Inspection Reports for
Memory Lane of Dexter
415 S CATALPA STREET, DEXTER, MO, 63841-2017
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
64 residents
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Routine
Census: 64
Deficiencies: 4
Date: Jan 17, 2025
Visit Reason
The inspection was conducted to assess compliance with regulations related to medication management, food safety, pest control, and overall facility operations at Memory Lane of Dexter nursing home.
Findings
The facility was found deficient in multiple areas including failure to implement gradual dose reductions for psychotropic medications for several residents, medication administration errors related to insulin pen priming, improper food storage and sanitation practices leading to expired and unsealed food items, and an ineffective pest control program evidenced by the presence of gnats in food storage areas.
Deficiencies (4)
Failure to attempt gradual dose reductions (GDR) for psychotropic medications for four residents.
Medication error rate exceeded 5%, with errors in insulin administration due to failure to prime insulin pens.
Failure to store and distribute food under sanitary conditions, including expired and unsealed food items and sticky residues in storage areas.
Failure to maintain an effective pest control program, with multiple gnats observed in food storage areas.
Report Facts
Residents affected: 4
Medication administration opportunities: 29
Medication errors: 2
Medication error rate: 6.9
Facility census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pharmacist E | Interviewed regarding initiation of gradual dose reductions on medications | |
| CMT D | Certified Medication Technician | Observed administering insulin without priming the insulin pen |
| Dietary Manager | Dietary Manager | Interviewed regarding expired food and pest control issues |
| Administrator | Administrator | Interviewed regarding expectations for medication management, food safety, and pest control |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for medication management and insulin pen priming |
Inspection Report
Routine
Census: 47
Deficiencies: 5
Date: Aug 17, 2023
Visit Reason
The inspection was conducted as a routine regulatory oversight visit to assess compliance with healthcare facility regulations and standards.
Findings
The facility was found deficient in multiple areas including failure to provide written baseline care plan summaries to residents or their representatives, unsafe water temperatures in resident rooms posing scalding risks, unsanitary food storage and preparation conditions, inadequate infection prevention and control practices during medication administration and resident care, and lack of a documented Legionella water management program.
Deficiencies (5)
Failure to ensure residents or their representatives received a written summary of the baseline care plan within 48 hours of admission.
Water temperatures in nine resident room sinks exceeded safe limits (above 120 degrees F), increasing risk of scalding injuries.
Failure to store and distribute food under sanitary conditions, including presence of dented cans, frost buildup, grime, and debris in food storage and preparation areas.
Failure to maintain infection control practices during medication administration and resident care, including bare hand contact with medications and improper glove use during peri care.
Failure to implement and document a Legionella water management program to prevent growth and spread of Legionella bacteria.
Report Facts
Residents affected: 3
Residents affected: 19
Facility census: 47
Dented cans: 5
Baking pans: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Named in medication administration infection control deficiency. |
| CNA B | Certified Nursing Assistant | Named in improper glove use during meal service. |
| CNA C | Certified Nursing Assistant | Named in improper glove use and hand hygiene during peri care for Resident #29. |
| CNA D | Certified Nursing Assistant | Named in improper glove use and hand hygiene during peri care for Resident #29. |
| Maintenance Supervisor | Named in water temperature monitoring and Legionella prevention deficiencies. | |
| Administrator | Provided statements regarding baseline care plan policy, water temperature issues, food storage concerns, infection control, and Legionella prevention. | |
| Director of Nursing | Director of Nursing | Provided statements regarding infection control practices. |
| Dietary Manager | Provided statements regarding kitchen sanitation and food storage deficiencies. | |
| Dietary Aide E | Provided statements regarding kitchen cleaning. | |
| Registered Dietician | Provided statements regarding kitchen refrigeration and food storage issues. |
Inspection Report
Annual Inspection
Census: 21
Deficiencies: 10
Date: Jul 1, 2021
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements and the quality of care provided at the nursing home.
Findings
The facility was found deficient in multiple areas including failure to implement individualized care plans, inadequate wound care and treatment, lack of qualified activities professional, unsafe transfer techniques, absence of a full-time Director of Nursing, improper medication management, unsanitary food handling practices, infection control lapses, and failure to provide and document pneumococcal vaccinations.
Deficiencies (10)
Failed to implement care plans with specific interventions tailored to meet individual needs for residents with UTIs and skin issues.
Failed to ensure care and treatment of an opened skin area for a resident.
Failed to have a qualified activities professional to direct activities to residents.
Failed to report, assess, and treat open wounds appropriately for residents.
Failed to ensure safe transfer techniques for a resident using a sit to stand lift.
Failed to designate a Registered Nurse as Director of Nursing on a full-time basis.
Failed to date multi-dose vials after opening, discard expired medications, and dispose of discontinued medications.
Failed to store and distribute food under sanitary conditions, increasing risk of cross-contamination and food-borne illness.
Failed to provide care in a manner to prevent infection, including failure to change gloves and wash/sanitize hands between clean and dirty tasks during incontinence care.
Failed to provide and document pneumococcal vaccinations for a resident after consent was given.
Report Facts
Facility census: 21
Deficiencies cited: 10
Medication expiration dates: 3
Food temperature logs: 12
Dishwasher sanitizer checks: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN D | Licensed Practical Nurse | Named in wound care and skin assessment deficiencies |
| RN H | Registered Nurse | Named in wound care and skin assessment deficiencies |
| CNA B | Certified Nurse Assistant | Named in incontinence care and infection control deficiencies |
| CNA F | Certified Nursing Assistant | Named in infection control and food handling deficiencies |
| NA E | Nursing Assistant | Named in safe transfer and food handling deficiencies |
| LPN I | Licensed Practical Nurse | Named in medication management deficiencies |
| Administrator | Provided expectations and comments on multiple deficiencies | |
| MDS Coordinator | Provided information on care planning and wound care | |
| Dietary Manager | Named in food handling deficiencies |
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