Deficiencies (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
23% occupied
Based on a June 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 28
Deficiencies: 1
Date: Jun 10, 2024
Visit Reason
The inspection was conducted to investigate and address deficiencies related to the facility's policies on abuse and neglect, following an incident involving a resident and staff member.
Findings
The facility failed to follow its abuse and neglect policy when an alleged incident occurred, allowing employees to continue contact with residents. An altercation between a resident and a Certified Medication Aide (CMA B) was documented, leading to CMA B's termination.
Deficiencies (1)
19 CSR 30-88.010(23) Develop/Implement A/N Policies. The facility failed to develop and implement written policies prohibiting mistreatment, neglect, and abuse of residents, and failed to follow its abuse and neglect policy when an alleged incident occurred involving a resident. The census was 28.
Report Facts
Census: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CMA B | Certified Medication Aide | Involved in resident altercation and terminated for inappropriate behavior |
| CMA A | Certified Medication Aide | Involved in resident care and communication during incident |
| Cathy Immel | Administrator | Signed plan of correction and involved in investigation |
Inspection Report
Plan of Correction
Census: 40
Deficiencies: 4
Date: Jan 22, 2019
Visit Reason
The inspection was conducted to assess compliance with regulations related to individual evacuation plans, proper care per individual service plans, medication administration, and hygiene standards at Mattis Pointe Assisted Living by Americare.
Findings
The facility failed to ensure individualized evacuation plans for residents needing assistance, did not update individualized service plans for some residents, failed to implement a safe and effective medication system, and did not ensure staff wore proper beard restraints during meal preparation.
Deficiencies (4)
19 CSR 30-86.045(3)(A)(5) Individual Evacuation Plan - The facility failed to ensure a resident who could not evacuate independently had an individualized evacuation plan in the resident's individual service plan.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan - The facility failed to update individualized service plans for two residents to address increased needs for staff assistance and behavioral issues.
19 CSR 30-86.047(46) Safe & Effective Medication System - The facility failed to implement a safe medication system when staff failed to use proper technique administering eye drops and failed to follow infection control procedures for glucometer use.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints - The facility failed to ensure staff wore proper beard restraints during meal preparation for two meals.
Report Facts
Census: 40
Deficiencies cited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing B | Director of Nursing | Mentioned in relation to gait belt removal and interview about resident transfers |
| Director of Nursing C | Director of Nursing | Mentioned in interview regarding proper technique for eye drop administration and glucometer use |
Inspection Report
Follow-Up
Census: 30
Deficiencies: 1
Date: Apr 19, 2018
Visit Reason
The visit was a fire safety inspection to assess compliance with the requirement to test and maintain the complete fire alarm system according to NFPA 72, 1999 edition.
Findings
The facility failed to test and maintain the complete fire alarm system as required. Specifically, a load test on the batteries of the fire alarm panel had not been performed semi-annually as mandated.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to perform a required load test on the batteries of the fire alarm system semi-annually as per NFPA 72, 1999 edition.
Report Facts
Facility census: 30
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