Inspection Reports for
Harmony Gardens
503 Burkarth Rd, Warrensburg, MO 64093, United States, MO, 64093
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
4.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
57% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 25
Deficiencies: 9
Date: Mar 24, 2025
Visit Reason
The inspection was conducted to identify deficiencies related to fire safety, building maintenance, and compliance with state regulations at Harmony Gardens-Assisted Living.
Findings
The facility was found deficient in multiple areas including fire exits, area of refuge requirements, fire alarm system maintenance, sprinkler system installation and maintenance, oxygen storage, building maintenance, electrical wiring, and extension cord usage. These deficiencies affected all 25 residents present during the inspection.
Deficiencies (9)
A2224 Exits/Stairways After 12/31/87: The facility failed to ensure the enclosed stairwell was a one-hour rated construction with unobstructed exits. Observations showed drywall patches not sealed and a hole in the ceiling of stairwells.
A2228 Area of Refuge Requirements: The facility failed to ensure exit doors in the Area of Refuge had smoke seals. An exit door would not close completely in the East Wing Area of Refuge.
A2249 Fire Alarm System-Test/Maintain: The facility failed to maintain the complete fire alarm system per NFPA 72, 1999 edition. Observations included a missing smoke detector ring.
A2268 Complete Sprinkler System-NFPA 13: The facility failed to install and maintain a complete sprinkler system per NFPA 13, 1999 edition. Observations included sprinkler heads with paint, objects stored within 18 inches, and missing hydraulic nameplate.
A2269 Sprinkler System Maintenance/Testing: The facility failed to maintain the sprinkler system per NFPA 25, 1998 edition. Observations included sprinkler heads with foreign material and unapproved storage.
A2298 Oxygen Storage Requirements: The facility failed to store portable oxygen cylinders in accordance with NFPA 99, 1999 edition. Observations showed cylinders not in racks and stored improperly.
A3201 Substantially Constructed & Maintained: The building was not maintained in good repair. Observations included cracks, holes, drywall tape coming loose, and water damage in multiple resident rooms.
A3214 Electrical Wiring Maintained, Inspected: The facility failed to maintain building electrical wiring in good repair per National Electrical Code. Observations included broken electrical outlets and hanging light fixtures.
A3219 Extension Cords/Duplex Receptacles: The facility failed to prevent improper use of power strips and multi-plug adapters. Observations included multiple unapproved power strips and adapters in resident rooms.
Report Facts
Facility census: 25
Deficiencies cited: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicolette Morales | Executive Director | Signed the plan of correction approval on 2025-08-14 |
Inspection Report
Life Safety
Census: 19
Deficiencies: 3
Date: May 20, 2024
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with smoke section partitions, sprinkler system maintenance/testing, and building construction and maintenance regulations.
Findings
The facility failed to ensure smoke doors were self-closing and in good repair, maintain a complete sprinkler system, and keep the building in good repair with no ceiling penetrations. These deficiencies affected all nineteen residents present during the inspection.
Deficiencies (3)
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds: The facility failed to ensure doors in a smoke partition were self-closing and a smoke door next to room 110 was damaged and non-functional.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing: The facility failed to maintain a complete sprinkler system in accordance with NFPA 13, 1999 edition, with documented deficiencies in annual and semi-annual sprinkler reports.
19 CSR 30-86.032(2) Substantially Constructed & Maintained: The facility failed to maintain the building in good repair, with two ceiling penetrations in the fire sprinkler riser room that could allow smoke, fire, and gases to travel to unaffected areas.
Report Facts
Facility census: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Man | Interviewed regarding knowledge of damaged door, sprinkler system issues, and ceiling penetrations |
Inspection Report
Plan of Correction
Census: 31
Deficiencies: 2
Date: Jan 24, 2023
Visit Reason
The inspection was conducted to evaluate compliance with fire drill requirements and sprinkler system inspections as part of regulatory oversight for Harmony Gardens Assisted Living.
Findings
The facility failed to conduct the required fire drills every three months on each shift and failed to maintain the sprinkler system inspections and certifications as required by NFPA 25 standards. These deficiencies potentially affected all 31 residents present during the inspection.
Deficiencies (2)
19 CSR 30-86.022(5)(D) Fire Drill Requirements were not met as the facility failed to conduct one fire drill every three months on each shift. The facility census on January 24, 2023 was 31 residents.
19 CSR 30-86.022(11)(F) Sprinkler Systems inspections and certifications were not maintained as required by NFPA 25, 1998 edition. The facility failed to maintain annual inspections and internal pipe examinations.
Report Facts
Fire drills required annually: 12
Fire drills missed: 1
Facility census: 31
Expired sprinkler gauges: 3
Sprinkler gauge calibration interval: 5
Inspection Report
Life Safety
Census: 27
Deficiencies: 2
Date: Sep 14, 2021
Visit Reason
The inspection was conducted to assess fire drill and evacuation plan compliance and fire safety, including smoke section partitions, at Harmony Gardens Assisted Living.
Findings
The facility failed to maintain a current local fire department consultation and failed to maintain required smoke separation doors. Both deficiencies potentially affected all 27 residents.
Deficiencies (2)
19 CSR 30-86.022(5)(A) Fire Drill/Evacuation Plan. The facility failed to maintain a current local fire department consultation as required on September 14, 2021.
19 CSR 30-86.022(10)(I) Smoke Section Partitions. The facility failed to maintain required smoke separation doors; the main level fire door would not close and latch, and latching hardware was missing.
Report Facts
Facility census: 27
Inspection Report
Life Safety
Census: 31
Deficiencies: 2
Date: Feb 13, 2020
Visit Reason
The inspection was a licensure inspection focused on fire safety compliance at Harmony Gardens-Assisted Living.
Findings
The facility failed to provide documentation of required semi-annual fire alarm testing and maintenance. Additionally, the facility failed to maintain dryer venting as required, using PVC pipe which is not permitted and poses a fire hazard.
Deficiencies (2)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to provide documentation of testing and maintaining the complete fire alarm system as required. This affected all 31 residents.
19 CSR 30-86.022(10)(C) Clothes Dryers Vented, Lint Traps. The facility failed to maintain dryer venting as required, using PVC pipe which is not permitted and creates a fire hazard. This affected all 31 residents.
Report Facts
Facility census: 31
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 1
Date: Jul 8, 2019
Visit Reason
The inspection was conducted due to allegations of resident abuse and misappropriation of resident property and funds at Harmony Gardens Assisted Living.
Complaint Details
The complaint involved allegations of abuse and theft of a resident's debit card by a Certified Nurses Assistant (CNA) who was arrested. The investigation found no timely or documented facility investigation despite the allegations and police involvement.
Findings
The facility failed to immediately investigate allegations of misappropriation after they were brought to staff attention. A staff member was arrested for stealing a resident's debit card and using it fraudulently. There was no documented investigation or timely follow-up on the incidents.
Deficiencies (1)
19 CSR 30-88.010(23) Develop/Implement A/N Policies. The facility failed to develop and implement policies to prohibit mistreatment, neglect, and abuse, and failed to promptly investigate allegations of misappropriation of resident property and funds. This deficient practice affected two residents.
Report Facts
Resident census: 29
Date of police report: Jun 18, 2019
Date of arrest: Jun 12, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA A | Certified Nurses Assistant | Named in theft and abuse allegation, arrested for stealing resident's debit card |
Inspection Report
Life Safety
Census: 31
Deficiencies: 2
Date: Feb 14, 2019
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with fire safety regulations, specifically focusing on exits, stairways, fire escapes, and extension cords/duplex receptacles.
Findings
The facility failed to properly maintain the exit door magnetic release and failed to monitor the use of extension cords, which posed safety risks affecting all residents. Corrective actions were completed promptly to address these deficiencies.
Deficiencies (2)
A22 222: The facility failed to maintain at least two unobstructed exits remote from each other as the first floor exit door did not release after 15 seconds, affecting 31 residents and all staff.
A32 19: The facility failed to monitor extension cords, using a 25-foot extension cord connected to the air compressor, which was not compliant with electrical appliance standards and posed a risk to 31 residents.
Report Facts
Facility census: 31
Inspection Report
Life Safety
Census: 26
Deficiencies: 10
Date: Feb 13, 2018
Visit Reason
The inspection was a fire safety inspection conducted on February 13, 2018, to assess compliance with fire safety regulations at Harmony Gardens-Assisted Living facility.
Findings
The facility failed to meet multiple fire safety requirements including fire hazard prevention, assistive devices for deaf residents, fire extinguisher maintenance, exit door functionality, exit sign illumination, fire alarm system maintenance, smoke section partitions, proper disposal of ashtray contents, and electrical wiring safety. The deficiencies could affect all 26 residents and staff in the event of an emergency.
Deficiencies (10)
19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard. The facility failed to prevent a fire hazard as the exhaust fan in the bathroom of room 207 was not working properly, risking motor overheating and fire.
19 CSR 30-86.022(2)(G) Deaf Residents-Path to Safety. The facility lacked appropriate assistive devices for a deaf resident to negotiate a path to safety, including a horn/strobe alarm.
19 CSR 30-86.022(3)(D) Fire Extinguishers UL/FM, Maintain/Check. The facility failed to maintain fire extinguishers properly; 13 of 13 extinguishers were past due for annual inspection and hydro test.
19 CSR 30-86.022(7)(A) Exits-2 per Floor-Remote/Unobstructed. The facility failed to maintain the exit door magnetic release which did not release after holding the push bar for over 15 seconds.
19 CSR 30-86.022(8)(C) Exit Sign-Illumination. The facility failed to properly maintain exit light signs; bulbs in exit lights were not illuminated as required.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to maintain the fire alarm system; the fire alarm horn in room 216 was hanging loose and not properly attached.
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds. The facility failed to properly maintain smoke separation doors; several fire doors did not close and latch properly.
19 CSR 30-86.022(14)(C) Ashtray Contents Properly Disposed. The facility failed to properly discard cigarette butts; numerous butts were found on the ground around smoking areas.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to maintain the electrical system; a GFCI outlet in room 108 did not trip when tested.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles. The facility failed to follow requirements for extension cords and multi-plug adapters; unapproved multi-plug adapters were in use.
Report Facts
Facility census: 26
Fire extinguishers past due: 13
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