Inspection Reports for
Morningside Center
1700 MORNINGSIDE DR, CHILLICOTHE, MO, 64601-1545
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
31% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
52 residents
Based on a January 2026 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Jan 14, 2026
Visit Reason
The inspection was conducted due to a complaint investigation regarding an incident where Resident #1 slapped Resident #2, raising concerns about physical abuse within the facility.
Complaint Details
The complaint investigation was substantiated. Resident #1 slapped Resident #2 on the cheek on 12/21/2025. The facility took immediate action to separate the residents, notify family and physicians, and update care plans. Staff received in-service training on managing behaviors and abuse prevention.
Findings
The facility failed to protect Resident #2 from physical abuse by Resident #1. The incident was investigated, and both residents were assessed and separated. Staff were re-educated on managing aggressive behaviors and abuse prevention. Resident #1's care plan was updated to address aggressive behaviors, and the noncompliance was corrected by 12/24/2025.
Deficiencies (1)
Failure to protect a resident from physical abuse by another resident.
Report Facts
Facility census: 52
Date of incident: Dec 21, 2025
Date noncompliance corrected: Dec 24, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Witnessed raised voices during the incident but did not arrive in time to separate residents |
| RN A | Registered Nurse | Reported staff keep track of Resident #2 and described Resident #1 as immobile |
| Housekeeper A | Provided interview about resident-to-resident incidents and training | |
| Assistant Administrator | Acknowledged lack of prior care planning for Resident #1's aggressive behaviors and described subsequent monitoring and interventions | |
| Director of Nursing | DON | Documented Resident #1 had no obvious signs of distress after the incident |
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 7
Date: Jan 16, 2025
Visit Reason
The inspection was conducted due to complaints regarding delayed response to call lights, failure to follow up on resident grievances, incomplete care planning for dialysis needs, lack of physician orders for code status, inadequate dialysis care communication, and failure to follow infection control guidelines for volunteers.
Complaint Details
The complaint investigation focused on delayed call light responses, resident grievances not addressed, inadequate dialysis care planning and communication, missing physician orders for code status, and infection control lapses with volunteers.
Findings
The facility failed to ensure timely response to call lights affecting multiple residents, did not follow up or provide rationale for resident council grievances, failed to develop a comprehensive care plan addressing dialysis needs for a resident, lacked physician orders for code status for four residents, failed to document assessments before and after dialysis and communication with the dialysis center, and allowed volunteers to provide services without TB skin testing.
Deficiencies (7)
Failure to respond to call lights in a timely manner affecting six of 13 sampled residents.
Failure to follow up with resident grievances and provide rationale or response to resident council.
Failure to develop and implement a comprehensive care plan addressing dialysis needs for Resident #106.
Failure to complete a discharge summary and follow discharge planning policy for Resident #55.
Failure to obtain physician orders for code status for four residents (#26, #22, #51, #16).
Failure to ensure communication and documentation of assessments before and after dialysis for Resident #106.
Failure to follow infection control guidelines by allowing volunteers to provide services without TB skin testing.
Report Facts
Residents affected by call light delay: 6
Facility census: 52
Residents sampled: 13
Residents with missing code status orders: 4
Inspection Report
Routine
Census: 55
Deficiencies: 4
Date: Jun 2, 2023
Visit Reason
The inspection was conducted as a routine regulatory oversight visit to assess compliance with care planning, medication administration, food safety, and quality assurance requirements at the nursing home.
Findings
The facility failed to develop and implement comprehensive care plans addressing bed rail use and entrapment assessments for several residents, had a medication error rate exceeding 5%, failed to maintain kitchen sanitation and proper food labeling and temperature logging, and did not maintain required quarterly Quality Assessment and Assurance meetings with all required members.
Deficiencies (4)
Failed to develop and implement a complete care plan that meets all resident needs including measurable objectives and timeframes, specifically regarding bed rail assessments and entrapment risk.
Failed to ensure medication error rates were less than 5%, with a medication error rate of 11.54% due to unclear physician orders and improper administration.
Failed to maintain kitchen sanitation, proper food labeling and dating, and accurate temperature logs for refrigerators and freezers, including ice buildup in walk-in freezer.
Failed to maintain quarterly Quality Assessment and Assurance committee meetings with required members, specifically the Medical Director was not invited or present.
Report Facts
Medication error rate: 11.54
Medication errors: 3
Medication administration opportunities: 26
Facility census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding bed rail assessments and medication order clarifications |
| Administrator | Facility Administrator | Interviewed regarding bed rail policies, kitchen sanitation, and QAPI meetings |
| Registered Nurse A | Registered Nurse | Observed administering medications with noted errors |
| Licensed Practical Nurse A | Licensed Practical Nurse | Observed administering medications with noted errors |
| Dietary [NAME] A | Dietary Staff | Interviewed regarding kitchen sanitation and food labeling |
| Dietary [NAME] B | Dietary Staff | Interviewed regarding food labeling and temperature logs |
| Maintenance Coordinator | Maintenance Coordinator | Interviewed regarding ice buildup in walk-in freezer and maintenance procedures |
Inspection Report
Routine
Census: 46
Deficiencies: 3
Date: Dec 3, 2020
Visit Reason
The inspection was conducted to assess compliance with safety, food service, and infection control standards in the nursing home.
Findings
The facility was found deficient in proper use of gait belts and mechanical lifts during resident transfers, food storage practices including undated spices and improperly stored icing, and infection prevention practices such as failure to change gloves and wash hands between clean and dirty tasks.
Deficiencies (3)
Failure to use proper techniques to reduce accidents during gait belt transfers and mechanical lift operation.
Failure to store food in accordance with professional standards, including undated spices, open pancake mix not closed or dated, and icing left at room temperature.
Failure to provide infection prevention by not changing gloves and washing hands between dirty and clean tasks affecting three residents.
Report Facts
Residents affected: 12
Facility census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA A | Certified Nurse Aide | Named in findings related to improper gait belt use and infection control |
| CNA D | Certified Nurse Aide | Named in findings related to improper mechanical lift use and infection control |
| Director of Nurses | Director of Nursing | Provided statements on expected staff practices regarding gait belt and infection control |
| LPN A | Licensed Practical Nurse | Named in infection control deficiency related to peri care and glove use |
| Dietary Manager | Dietary Manager | Provided statements on food storage and dating practices |
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