Inspection Reports for
Highland Crest Senior Living
2204 S Halliburton St, Kirksville, MO 63501, United States, MO, 63501
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
45% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Life Safety
Census: 19
Deficiencies: 2
Date: Oct 27, 2025
Visit Reason
The inspection was conducted to assess compliance with sprinkler system maintenance/testing and extension cord/duplex receptacle safety regulations.
Findings
The facility failed to maintain a complete sprinkler system inspection as required and did not ensure extension cords and duplex receptacles were used safely according to fire safety regulations. These deficiencies affected all 19 residents present during the inspection.
Deficiencies (2)
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing: The facility failed to install and maintain a complete sprinkler system inspection in accordance with NFPA 13, 1999 edition. The last 5-year internal inspection was completed in August 2020 but was due again in 2025.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles: The facility failed to ensure only one appliance was connected to one extension cord and only two appliances served by one duplex receptacle. Extension cords were improperly placed and multiple items were plugged into adapters and power strips in resident rooms.
Report Facts
Facility census: 19
Inspection Report
Plan of Correction
Census: 20
Deficiencies: 1
Date: Apr 23, 2024
Visit Reason
The inspection was conducted to assess compliance with tuberculosis (TB) screening requirements for residents and staff at Highland Crest-Assisted Living by Americare.
Findings
The facility failed to ensure a two-step tuberculosis test was completed as required upon hire for four of five sampled employees. The Director of Nurses and assistant administrator were unaware of the timing requirements for TB test administration and reading.
Deficiencies (1)
19 CSR 30-86.047(19) TB Screen Residents & Staff. The facility failed to ensure a two-step tuberculosis test was completed upon hire for four of five sampled employees. The facility census was 20.
Report Facts
Facility census: 20
Sampled employees: 5
Employees failed TB test compliance: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nurses (DON) | Interviewed regarding TB test administration and reading responsibilities | |
| Assistant Administrator | Interviewed regarding TB test timing requirements |
Inspection Report
Plan of Correction
Census: 19
Deficiencies: 2
Date: Nov 30, 2023
Visit Reason
The visit was conducted to identify deficiencies related to combustible materials storage and room cleanliness at Highland Crest Assisted Living by Americare.
Findings
The facility failed to prohibit the storage of unnecessary combustible materials in parts of the building and failed to keep resident rooms neat and orderly. These deficiencies affected all nineteen residents present during the inspection.
Deficiencies (2)
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility stored unnecessary combustible materials in hallways next to water heaters, violating safety regulations.
19 CSR 30-86.032(23) Rooms Neat, Orderly, Cleaned Daily. The facility failed to keep rooms neat and orderly, with one room having excessive items covering 65% of the floor and blocking egress.
Report Facts
Facility census: 19
Deficiency count: 2
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 1
Date: Mar 31, 2023
Visit Reason
The inspection was conducted due to allegations of misappropriation of resident funds and failure to follow abuse, neglect, and exploitation policies involving two residents.
Complaint Details
The complaint involved allegations of misappropriation of money from two residents. The allegations were substantiated based on interviews and record reviews showing missing money and failure to report or investigate properly.
Findings
The facility failed to follow its abuse, neglect, and exploitation policy and did not complete a thorough investigation of alleged misappropriation of funds for two residents. The administrator did not report the allegations to the appropriate authorities in a timely manner and did not replace the lost monies.
Deficiencies (1)
19 CSR 30-88.010(23) Develop/Implement A/N Policies. The facility failed to develop and implement policies prohibiting mistreatment, neglect, and abuse, and did not properly investigate or report allegations of misappropriation of resident funds involving two residents.
Report Facts
Facility census: 15
Amount missing from Resident #1: 330
Amount reimbursed to Resident #1: 300
Amount reimbursed to Resident #2: 250.47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carol Douglas | LPN Administrator | Named in signature on the statement of deficiencies and plan of correction |
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