Inspection Reports for
Miller County Care and Rehabilitation Center
1157 HIGHWAY 17, TUSCUMBIA, MO, 65082-2100
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
60 residents
Based on a April 2025 inspection.
Occupancy over time
Inspection Report
Routine
Census: 60
Deficiencies: 5
Date: Apr 24, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to pre-admission screening, resident care including range of motion, staffing qualifications in food and nutrition services, and food safety practices.
Findings
The facility failed to complete accurate and timely Level I Pre-admission Screenings for residents with new mental health diagnoses, did not provide appropriate treatment to prevent further decrease in range of motion for a resident with contracture, failed to employ a qualified Director of Food and Nutrition Services, and improperly thawed frozen foods in the kitchen, risking foodborne illness.
Deficiencies (5)
Failed to complete accurate Level I Pre-admission Screening for residents with new mental health diagnoses.
Failed to accurately complete the Pre-admission Screening and Resident Review (PASRR) process prior to admission for sampled residents.
Failed to provide appropriate treatment and services to prevent further decrease in range of motion for a resident with contracture.
Failed to designate a qualified Director of Food and Nutrition Services when no full-time qualified dietitian was employed.
Failed to thaw frozen meat in a manner to prevent growth of food-borne pathogens, including thawing frozen foods in standing water without running water.
Report Facts
Residents sampled: 18
Facility census: 60
Hire date: Mar 17, 2025
Frozen food weight: 10
Water temperature: 82
Employees mentioned
| Name | Title | Context |
|---|---|---|
| M | Certified Medication Technician (CMT) | Mentioned in relation to observations and interviews about resident's contracture care |
| O | Restorative Aide (RA) | Mentioned in relation to resident's contracture care and interventions |
| Rehabilitation Director | Interviewed regarding resident's contracture care and expectations for staff | |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding PASARR screening and resident contracture care |
| Social Service Designee (SSD) | Responsible for completing PASARR screenings; interviewed about failures in screening completion | |
| Administrator | Interviewed regarding PASARR screening responsibilities and dietary manager qualifications | |
| DM | Dietary Manager | Interviewed about qualifications and food thawing practices |
| Cook | Interviewed about food thawing practices |
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 3
Date: Feb 23, 2024
Visit Reason
The inspection was conducted due to complaints regarding failure to notify a resident's physician about high blood sugar levels, failure to provide continuous oxygen as ordered, and inadequate infection prevention and control practices including hand hygiene and water system management.
Complaint Details
The investigation was complaint-driven, focusing on allegations that staff failed to notify a resident's physician about high blood sugar readings, failed to provide continuous oxygen therapy as ordered, and failed to maintain proper infection control practices including hand hygiene and water system management. The complaints were substantiated with observations, interviews, and record reviews confirming these deficiencies.
Findings
The facility failed to notify a resident's physician when blood sugar levels exceeded 450 mg/dL, failed to ensure continuous oxygen therapy for a resident as ordered, and failed to perform proper hand hygiene and implement a complete water management program to prevent infection risks including Legionnaire's Disease.
Deficiencies (3)
Failure to notify resident's physician when blood sugar exceeded 450 mg/dL.
Failure to provide continuous oxygen as ordered for a resident requiring oxygen therapy.
Failure to perform hand hygiene as required and failure to develop and implement complete water management policies to prevent infection.
Report Facts
Blood sugar readings: 456
Blood sugar readings: 522
Blood sugar readings: 493
Blood sugar readings: 462
Blood sugar readings: 485
Oxygen order: 3
Facility census: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| J | Certified Medication Technician (CMT) | Named in failure to notify physician of high blood sugars |
| K | Licensed Practical Nurse (LPN) | Named in failure to notify physician of high blood sugars and oxygen therapy issues |
| J | Certified Nurse Aide (CNA) | Observed not providing oxygen as ordered |
| O | Certified Nurse Aide (CNA) | Observed failing to perform hand hygiene properly during resident care |
| P | Certified Nurse Aide (CNA) | Observed failing to perform hand hygiene properly during resident care |
| H | Registered Nurse (RN) | Interviewed regarding hand hygiene practices |
| F | Dietary Aide (DA) | Observed and interviewed regarding hand hygiene in food preparation |
| G | Dietary Aide (DA) | Observed and interviewed regarding hand hygiene in food preparation |
| DM | Dietary Manager | Interviewed regarding hand hygiene training |
| Maintenance Director | Interviewed regarding water management program | |
| Administrator | Interviewed regarding water management program and overall facility compliance | |
| Medical Director (MD) | Interviewed regarding expectations for notification and oxygen therapy | |
| Director of Nursing (DON) | Interviewed regarding expectations for notification, oxygen therapy, and hand hygiene |
Inspection Report
Routine
Census: 61
Deficiencies: 7
Date: Nov 17, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, physician orders, employee qualifications, bed hold policies, accident prevention, food safety, and infection control.
Findings
The facility was found deficient in multiple areas including failure to support resident self-determination regarding smoking policy, inconsistent documentation of residents' Physician's Orders for Life-Sustaining Treatment, failure to perform quarterly Employee Disqualification List checks, failure to notify residents of bed hold policies, unsafe wheelchair propulsion practices, inadequate food safety and hygiene practices, and improper wound care procedures increasing risk of infection.
Deficiencies (7)
Facility staff failed to create an environment supporting resident choice regarding smoking policy, restricting residents from smoking outside due to temperature restrictions.
Facility staff failed to provide consistent documentation of residents' Physician's Orders for Life-Sustaining Treatment for four residents.
Facility staff failed to perform quarterly Employee Disqualification List checks for nine out of ten sampled employees.
Facility staff failed to notify residents or their representatives in writing of the bed hold policy for three sampled residents.
Facility staff failed to ensure safe wheelchair propulsion, resulting in residents' feet dragging on the floor or touching the floor while being propelled.
Facility staff failed to perform hand hygiene as necessary, sanitize food preparation sinks between uses, store dishes properly, use hair restraints, store sanitation rags submerged, ensure ice bin drained through an air gap, and properly store open food.
Facility staff failed to provide wound care in a manner to reduce infection risk, including failure to perform hand hygiene between glove changes and improper handling of wound care supplies.
Report Facts
Residents affected: 4
Residents affected: 4
Employees affected: 9
Residents affected: 3
Residents affected: 2
Facility census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN D | Licensed Practical Nurse | Named in wound care infection control deficiency |
| CNA C | Certified Nurse Aide | Named in wheelchair propulsion deficiency |
| Certified Nurse Assistant E | Certified Nurse Assistant | Named in smoking policy deficiency |
| Director of Nursing | Director of Nursing | Provided statements on smoking policy and wheelchair safety |
| Administrator | Administrator | Provided statements on smoking policy, Employee Disqualification List, bed hold policy, food safety, and infection control |
| Dietary Supervisor | Dietary Supervisor | Provided statements on food safety and hygiene deficiencies |
| Medical Director | Medical Director | Provided statements on smoking policy and infection control |
| Social Service Designee | Social Service Designee | Named in smoking policy and bed hold notification deficiencies |
| Human Resource Manager | Human Resource Manager | Provided statements on Employee Disqualification List checks |
| Cleaning Service Supervisor | Cleaning Service Supervisor | Named in wheelchair propulsion deficiency |
| Dishwasher G | Dishwasher | Named in food safety deficiency |
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