) Fire Alarm Complete System: The facility failed to properly maintain a complete fire alarm system including strobe lights not flashing in sequence during testing.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to maintain the fire alarm system wiring properly, with spliced wires in the attic not contained in a junction box.
19 CSR 30-86.022(10)(J) Smoke Section Partitions < than 20 beds: The facility failed to ensure smoke sections were separated by a one-hour fire-rated smoke partition, with drywall seams and nail holes not sealed.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected: The facility failed to maintain electrical wiring in good repair, including missing ground fault circuit interrupter outlets in the kitchen.
Report Facts
Facility census: 14
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