Inspection Reports for
Jefferson Gardens Senior Living
509 W Rogers St, Clinton, MO 64735, United States, MO, 64735
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 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
8
6
4
2
0
Occupancy
Latest occupancy rate
52% occupied
Based on a January 2024 inspection.
Occupancy rate over time
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Feb 6, 2025
Visit Reason
The document is a Plan of Correction submitted in response to a deficiency related to the facility's fire alarm system inspection and maintenance.
Findings
The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1990 edition, resulting in 24 defective fire alarm devices. Documentation for the semi-annual fire alarm inspection was missing for a prior inspection date.
Deficiencies (1)
A2248 Fire Alarm System-Test/Maintain: The facility failed to test and maintain the complete fire alarm system as required by NFPA 72, 1990 edition. Twenty-four fire alarm devices were found defective during the inspection.
Report Facts
Defective fire alarm devices: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding fire alarm system maintenance and scheduling |
Inspection Report
Plan of Correction
Census: 22
Deficiencies: 1
Date: Jan 8, 2024
Visit Reason
The document is a statement of deficiencies issued following a survey completed on January 8, 2024, related to regulatory compliance at Jefferson Gardens Assisted Living.
Findings
The facility failed to ensure hazardous areas were separated by a one-hour fire-resistant rating or smoke-resistant partitions and doors as required. The kitchen stove has a keyed shut off and is kept in a secured location, and the building is fully sprinkled.
Deficiencies (1)
19 CSR 30-86.022(10)(A) Hazardous Area Requirements: The facility failed to ensure hazardous areas were separated from the rest of the facility by a one-hour fire-resistant rating or smoke-resistant partitions and doors. The activity room's kitchen did not have a smoke-resistant separation from the rest of the facility.
Report Facts
Facility census: 22
Inspection Report
Plan of Correction
Census: 23
Deficiencies: 1
Date: Dec 21, 2023
Visit Reason
The inspection was conducted to assess compliance with personnel record requirements, specifically the presence of a physician statement for staff in a long-term care facility.
Findings
The facility failed to ensure that personnel files for five sampled staff members contained a written statement by a licensed physician or designee indicating the ability to work in a long-term care facility. The Executive Director was unaware of this state requirement.
Deficiencies (1)
19 CSR 30-86.047(20)(I) Personnel Record-physician statement. The facility failed to ensure personnel files of five staff members contained a written statement by a licensed physician or designee indicating they can work in a long-term care facility and any limitations.
Report Facts
Facility census: 23
Inspection Report
Plan of Correction
Census: 21
Deficiencies: 1
Date: Aug 30, 2023
Visit Reason
The inspection was conducted to assess compliance with medication administration regulations and to identify deficiencies related to physicians' orders being followed in the assisted living facility.
Findings
The facility failed to ensure staff administered medications according to physicians' orders for multiple residents. Numerous instances were documented where medications were not administered as ordered due to staff errors or medication unavailability.
Deficiencies (1)
19 CSR 30-86.047(47)(A) Physicians Orders Followed: Facility staff failed to ensure medications were administered per physicians' orders for two residents. Multiple medications including aspirin, rivastigmine patch, fexofenadine, fish oil, protonix, labetalol HCl, namenda, apixaban, esomeprazole, and others were not given as ordered.
Report Facts
Facility census: 21
Deficiencies cited: 1
Inspection Report
Plan of Correction
Census: 30
Deficiencies: 1
Date: Dec 27, 2022
Visit Reason
The inspection was conducted to evaluate compliance with sprinkler system regulations as part of a regulatory oversight visit.
Findings
The facility failed to maintain the sprinkler system in accordance with NFPA 25, 1998 edition, evidenced by a yellow tag hanging from the sprinkler system and a PIV tamper switch that does not ring into the panel. The deficiency potentially affects all 30 residents present during the inspection.
Deficiencies (1)
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert. The facility failed to maintain the sprinkler system as required by NFPA 25, 1998 edition, with a yellow tag hanging from the sprinkler system and a PIV tamper switch that does not ring into the panel.
Report Facts
Facility census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sheryl Johnson | Administrator | Facility administrator interviewed regarding sprinkler system deficiency |
Inspection Report
Plan of Correction
Census: 22
Deficiencies: 6
Date: Dec 5, 2019
Visit Reason
The document is a statement of deficiencies from a fire safety inspection conducted on 12/05/2019 at Jefferson Gardens-Assisted Living. It serves as a plan of correction report detailing deficiencies found during the inspection.
Findings
The facility failed to maintain required fire safety systems including the range hood extinguishing system, fire alarm system, sprinkler system, flame-resistant curtains, wastebaskets, and oxygen storage. Deficiencies affected all 22 residents present during the inspection.
Deficiencies (6)
19 CSR 30-86.022(4)(C) Range Hood Certification. The facility failed to maintain the range hood extinguishing system as required, with no inspection documentation since May 2019.
19 CSR 30-86.022(9)(A) Fire Alarm Complete System. The facility failed to maintain the fire alarm system; visual signals and audible alarms were not synchronized as required.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to maintain the sprinkler alarm system; a gap around a sprinkler head allowed smoke passage.
19 CSR 30-86.022(13)(D) Curtains/Drapes, Flame Resistant. The facility failed to maintain resident curtains as flame-resistant; some windows lacked fire-resistant labels.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to maintain approved wastebaskets; an unapproved plastic wastebasket was found in the resident kitchen.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to maintain oxygen storage and use; unsecured oxygen cylinders and missing 'No Smoking' signage were observed.
Report Facts
Facility census: 22
Deficiency affected residents: 22
Inspection Report
Life Safety
Census: 17
Deficiencies: 1
Date: Dec 11, 2018
Visit Reason
The inspection was conducted as part of the licensure inspection focusing on fire drills and emergency preparedness compliance.
Findings
The facility failed to ensure that fire drills were performed as required, with no documentation available for November 2018. The fire drill requirements were not met, affecting seventeen residents.
Deficiencies (1)
19 CSR 30-86.022(5)(D) Fire Drill Requirements were not met as the facility failed to conduct the required fire drills and lacked documentation for November 2018.
Report Facts
Resident census: 17
Required fire drills: 12
Fire drills per shift: 1
Unannounced fire drills required: 4
Viewing
Loading inspection reports...
