Deficiencies (last 5 years)
Deficiencies (over 5 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
42% occupied
Based on a March 2023 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 47
Deficiencies: 8
Date: Mar 3, 2023
Visit Reason
The document is a Plan of Correction submitted by Heisinger Bluffs Senior Living following a survey conducted on March 3, 2023, addressing deficiencies found during the inspection.
Findings
The facility was cited for multiple deficiencies including failure to complete Employee Disqualification List (EDL) checks for staff, unsigned physician orders for residents, incomplete medication regimen reviews, unsanitary kitchen environment, inadequate hand hygiene among staff, improper food storage and labeling, ice machine contamination risk, and failure to ensure resident rights were reviewed annually.
Deficiencies (8)
19 CSR 30-86.047(13)(B) EDL Inquiry: Facility staff failed to complete Employee Disqualification List checks for three staff members prior to resident contact.
19 CSR 30-86.047(47)(B) Physicians Orders Requirements: Physician's orders were not signed for three of five sampled residents.
19 CSR 30-86.047(54) Drug Regimen Review: Facility staff failed to ensure a pharmacist, physician, or registered nurse reviewed medication regimens for three of five sampled residents.
19 CSR 30-87.020(15) Walls/Ceilings/Doors/Windows Clean: Facility failed to maintain the kitchen environment in a clean and sanitary manner.
19 CSR 30-87.030(2) Wash Hands/Arms & Clean Fingernails: Facility staff failed to perform hand hygiene as often as necessary.
19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS: Facility staff failed to properly store open food to prevent cross contamination and outdated usage.
19 CSR 30-87.030(40) Ice Store/Dispense, No Contamination, Air Gap: Facility failed to ensure the ice bin drained through an air gap, risking contamination.
19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: Facility failed to ensure resident rights were reviewed upon admission and annually for three of five sampled residents.
Report Facts
Facility census: 47
Sampled residents: 5
Staff sampled for EDL check: 9
Staff failed EDL check: 3
Inspection Report
Plan of Correction
Census: 35
Deficiencies: 1
Date: Apr 1, 2021
Visit Reason
This document is a plan of correction related to a licensure inspection focusing on fire safety and sprinkler system compliance at Heisinger Bluffs Senior Living.
Findings
The facility failed to install and maintain a complete sprinkler system in accordance with NFPA 13, 1999 edition. Observations showed missing sprinkler heads under porch roofs and decks, and sprinkler heads installed too close to light fixtures, violating minimum distance requirements.
Deficiencies (1)
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13: The facility failed to install and maintain a complete sprinkler system as required by NFPA 13, 1999 edition. Sprinkler heads were missing under porch roofs and decks, and some were installed less than the minimum allowable distance from obstructions.
Report Facts
Facility census: 35
Inspection Report
Plan of Correction
Census: 64
Deficiencies: 1
Date: Mar 13, 2020
Visit Reason
The inspection was conducted to assess compliance with sanitation and utensil air drying regulations at Heisinger Lutheran Home.
Findings
The facility failed to allow sanitized kitchenware to air dry prior to stacking, resulting in wet utensils being stored and potential growth of food-borne pathogens. Multiple observations showed food preparation pans stacked wet in various locations, and the facility lacked a written dishwashing policy.
Deficiencies (1)
19 CSR 30-87.030(84) Equip/Utensils Air Dried, Self-Drain Utensils: Facility staff failed to allow sanitized kitchenware to air dry before stacking, leading to wet utensils stored in a self-draining position.
Report Facts
Facility census: 64
Inspection Report
Life Safety
Census: 68
Deficiencies: 1
Date: Jan 13, 2020
Visit Reason
The inspection was conducted as a fire safety portion of the licensure inspection to verify compliance with fire alarm system testing requirements.
Findings
The facility failed to have the Fire Alarm System tested annually in accordance with the National Fire Protection Association 72. The deficiency affected all 68 residents present during the inspection.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to have the Fire Alarm System tested annually as required by NFPA 72, 1999 edition. This affected all 68 residents present on January 13, 2020.
Report Facts
Facility census: 68
Inspection Report
Annual Inspection
Census: 91
Deficiencies: 3
Date: Jan 15, 2019
Visit Reason
The inspection was conducted as part of the fire safety portion of the licensure inspection on January 15, 2019.
Findings
The facility failed to conduct a full evacuation fire drill within a twelve-month period and failed to ensure hazardous areas were properly separated by construction and self-closing doors. Additionally, there was an excessive accumulation of combustible materials in Resident Room #291.
Deficiencies (3)
19 CSR 30-86.022(5)(D) Fire Drill Requirements. The facility failed to conduct one full evacuation fire drill within a twelve-month period as required. The facility census on January 15, 2019 was ninety-one residents.
19 CSR 30-86.022(10)(A) Hazardous Area Requirements. The facility failed to ensure hazardous areas were separated by construction and doors were self-closing as required during the fire safety inspection.
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility failed to ensure rooms were neat and free of unnecessary combustible materials, with excessive accumulation observed in Resident Room #291.
Report Facts
Facility census: 91
Memory Care Unit census: 18
Memory Care Unit capacity: 24
Inspection Report
Plan of Correction
Census: 58
Deficiencies: 2
Date: Dec 21, 2018
Visit Reason
The inspection was conducted to assess compliance with tuberculosis screening requirements for residents and staff, and to evaluate the proper storage of toxic materials in the facility.
Findings
The facility failed to screen two of three sampled employees for tuberculosis as required, and toxic materials were found stored out of reach of residents but not properly secured in locked cabinets. Multiple chemical containers were observed with precautionary labels but stored unlocked in various locations.
Deficiencies (2)
19 CSR 30-86.047(19) TB Screen Residents & Staff: The facility failed to screen two of three sampled employees for tuberculosis as required by regulation. The facility census was 58.
19 CSR 30-87.020(5) Toxic Material Storage: The facility failed to ensure chemicals and toxic materials were stored in locked cabinets or similar secure locations inaccessible to residents. Multiple unlocked chemical containers were observed in various areas.
Report Facts
Facility census: 58
Report
March 28, 2025
Report
July 3, 2024
Report
March 22, 2024
Report
March 3, 2023
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