Inspection Reports for
NHC Healthcare, Kennett

1120 FALCON, KENNETT, MO, 63857-3825

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 4.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

22% better than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2024
2025

Census

Latest occupancy rate 98 residents

Based on a May 2025 inspection.

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

Occupancy over time

63 72 81 90 99 108 Aug 2022 Mar 2024 May 2025

Inspection Report

Routine
Census: 98 Deficiencies: 6 Date: May 2, 2025

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 maintain resident dignity during incontinence care, failure to follow care plans for smoking and safe transfers, improper catheter care, failure to follow oxygen therapy orders, and failure to secure medication carts. All deficiencies were assessed as minimal harm with few residents affected.

Deficiencies (6)
Failed to ensure resident's dignity was maintained during incontinence care with window blinds open exposing resident.
Failed to follow resident's care plan regarding smoking and failed to ensure use of flame resistant apron.
Failed to use gait belt during resident transfer.
Failed to keep urinary catheter drainage bags off the floor and failed to properly clean catheter tubing.
Failed to follow physician's orders for supplemental oxygen therapy for a resident.
Failed to ensure medication carts were locked while unattended.
Report Facts
Residents affected: 98 Medication cart observations: 2 Oxygen liters per minute: 3 Catheter size: 16 Catheter bulb size ml: 5

Employees mentioned
NameTitleContext
CNA ECertified Nursing AssistantNamed in dignity and transfer deficiencies
CNA KCertified Nursing AssistantNamed in dignity deficiency
Director of NursingDirector of NursingProvided statements on expectations for dignity, gait belt use, catheter care, and oxygen orders
CMT MCertified Medication TechnicianObserved leaving medication cart unlocked
RN CRegistered NurseProvided statements on gait belt use and medication cart locking
LPN DLicensed Practical NurseProvided statements on gait belt use, catheter care, and medication cart locking
CNA ICertified Nursing AssistantObserved performing improper catheter care
Staff Coordinator OStaff CoordinatorObserved resident oxygen saturation and oxygen use
RN JRegistered NurseProvided statement on resident oxygen therapy
LPN HLicensed Practical NurseProvided statements on catheter care and oxygen therapy
CMT GCertified Medication TechnicianProvided statement on medication cart locking
LPN FLicensed Practical NurseProvided statement on medication cart locking
AdministratorFacility AdministratorProvided statements on expectations for dignity, catheter care, oxygen orders, and medication cart locking

Inspection Report

Routine
Census: 83 Deficiencies: 4 Date: Mar 15, 2024

Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to the facility environment, restorative nursing services, food storage and sanitation, and nurse aide training.

Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, providing restorative nursing services as ordered, storing and preparing food under sanitary conditions, and ensuring nurse aides received required annual in-service education and competencies.

Deficiencies (4)
Failed to provide a safe, clean, comfortable and homelike environment with issues such as exposed sheetrock, peeled paint, scuff marks, unsecured paper towel holders, cobweb buildup, and dust on vents.
Failed to provide restorative services as ordered for four residents, with no restorative therapy documented for March 2023 and last services provided in February 2024.
Failed to store and distribute food under sanitary conditions, including undated frozen food items, buildup of dirt and residue on floors and kitchen equipment, and unlabeled food items.
Failed to conduct at least twelve hours of nurse aide in-service education per year and failed to provide required annual competencies in Dementia Care and Abuse Prevention for sampled nurse aides.
Report Facts
Facility census: 83 Restorative therapy frequency: 3 Restorative therapy frequency: 4 In-service hours: 8.75 In-service hours: 1

Employees mentioned
NameTitleContext
RNA JRestorative Nurse AideNamed in restorative therapy deficiency; last provided restorative services on 02/25/24
Housekeeper AInterviewed regarding maintenance request log and cleaning responsibilities
Housekeeper BInterviewed regarding maintenance request log and cleaning responsibilities
Housekeeper CInterviewed regarding maintenance request log and cleaning responsibilities
Maintenance Assistant DInterviewed regarding maintenance responsibilities for homelike environment
AdministratorInterviewed regarding expectations for maintenance and restorative therapy
Director of RehabDirector of RehabilitationInterviewed regarding restorative therapy services and care plan
Dietary ManagerInterviewed regarding kitchen cleanliness and food labeling
Staffing CoordinatorInterviewed regarding nurse aide in-service education monitoring

Inspection Report

Routine
Census: 74 Deficiencies: 3 Date: Aug 19, 2022

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, notification of Medicare/Medicaid coverage, and maintenance of a safe, clean, and homelike environment.

Findings
The facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) timely to one resident and failed to maintain one resident's equipment in good working order and the facility environment in a safe and clean condition. Several maintenance issues were observed and not addressed despite being reported.

Deficiencies (3)
Failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) at least two calendar days before skilled Medicare services ended for one resident.
Failed to monitor and keep one resident's geri chair and fall mat in good, working order with torn and exposed areas.
Failed to maintain a safe, clean, comfortable and homelike environment, including multiple areas of exposed sheet rock, peeling ceiling surface, chipped paint, and dust buildup in bathroom vents.
Report Facts
Residents affected: 1 Residents affected: 1 Facility census: 74 Dates of observations: 3 Length of ceiling peeling: 24

Employees mentioned
NameTitleContext
AdministratorProvided interview regarding SNF ABN and maintenance reporting
Certified Nurse Aide (CNA) EInterviewed about reporting torn equipment
Housekeeper AInterviewed about reporting repair needs
Certified Nurse Aide (CNA) BInterviewed about reporting repair needs
Licensed Practical Nurse (LPN) CInterviewed about reporting repair needs
Maintenance Associate DInterviewed about repair request procedures

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