Inspection Reports for
NHC Healthcare, Kennett
1120 FALCON, KENNETT, MO, 63857-3825
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
10.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
87% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
28
21
14
7
0
Occupancy
Latest occupancy rate
58% occupied
Based on a May 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
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
| Name | Title | Context |
|---|---|---|
| CNA E | Certified Nursing Assistant | Named in dignity and transfer deficiencies |
| CNA K | Certified Nursing Assistant | Named in dignity deficiency |
| Director of Nursing | Director of Nursing | Provided statements on expectations for dignity, gait belt use, catheter care, and oxygen orders |
| CMT M | Certified Medication Technician | Observed leaving medication cart unlocked |
| RN C | Registered Nurse | Provided statements on gait belt use and medication cart locking |
| LPN D | Licensed Practical Nurse | Provided statements on gait belt use, catheter care, and medication cart locking |
| CNA I | Certified Nursing Assistant | Observed performing improper catheter care |
| Staff Coordinator O | Staff Coordinator | Observed resident oxygen saturation and oxygen use |
| RN J | Registered Nurse | Provided statement on resident oxygen therapy |
| LPN H | Licensed Practical Nurse | Provided statements on catheter care and oxygen therapy |
| CMT G | Certified Medication Technician | Provided statement on medication cart locking |
| LPN F | Licensed Practical Nurse | Provided statement on medication cart locking |
| Administrator | Facility Administrator | Provided statements on expectations for dignity, catheter care, oxygen orders, and medication cart locking |
Inspection Report
Annual Inspection
Census: 98
Deficiencies: 5
Date: May 2, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal regulations and facility policies regarding resident rights, accident prevention, incontinence care, respiratory care, and medication storage.
Findings
The facility was found deficient in multiple areas including resident rights and dignity during care, accident hazards and supervision, incontinence care and catheter management, respiratory care including oxygen therapy, and medication storage security. Several residents' care plans and practices did not meet regulatory requirements.
Deficiencies (5)
F550 Resident Rights. The facility failed to ensure resident dignity during incontinence care by not maintaining privacy with window blinds open during care for Resident #5. The facility census was 98.
F689 Free of Accident Hazards. The facility failed to ensure safe transfer techniques for Resident #87 and did not provide a smoking policy for Resident #27. The facility census was 98.
F690 Bowel/Bladder Incontinence, Catheter, UTI. The facility failed to ensure proper urinary catheter care and storage of drainage bags for Residents #5, #249, and #81. The facility census was 98.
F695 Respiratory/Tracheostomy Care. The facility failed to follow physician orders for supplemental oxygen therapy for Resident #247. The facility census was 98.
F761 Label/Store Drugs and Biologicals. The facility failed to ensure medication carts were locked and unattended medication was secured, posing a risk to residents. The facility census was 98.
Report Facts
Facility census: 98
Deficiencies cited: 5
Inspection Report
Life Safety
Census: 98
Deficiencies: 2
Date: May 2, 2025
Visit Reason
The inspection was conducted to assess compliance with the Life Safety Code, specifically focusing on the sprinkler system maintenance and testing.
Findings
The facility failed to meet the applicable provisions of the 2012 Life Safety Code related to sprinkler system maintenance. Two heavily corroded sprinkler heads were found in the dish room, potentially affecting all residents and staff.
Deficiencies (2)
K 353 Sprinkler System - Maintenance and Testing: Two heavily corroded sprinkler heads were observed in the dish room, indicating failure to maintain the sprinkler system in proper operating condition as required by NFPA standards.
A2034 Sprinkler System-Test/Maintain: Facilities with sprinkler systems installed prior to August 28, 2007, must inspect, maintain, and test these systems according to regulatory requirements. This regulation was not met as evidenced by the K 353 deficiency.
Report Facts
Facility census: 98
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jenica Rader | Administrator | Signed the inspection report and plan of correction |
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
| Name | Title | Context |
|---|---|---|
| RNA J | Restorative Nurse Aide | Named in restorative therapy deficiency; last provided restorative services on 02/25/24 |
| Housekeeper A | Interviewed regarding maintenance request log and cleaning responsibilities | |
| Housekeeper B | Interviewed regarding maintenance request log and cleaning responsibilities | |
| Housekeeper C | Interviewed regarding maintenance request log and cleaning responsibilities | |
| Maintenance Assistant D | Interviewed regarding maintenance responsibilities for homelike environment | |
| Administrator | Interviewed regarding expectations for maintenance and restorative therapy | |
| Director of Rehab | Director of Rehabilitation | Interviewed regarding restorative therapy services and care plan |
| Dietary Manager | Interviewed regarding kitchen cleanliness and food labeling | |
| Staffing Coordinator | Interviewed regarding nurse aide in-service education monitoring |
Inspection Report
Plan of Correction
Census: 83
Deficiencies: 4
Date: Mar 15, 2024
Visit Reason
The inspection was conducted to assess compliance with federal and state regulations, including a review of deficiencies and plans of correction for NHC Healthcare, Kennett.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, restorative nursing services, food procurement and safety, and nurse aide in-service training. Multiple areas showed physical maintenance issues and lapses in restorative care and staff training.
Deficiencies (4)
F584 Safe Environment. The facility failed to provide a safe, clean, and comfortable homelike environment, with multiple areas of exposed sheetrock, peeled paint, scuff marks, and buildup of dust and cobwebs observed throughout the facility.
F688 Mobility. The facility failed to provide restorative services to maintain or improve mobility for four of six sampled residents, as evidenced by lack of restorative therapy and documentation.
F812 Food Procurement, Store, Prepare, Serve-Sanitary. The facility failed to store and distribute food under sanitary conditions, with multiple instances of unlabelled and undated food items and buildup of dirt and debris in the kitchen.
F947 Required In-Service Training for Nurse Aides. The facility failed to provide at least twelve hours of nurse aide in-service education annually, including dementia care and abuse prevention, for two out of two nurse aides reviewed.
Report Facts
Facility census: 83
Residents affected: 4
Nurse aides sampled: 2
Inspection Report
Life Safety
Census: 83
Deficiencies: 2
Date: Mar 15, 2024
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code of the National Fire Protection Association (NFPA) and related reference documents.
Findings
The facility failed to restrict the use of portable space heaters in the building, which is prohibited except under specific conditions. This deficiency potentially affected all residents and staff.
Deficiencies (2)
K781 Portable Space Heaters: The facility failed to restrict the use of space heaters, which are prohibited in all health care occupancies unless used only in nonsleeping staff and employee areas and the heating elements do not exceed 212°F. A space heater was observed in use in the unit manager's office.
A1097 Heating System, Space Heaters: The building heating system does not comply with regulations prohibiting open flame space heaters or space heaters receiving combustion air from the heated space. Refer to K781 for details.
Report Facts
Facility census: 83
Inspection Report
Plan of Correction
Census: 74
Deficiencies: 4
Date: Aug 19, 2022
Visit Reason
The inspection was conducted to evaluate compliance with federal and state regulations, including Medicaid/Medicare coverage notices, safe and homelike environment standards, and informed services/charges disclosures. The document also includes a plan of correction submitted by the facility.
Findings
The facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) for one resident and did not provide a policy for maintaining a safe, clean, comfortable, and homelike environment. Observations included damaged furniture, exposed sheet rock, chipped paint, and torn resident chair covers. Maintenance and housekeeping work logs showed unresolved repair requests.
Deficiencies (4)
F582 Medicaid/Medicare Coverage/Liability Notice: The facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) for one resident and did not provide the notice in a timely manner as required.
F584 Safe/Clean/Comfortable/Homelike Environment: The facility failed to maintain a safe, clean, comfortable, and homelike environment, including damaged resident furniture and exposed sheet rock in multiple rooms.
A3038 Furniture/Equip, Provide Comfort & Safety: The facility did not maintain furniture and equipment in good condition, with torn and damaged resident chairs and fall mats.
A8008 Informed Services/Charges - Alz Disclosure: The facility failed to fully inform residents and their representatives in writing of services and charges as required.
Report Facts
Facility census: 74
Number of residents sampled: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN Ann | Social Services Director | Responsible for Advanced Beneficiary Notices; mentioned in interview regarding missed ABN |
Inspection Report
Life Safety
Census: 74
Deficiencies: 2
Date: Aug 19, 2022
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code of the National Fire Protection Association (NFPA) and related reference documents, focusing on sprinkler system maintenance and testing.
Findings
The facility failed to meet the applicable provisions of the Life Safety Code related to sprinkler system maintenance and testing. Specifically, sprinkler heads in the laundry room were found loaded with dust and lint, potentially affecting all residents and staff.
Deficiencies (2)
42 CFR 483.70(a): The facility does not meet the applicable provisions of the 2012 Life Safety Code related to sprinkler system maintenance and testing. Sprinkler heads in the laundry room were loaded with dust and lint, and maintenance failed to ensure regular cleaning.
19 CSR 30-85.022(11)(C): Facilities with sprinkler systems installed prior to August 28, 2007, must inspect, maintain, and test these systems per regulatory requirements. This regulation was not met as evidenced by the failure to maintain sprinkler heads properly.
Report Facts
Facility census: 74
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
| Name | Title | Context |
|---|---|---|
| Administrator | Provided interview regarding SNF ABN and maintenance reporting | |
| Certified Nurse Aide (CNA) E | Interviewed about reporting torn equipment | |
| Housekeeper A | Interviewed about reporting repair needs | |
| Certified Nurse Aide (CNA) B | Interviewed about reporting repair needs | |
| Licensed Practical Nurse (LPN) C | Interviewed about reporting repair needs | |
| Maintenance Associate D | Interviewed about repair request procedures |
Inspection Report
Plan of Correction
Census: 82
Deficiencies: 2
Date: Aug 11, 2021
Visit Reason
The inspection was conducted to assess compliance with professional standards related to skin integrity and pressure ulcer prevention and treatment at NHC Healthcare, Kennett.
Findings
The facility failed to document, measure, stage, and provide treatment for a facility-acquired Stage II pressure ulcer for one resident. The facility's wound care policies and interventions were inadequate, and staff failed to implement appropriate pressure ulcer prevention and treatment measures.
Deficiencies (2)
F686: The facility failed to prevent and treat pressure ulcers as evidenced by lack of documentation, measurement, and treatment of a Stage II pressure ulcer for one resident. The resident did not receive appropriate interventions or pressure-relieving devices as required.
A4074: The facility did not provide personal attention and nursing care consistent with the resident's condition as evidenced by the F686 deficiency.
Report Facts
Facility census: 82
Pressure ulcer risk score: 16
Date of resident admission: 2017
Date of Minimum Data Set assessment: May 12, 2021
Date of Physician Order Sheets: 202108
Date of care plan: Jun 1, 2021
Date range of nurse notes reviewed: 7/16/2021 through 8/11/2021
Date of skin assessments: Aug 9, 2021
Date of skin assessments: Aug 11, 2021
Date of Plan of Correction completion: Aug 25, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Black | Administrator | Signed the Statement of Deficiencies and Plan of Correction |
| Licensed Practical Nurse B | Licensed Practical Nurse | Interviewed regarding resident's condition and pressure relieving device |
| Certified Nurse Assistant A | Certified Nurse Assistant | Interviewed regarding resident's wheelchair cushion and skin condition |
| Director of Nursing | Director of Nursing | Interviewed and observed resident's pressure ulcers and care |
Inspection Report
Routine
Deficiencies: 0
Date: Nov 18, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness survey and a COVID-19 Focused Infection Control Survey were conducted to assess compliance with relevant regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19 infection control.
Inspection Report
Routine
Deficiencies: 0
Date: Jun 30, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness survey and a COVID-19 Focused Infection Control Survey were conducted to assess compliance with relevant regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and with CMS and CDC recommended practices for COVID-19 infection control.
Inspection Report
Routine
Deficiencies: 0
Date: May 29, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey and a COVID-19 Focused Emergency Preparedness survey were conducted to assess compliance with CMS and CDC recommended practices and 42 CFR 483.73 regulations.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 infection control and with 42 CFR 483.73 related to emergency preparedness.
Inspection Report
Annual Inspection
Census: 103
Deficiencies: 5
Date: Nov 21, 2019
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal and state regulations for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to document preparation and orientation for resident transfers, failure to develop individualized comprehensive care plans for residents, failure to obtain physician orders for off-site psychiatric services, and failure to follow infection control protocols for tuberculosis screening of employees.
Deficiencies (5)
F624: The facility failed to document preparation and orientation for transfer or discharge for eight residents. Records lacked evidence that residents were prepped and oriented for transfer out of the facility.
F656: The facility failed to develop and implement individualized comprehensive care plans for three residents. Care plans lacked measurable objectives and interventions for medical, nursing, and psychosocial needs.
F658: The facility failed to obtain a physician's order for attendance at an off-site psychiatric day program for one resident. No policy was provided for obtaining physician orders.
A4029: The facility failed to follow infection control protocols for tuberculosis screening of employees. Four new employees were not properly screened or documented for TB exposure risk.
A4074: The facility failed to provide nursing care consistent with residents' conditions and current acceptable nursing practice, as evidenced by deficiencies referenced in F658 and F697.
Report Facts
Resident census: 103
Residents sampled: 21
Residents with deficient care plans: 3
Employees not properly screened for TB: 4
Residents lacking transfer documentation: 8
Inspection Report
Life Safety
Census: 103
Deficiencies: 3
Date: Nov 21, 2019
Visit Reason
The inspection was conducted to assess the facility's compliance with the 2012 Existing Edition of the Life Safety Code of the National Fire Protection Association (NFPA) and related requirements.
Findings
The facility failed to maintain adequate exit egress illumination, did not perform required electrical outlet testing, and failed to maintain the facility free of temporary wiring. These deficiencies potentially affected all residents and staff.
Deficiencies (3)
K281 Illumination of Means of Egress: The facility failed to maintain adequate exit egress illumination, with lighting levels below required standards on the exit pathway from the smoking courtyard to the public way.
K914 Electrical Systems - Maintenance and Testing: The facility failed to perform required annual outlet testing and maintain records of tests and repairs for hospital-grade receptacles in patient care areas.
K920 Electrical Equipment - Power Cords and Extension Cords: The facility failed to maintain the facility free of temporary wiring, with power strips and extension cords in use in multiple areas contrary to code requirements.
Report Facts
Facility census: 103
Inspection Report
Annual Inspection
Census: 114
Deficiencies: 14
Date: Jan 25, 2019
Visit Reason
Annual inspection survey conducted at NHC Healthcare, Kennett to assess compliance with federal regulations and identify deficiencies.
Findings
The facility was found to have multiple deficiencies including failure to ensure resident dignity, failure to issue required Medicaid Non-Coverage notices, inadequate abuse/neglect policies, inaccurate assessments, incomplete care plan meetings, lack of hospice coordinated care plans, poor dialysis communication, and food safety violations.
Deficiencies (14)
F550 Resident Rights: The facility failed to ensure the dignity of a resident during shower transport, leaving the resident partially exposed and visibly shaking.
F582 Medicaid/Medicare Coverage: The facility failed to issue Notice of Medicare Non-Coverage letters for three residents discharged from Medicare skilled services.
F607 Abuse/Neglect Policies: The facility failed to check the CNA registry for abuse/neglect markers prior to hiring two staff members.
F641 Accuracy of Assessments: The facility failed to accurately code the Minimum Data Set for three hospice residents regarding life expectancy.
F657 Care Plan Timing and Revision: The facility failed to conduct care plan meetings including resident or representative signatures for six residents.
F684 Quality of Care: The facility failed to coordinate hospice care plans for one resident and did not have a policy for hospice care coordination.
F698 Dialysis: The facility failed to ensure communication and coordination of care with the dialysis center for four residents.
F812 Food Procurement, Store, Prepare, Serve-Sanitary: The facility failed to maintain sanitary conditions in the kitchen, including grease buildup and ice accumulation.
A4029 Communicable Disease-Employees: The facility failed to timely screen two of five new employees for tuberculosis, increasing risk of exposure.
A6012 Floor Surfaces: Floors and floor coverings were not maintained in good repair, with dust, debris, and gaps noted.
A7067 Nonfood Contact Surfaces: Equipment surfaces were not cleaned as often as necessary to prevent accumulation of dirt and debris.
A8008 Informed Services/Charges - Alz Disclosure: The facility failed to fully inform residents or representatives of services and charges as required.
A8013 Right to Plan Care/Refuse Treatment: Residents were not afforded the opportunity to participate in care planning or refuse treatment with informed consent.
A8030 Dignity/Privacy: Residents were not treated with full recognition of dignity and privacy, including exclusion of others during care without consent.
Report Facts
Facility census: 114
Sampled residents: 24
Sampled employees: 5
Residents with NOMNC letters missing: 3
Residents with care plan meeting deficiencies: 6
Residents reviewed for hospice MDS accuracy: 3
Residents reviewed for dialysis communication: 4
Inspection Report
Life Safety
Census: 114
Deficiencies: 6
Date: Jan 25, 2019
Visit Reason
The inspection was conducted to assess compliance with the 2012 Existing Edition of the Life Safety Code and related fire safety regulations.
Findings
The facility failed to maintain sprinkler heads properly, dispose of cigarette butts appropriately, and store oxygen tanks safely. These deficiencies potentially affected all residents and staff.
Deficiencies (6)
K 353 Sprinkler System - Maintenance and Testing: The facility failed to maintain sprinkler heads in the kitchen area, with two heads heavily corroded.
K 741 Smoking Regulations: The facility failed to dispose of cigarette butts appropriately, with overflowing smoking urns and cigarette butts falling onto the ground.
K 923 Gas Equipment - Cylinder and Container Storage: The facility failed to practice appropriate oxygen tank storage, including an unsecured oxygen tank leaning against a chair and wall.
A2010 Oxygen Storage: The facility did not meet NFPA 99 standards for oxygen storage safety, referencing K 923.
A2034 Sprinkler System-Test/Maintain: The facility did not meet inspection and maintenance requirements for sprinkler systems, referencing K 353.
A2057 Ashtrays Noncombustibles/Safe/Disposal: The facility failed to provide proper ashtrays and disposal methods for cigarette butts, referencing K 741.
Report Facts
Facility census: 114
Date of survey completion: Jan 25, 2019
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