Inspection Reports for
Life Care Center of Cape Girardeau

365 SOUTH BROADVIEW ST, CAPE GIRARDEAU, MO, 63703-5725

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 12 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

118% worse than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

24 18 12 6 0
2022
2023
2024
2025

Census

Latest occupancy rate 79 residents

Based on a December 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

72 81 90 99 108 117 Oct 2022 Dec 2023 Mar 2024 Nov 2024 Mar 2025 Jun 2025 Dec 2025

Inspection Report

Complaint Investigation
Census: 79 Deficiencies: 1 Date: Dec 16, 2025

Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure sufficient fluid intake to maintain proper hydration and health for residents.

Complaint Details
Complaint number 2681501 triggered the investigation. The complaint involved inadequate hydration assistance to residents, which was substantiated by observations and interviews during the survey.
Findings
The facility failed to provide residents with fresh, easily accessible water at bedside, assistance with holding a water cup, and cueing/offering hydration for three of the four sampled residents, resulting in minimal harm or potential for actual harm to a few residents.

Deficiencies (1)
Failure to ensure sufficient fluid intake to maintain proper hydration and health by not providing residents with fresh, easily accessible water at bedside, assistance with holding a water cup, and cueing/offering hydration for three of the four sampled residents.
Report Facts
Facility census: 79 Fluid intake assisted: 500

Employees mentioned
NameTitleContext
RN BRegistered NurseReported CNAs not offering hydration and notified physician about Resident #1's dehydration
LPN ALicensed Practical NurseStated expectations that CNAs should offer water and keep call lights and water within reach
DONDirector of NursesAssisted Resident #1 with drinking water and acknowledged unawareness of hydration issues

Inspection Report

Complaint Investigation
Census: 92 Deficiencies: 1 Date: Jun 27, 2025

Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure an accurate and consistent system was in place to direct staff when to initiate basic life support for a resident, resulting in an immediate jeopardy situation.

Complaint Details
Complaint #MO00256082. The complaint involved the facility's failure to follow the resident's DNR orders, resulting in inappropriate initiation of CPR and emergency services.
Findings
The facility failed to properly document and communicate the resident's code status, leading to staff initiating CPR on a resident with a documented Do Not Resuscitate (DNR) order. The investigation revealed discrepancies between the resident's hospice DNR orders and the facility's records, lack of proper authorization for code status changes, and poor communication among staff. Corrective actions were implemented during the survey to address the immediate jeopardy.

Deficiencies (1)
Failure to ensure an accurate and consistent system to direct staff when to initiate basic life support for a resident.
Report Facts
Facility census: 92

Employees mentioned
NameTitleContext
Licensed Practical Nurse DLPNWitnessed the resident unresponsive and initiated CPR before hospice nurse advised to stop.
Hospice Intake Coordinator Nurse HHospice Intake Coordinator NurseSigned hospice admission paperwork and coordinated hospice binder delivery.
Hospice Registered Nurse GHospice RNArrived during the event, confirmed resident was DNR, advised to stop CPR.
Licensed Practical Nurse ALPNEntered resident's code status in PCC but did not discuss with resident.
Licensed Practical Nurse BLPNCompleted admission paperwork, interviewed resident, but did not document code status discussion.
Licensed Practical Nurse CLPNWorked night shift, relayed code status information but did not verify with resident.
Hospice Manager FHospice ManagerPrepared hospice binders and coordinated hospice documentation.
Hospice RN IHospice RNPrimary hospice nurse assigned to resident, found hospice binder misplaced, updated orders.
Director of NursingDONProvided interview on facility procedures for code status and admission paperwork.
Medical DirectorMedical DirectorProvided interview regarding code status documentation and resident wishes.

Inspection Report

Routine
Census: 88 Deficiencies: 16 Date: May 22, 2025

Visit Reason
The inspection was a routine regulatory survey to assess compliance with healthcare facility regulations, including resident rights, care, safety, and infection control.

Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity with catheter care, failure to honor resident preferences for shaving and bedtime, failure to refund resident funds timely, failure to provide current Ombudsman information, incomplete care plans, failure to obtain ordered weights, delayed feeding assistance, missed showers, lack of CPR certification for transport staff, incomplete CNA performance reviews, improper medication storage, failure to maintain safe food temperatures, improper food storage and labeling, inadequate infection control practices, and unsafe environmental conditions such as items stored on overbed light fixtures.

Deficiencies (16)
Failed to cover resident catheter bags to maintain dignity for residents.
Failed to honor resident preferences for shaving and bedtime.
Failed to refund resident funds within 30 days of discharge or expiration.
Failed to provide current Ombudsman contact information to residents.
Failed to implement complete care plans tailored to individual resident needs.
Failed to obtain weights as ordered for residents.
Failed to provide timely feeding assistance and delayed meal tray delivery.
Failed to provide showers as scheduled for residents.
Failed to ensure transport staff were CPR certified.
Failed to provide annual CNA performance reviews and related education.
Failed to label and store medications properly; medications found loose in medication carts.
Failed to maintain food temperatures at safe levels and failed to complete temperature logs.
Failed to store and distribute food under sanitary conditions; improper labeling and storage of food items.
Failed to maintain adequate infection control practices including clean oxygen tubing and proper hand hygiene.
Failed to respond timely and appropriately to resident call lights and care needs.
Items stored on overbed light fixtures creating a hazard.
Report Facts
Residents affected: 88 Missed shower opportunities: 17 Missed shower opportunities: 17 Missed shower opportunities: 12 Missed shower opportunities: 13 Missed shaving opportunities: 22 Missed shaving opportunities: 22 Missed weight documentation: 8 Missed weight documentation: 8 Missed weight documentation: 1 Missed weight documentation: 1 Missed weight documentation: 23 Missed weight documentation: 21 Missed weight documentation: 12 Missed weight documentation: 3 Food temperature violations: 19 Food temperature violations: 24 Food temperature violations: 17 Food temperature violations: 30

Employees mentioned
NameTitleContext
Certified Nurse Assistant BCNANamed in findings related to catheter dignity bags, shaving, call light response, shower assistance, oxygen tubing, and feeding assistance
Director of NursingDONNamed in multiple interviews regarding expectations for care, infection control, and staff training
AdministratorNamed in multiple interviews regarding facility expectations and deficiencies
Certified Medication Technician ECMTObserved providing oxygen to resident and interviewed about oxygen tubing care
Registered Nurse QRNObserved providing PEG tube feeding and interviewed about infection control
Certified Nurse Assistant ACNAObserved providing incontinent care with infection control deficiencies
Certified Nurse Assistant DCNAObserved providing incontinent care with infection control deficiencies and noted missing annual performance review
Certified Nurse Assistant BCNAInterviewed about missed meal trays and shower assistance
Dietary ManagerDMInterviewed about food temperature logs and food storage
Activities DirectorInterviewed about activities program and resident preferences

Inspection Report

Complaint Investigation
Census: 94 Deficiencies: 3 Date: Mar 18, 2025

Visit Reason
The inspection was conducted due to complaints regarding the facility's failure to provide timely access to medical records for a resident, failure to follow code status orders resulting in inappropriate CPR initiation, and failure to administer medications as ordered.

Complaint Details
Complaint #MO00249530 related to medical records access; Complaint #MO00249411 related to code status and medication administration failures.
Findings
The facility failed to provide requested medical records to a resident within the required 24 hours, failed to ensure accurate and consistent code status communication leading to inappropriate CPR on a resident, and failed to administer a critical transplant medication for multiple days, increasing risk of transplant rejection.

Deficiencies (3)
Failed to ensure residents or their authorized representatives were given timely access to medical records within 24 hours of request.
Failed to ensure an accurate and consistent system was in place to direct staff when to initiate basic life support, resulting in CPR being started on a resident with a Do Not Resuscitate (DNR) order.
Failed to follow physician's orders by not administering tacrolimus medication as ordered for multiple days, increasing risk for transplant rejection.
Report Facts
Facility census: 94 Missed medication doses: 11 Medication doses opportunities: 14

Employees mentioned
NameTitleContext
LPN ELicensed Practical NurseInvolved in CPR initiation and stopping after DNR status was confirmed
CNA CCertified Nurse AidChecked electronic medical record for code status and called code overhead
AdministratorInterviewed regarding medical records request and code status issues
Director of NursingDONInterviewed regarding medical records request and medication administration
LPN MLicensed Practical NurseReceived phone call to change resident's code status to DNR without verification
Pharmacy General ManagerInterviewed regarding medication refill and delivery

Inspection Report

Routine
Census: 94 Deficiencies: 2 Date: Dec 18, 2024

Visit Reason
The inspection was conducted to assess compliance with professional standards of care, including pain management and physician visits, at Life Care Center of Cape Girardeau.

Findings
The facility failed to provide adequate pain management for two residents due to medication shortages and delays in pharmacy orders, resulting in actual harm. Additionally, one resident did not receive required physician visits within the mandated timeframes.

Deficiencies (2)
Failure to provide safe, appropriate pain management for residents requiring such services, including delays in medication administration due to pharmacy and ordering issues.
Failure to ensure required face-to-face physician visits for one resident within the required timeframes.
Report Facts
Residents affected: 2 Residents affected: 1 Census: 94 Medication doses missed: 3

Employees mentioned
NameTitleContext
RN ERegistered NurseDiscussed medication ordering issues and physician visits
Director of NursingDirector of Nursing (DON)Provided information on medication shortages and facility policies
Certified Medication Technician BCertified Medication TechnicianReported on medication shortages affecting residents
Licensed Practical Nurse CLicensed Practical NurseDiscussed medication ordering and substitution efforts
Pharmacist JPharmacistProvided information on medication refill and delivery
Pharmacist LPharmacistExplained pharmacy refill and delivery procedures
LPN FLicensed Practical NurseDiscussed physician rounds and medication delivery
LPN GLicensed Practical NurseDescribed difficulties with new pharmacy prescription process

Inspection Report

Complaint Investigation
Census: 99 Deficiencies: 2 Date: Nov 26, 2024

Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to ensure safe transfer and transportation of Resident #1, resulting in increased pain and anxiety.

Complaint Details
Complaint #MO245231 regarding unsafe transfer and transportation of Resident #1, substantiated by interviews and record review.
Findings
The facility failed to ensure the environment was free from accident hazards by not using a Hoyer lift and appropriate transportation for Resident #1, causing actual harm. Staff used a personal car and manual transfer methods that caused the resident significant pain and distress. Transportation arrangements were inadequate and delayed.

Deficiencies (2)
Failure to ensure staff utilized a Hoyer lift and appropriate vehicle for Resident #1 transfers, resulting in increased pain and anxiety.
Facility did not provide a policy for transfers.
Report Facts
Facility census: 99 Number of calls from infusion center: 12 Number of calls from CNA B: Multiple calls made by CNA B to facility on 11/15/24 (exact number not specified) Date of Resident #1 admission: 2024

Employees mentioned
NameTitleContext
Therapy FTherapistInterviewed regarding Resident #1's transfer needs and progress
Certified Nursing Assistant BCNAAccompanied Resident #1 to appointment and involved in transfer
Activities DirectorADParticipated in manual transfer of Resident #1 in personal car
Licensed Practical Nurse ALPNParticipated in manual transfer and transportation of Resident #1
Director of NursingDONInterviewed about issues with transportation arrangements for Resident #1
AdministratorAdministratorProvided information on transportation arrangements and staff instructions
Transport CoordinatorFacility Transport CoordinatorInterviewed about transportation scheduling for Resident #1
Staff FOutside transportation agency staffInterviewed about transportation scheduling and dispatch
Staff CInfusion center staffReported multiple calls to facility and observed transfer
Staff DInfusion center staffObserved transfer and resident distress in parking lot

Inspection Report

Complaint Investigation
Census: 105 Deficiencies: 3 Date: Aug 22, 2024

Visit Reason
The inspection was conducted based on complaints regarding the facility's failure to accommodate individual resident needs, provide appropriate pressure ulcer care, and ensure safe supervision during resident transfers.

Complaint Details
Complaint #MO240798 involved failure to accommodate bariatric needs and pressure ulcer care for Resident #2. Complaint #MO240637 involved failure to provide adequate supervision for Resident #1 during transfer to the emergency room.
Findings
The facility failed to provide a bariatric bed for a resident with severe obesity, resulting in discomfort and fear of falling. The facility also failed to identify and treat a facility-acquired pressure ulcer for the same resident. Additionally, the facility failed to provide adequate supervision by sending a cognitively impaired resident unescorted to the emergency room in a cab instead of an ambulance.

Deficiencies (3)
Failed to provide reasonable accommodations of individual needs and preferences by not providing a bariatric bed for a resident weighing 290 lbs.
Failed to identify and treat a facility-acquired pressure ulcer for a resident, resulting in actual harm.
Failed to provide adequate supervision by sending a cognitively impaired resident unescorted to the emergency room in a city cab.
Report Facts
Resident weight: 290 Resident height: 70 Open wound size: 3.4 Open wound size: 1.9 Open wound size: 0.8 Open wound size: 1.3 Open wound size: 3.5 Open wound size: 0.5 Bed width: 34 Bed length: 80 Bariatric bed width: 48 Bariatric bed length: 80

Employees mentioned
NameTitleContext
LPN ALicensed Practical NurseNoted PICC line dislodgement and called wrong number for ambulance, resulting in resident being sent to ER by cab
LPN BLicensed Practical NurseCommented on resident's fear of falling and lack of interventions; also stated resident was not capable of being sent unattended
RN DRegistered NurseReported resident had a fall from bed and was afraid to roll independently; no interventions added
CNA CCertified Nurse AideReported resident's fear of falling and refusal of care after fall; unaware of open wounds
CNA ECertified Nurse AideNoted resident had spoken about getting a bigger bed and reported open wound to LPN B
Director of NursingDirector of NursingAcknowledged bariatric bed weight policy discrepancy and lack of placement; unaware of resident's open wounds; expected ambulance or escort for cognitively impaired resident
NPNurse PractitionerNotified of PICC line dislodgement; unaware resident was sent unescorted in cab; stated it was not good practice

Inspection Report

Complaint Investigation
Census: 100 Deficiencies: 3 Date: Mar 15, 2024

Visit Reason
The inspection was conducted in response to complaints regarding failure to provide showers to residents and inadequate wound care and pressure ulcer management.

Complaint Details
Complaint #231931 and MO232783 related to failure to provide showers. Complaint #MO232652 and MO233045 related to wound care and pressure ulcer treatment failures.
Findings
The facility failed to provide scheduled showers to eight sampled residents, resulting in missed bathing opportunities. Additionally, the facility failed to provide appropriate wound care and pressure ulcer treatment for two residents, leading to hospitalization with sepsis and worsening pressure ulcers.

Deficiencies (3)
Failure to provide showers for eight out of 20 sampled residents as scheduled.
Failure to provide needed care and services to promote healing of an open abdominal surgical wound for one resident, contributing to hospitalization with sepsis and wound infection.
Failure to provide appropriate pressure ulcer care and prevent new ulcers from developing for two residents, resulting in infected and worsened pressure ulcers.
Report Facts
Residents affected by missed showers: 8 Facility census: 100 Missed shower opportunities for Resident #9: 2 Missed shower opportunities for Resident #30: 4 Missed shower opportunities for Resident #34: 6 Missed shower opportunities for Resident #36: 10 Missed shower opportunities for Resident #64: 4 Missed shower opportunities for Resident #89: 4 Missed shower opportunities for Resident #122: 2 Missed bed bath opportunities for Resident #183: 2 Abdominal wound size: 11 Abdominal wound width: 5.7 Abdominal wound depth: 1.5 Sacral wound size: 3.4 Sacral wound size: 0.5 Sacral wound size: 0.1 Sacral wound size at wound clinic: 10 Sacral wound width at wound clinic: 12 Sacral wound depth at wound clinic: 0.2 Missed wound care treatments for Resident #71 in December 2023: 7 Missed wound care treatments for Resident #71 in January 2024: 10 Missed wound care treatments for Resident #71 in February 2024: 7 Missed wound care treatments for Resident #71 in March 2024: 3

Employees mentioned
NameTitleContext
Licensed Practical Nurse MLicensed Practical NurseDescribed shower sheet procedures and expectations for shower completion.
AdministratorAdministratorStated expectation that residents receive at least two showers a week and discussed wound care expectations.
Certified Nurse Assistant NCNADescribed shower and bed bath procedures and documentation.
Licensed Practical Nurse CLicensed Practical NurseAssessed Resident #34 with wound care clinic and described wound care observations.
Family Nurse Practitioner OFamily Nurse PractitionerExamined Resident #37 and commented on wound care orders and treatment.
Licensed Practical Nurse QLicensed Practical NurseDescribed attempts to manage wound vac and dressing for Resident #37.
Licensed Practical Nurse PLicensed Practical NurseDescribed removal of wound vac and wound dressing issues for Resident #37.

Inspection Report

Complaint Investigation
Census: 100 Deficiencies: 11 Date: Mar 15, 2024

Visit Reason
The inspection was conducted based on complaints alleging deficiencies in resident care, treatment, environment, medication management, and regulatory compliance at Life Care Center of Cape Girardeau.

Complaint Details
The visit was complaint-related, triggered by multiple complaints (#231931, MO232783, MO232652, MO233045) alleging deficiencies in resident care, wound management, medication labeling, food safety, and staff training. Substantiation status is not explicitly stated.
Findings
The facility was found deficient in multiple areas including failure to obtain timely signed Medicare coverage notices, maintain a safe and clean environment, notify the Ombudsman of resident transfers, follow physician orders for wound and catheter care, provide showers as scheduled, ensure proper medication labeling and storage, maintain food safety standards, and conduct adequate nurse aide in-service training. Several residents had untreated or poorly managed wounds, missed showers, and incomplete documentation. The facility also failed to implement an effective antibiotic stewardship program.

Deficiencies (11)
Failed to get Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) form signed at least two days before Medicare services ended for one resident.
Failed to maintain a safe, clean, comfortable and homelike environment; observed food particles, dirt, and damaged furniture in resident rooms.
Failed to notify the Missouri State Long-Term Care Ombudsman of resident transfers for six residents.
Failed to ensure care and treatment of excoriated skin area, follow physician orders, and obtain weights as ordered for multiple residents.
Failed to provide showers as scheduled for eight residents, with multiple missed shower opportunities documented.
Failed to provide appropriate treatment and care for an open abdominal surgical wound, resulting in hospitalization with sepsis and wound infection.
Failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for two residents, including failure to assess and treat a sacral wound.
Failed to ensure drugs and biologicals were labeled in accordance with accepted practices; expired medications found in medication carts and storage rooms.
Failed to store and distribute food under sanitary conditions; observed unlabeled, expired, and contaminated food items and unsanitary ice maker conditions.
Failed to conduct at least twelve hours of nurse aide in-service education per year for two CNAs.
Failed to provide documentation of the Antibiotic Stewardship Program and annual review of its policies.
Report Facts
Residents affected: 1 Facility census: 100 Residents affected: 6 Residents affected: 8 Residents affected: 2 Residents affected: 2 Residents receiving antibiotics: 13 Expired medication counts: 5 Missed shower opportunities: 35 Missed wound care treatments: 27

Employees mentioned
NameTitleContext
CNA KCertified Nurse AssistantNotified nurse about resident's skin excoriation
LPN CLicensed Practical NurseResponsible for wound care, unaware of some skin issues initially
Social Services DirectorSocial Services DirectorResponsible for Ombudsman notifications
AdministratorAdministratorProvided expectations on SNF ABN forms, Ombudsman notifications, wound care, showers, and nurse aide training
Director of NursingDirector of NursingOversight of wound care and nurse aide training
LPN PLicensed Practical NurseRemoved wound vac dressing and reported issues
LPN QLicensed Practical NurseReported wound vac was not hooked up and dressing issues
Wound Care Clinic providerWound Care Clinic providerAssessed resident wounds and made treatment recommendations
Housekeeper HHousekeeperDescribed cleaning responsibilities and limitations
Housekeeping supervisorHousekeeping SupervisorExpected housekeepers to clean under objects and maintain nourishment rooms
CNA DCertified Nurse AssistantDescribed food labeling expectations in nourishment room
LPN ELicensed Practical NurseDescribed nourishment room food storage and labeling

Inspection Report

Complaint Investigation
Census: 98 Deficiencies: 1 Date: Jan 5, 2024

Visit Reason
The inspection was conducted due to complaints regarding failure to provide scheduled showers to residents. The visit aimed to investigate allegations that three sampled residents did not receive showers as scheduled.

Complaint Details
Complaint MO229416 & MO229431 triggered the investigation. The complaints were substantiated based on observations, interviews, and record reviews showing missed showers and poor hygiene.
Findings
The facility failed to provide showers for three out of four sampled residents as scheduled, missing multiple shower opportunities in November and December 2023. Observations and interviews confirmed residents were not receiving showers as planned, resulting in poor hygiene conditions.

Deficiencies (1)
Failure to provide scheduled showers for three residents resulting in poor hygiene.
Report Facts
Missed shower opportunities: 4 Missed shower opportunities: 6 Missed shower opportunities: 5 Missed shower opportunities: 4 Missed shower opportunities: 6

Employees mentioned
NameTitleContext
Certified Nurse Assistant ACertified Nurse AssistantInterviewed regarding shower schedules and documentation practices
Certified Nurse Assistant BCertified Nurse AssistantInterviewed regarding shower schedules, documentation, and skin issue reporting
Director of NursingDirector of NursingInterviewed about shower scheduling policies and documentation requirements

Inspection Report

Complaint Investigation
Census: 102 Deficiencies: 1 Date: Dec 5, 2023

Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to follow physician orders to obtain daily or weekly weights for three residents.

Complaint Details
Complaint #MO227683 regarding failure to obtain and record weights as ordered for Residents #7, #8, and #9.
Findings
The facility failed to obtain and record weights as ordered by physicians for Residents #7, #8, and #9, missing multiple opportunities to weigh residents in October and November 2023. The failure was attributed to inadequate monitoring by the Director of Nursing despite a new weight monitoring system being implemented less than three months prior.

Deficiencies (1)
Failed to follow physician orders to obtain daily/weekly weights for three residents.
Report Facts
Census: 102 Missed weight recordings for Resident #7: 11 Missed weight recordings for Resident #8: 7 Missed weight recordings for Resident #9: 6

Inspection Report

Complaint Investigation
Census: 99 Deficiencies: 1 Date: Aug 10, 2023

Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to follow physician orders to obtain daily weights for three residents.

Complaint Details
Complaint #MO222548 regarding failure to obtain daily weights as ordered for three residents.
Findings
The facility failed to record daily weights as ordered for three residents with congestive heart failure, missing multiple weight recordings in July and August 2023. Interviews with residents and staff confirmed inconsistent weight monitoring practices.

Deficiencies (1)
Failure to follow physician orders to obtain daily weights for three residents.
Report Facts
Missed weight recordings for Resident #1: 7 Missed weight recordings for Resident #2: 6 Missed weight recordings for Resident #3: 8 Census: 99

Employees mentioned
NameTitleContext
Licensed Practical Nurse ALicensed Practical Nurse (LPN)Interviewed regarding responsibility of night shift CNAs for daily weights
Director of NursingDirector of NursingInterviewed regarding procedures for daily weights and CNA responsibilities

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Apr 12, 2023

Visit Reason
The inspection was conducted as an annual survey to assess compliance with health and safety regulations at the Life Care Center of Cape Girardeau.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Routine
Census: 81 Deficiencies: 3 Date: Oct 6, 2022

Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care planning, food safety, and waste management at the nursing home.

Findings
The facility failed to implement individualized care plans addressing bed rails for several residents, had multiple food safety violations including improper food storage and thawing practices, and failed to ensure garbage dumpsters and trash receptacles were properly covered. These deficiencies posed minimal harm or potential for actual harm to residents.

Deficiencies (3)
Failed to implement a care plan with specific interventions tailored to meet individual needs for four residents related to bed rails.
Failed to store and distribute food under sanitary conditions, increasing risk of cross-contamination and food-borne illness.
Failed to ensure garbage dumpsters and trash receptacles were covered during all days of observation.
Report Facts
Facility census: 81 Dented cans: 5 Dumpster size: 8 Temperature: 48 Temperature: 45 Temperature: 44 Temperature: 38 Temperature: -5 Chicken thawing: 3 Date: 72

Employees mentioned
NameTitleContext
Director of NursingDirector of NursingInterviewed regarding care plan deficiencies and responsibility for care plan accuracy
Dietary ManagerDietary ManagerInterviewed regarding food delivery, dented cans, and thawing procedures
Dietary Aide ADietary AideInterviewed regarding thawing chicken in contaminated water
Maintenance DirectorMaintenance DirectorInterviewed regarding freezer maintenance and dumpster lid expectations
AdministratorAdministratorInterviewed regarding kitchen expectations, policy awareness, and waste management

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