Inspection Reports for
Nixa Nursing &Amp; Rehab
1104 NORTH MAIN ST, NIXA, MO, 65714-9316
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
79% occupied
Based on a July 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 2
Date: Jul 23, 2024
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to timely report and investigate an allegation of misappropriation of property involving a resident's embroidery scissors.
Complaint Details
The complaint involved Resident #122 reporting that an aide took his/her embroidery scissors. The facility failed to report this allegation to the state within 24 hours and did not document a timely investigation. Interviews with staff including the Social Service Director, Administrator, and Director of Nursing confirmed these failures.
Findings
The facility failed to report an allegation of misappropriation to the State Survey Agency within the required 24-hour timeframe and failed to complete a timely and thorough investigation of the allegation. Staff interviews confirmed lack of reporting and investigation documentation. The facility census was 65.
Deficiencies (2)
Failed to timely report allegations of possible misappropriation to the State Survey Agency within the required 24-hour timeframe.
Failed to complete investigations of all allegations of misappropriation, specifically failing to investigate one resident's allegation of misappropriation.
Report Facts
Facility census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Social Service Director (SSD) | Interviewed regarding reporting and investigation of misappropriation allegation |
| Administrator | Administrator | Interviewed regarding reporting and investigation of misappropriation allegation |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding reporting and investigation of misappropriation allegation |
| Certified Nurse Aide A | Certified Nurse Aide (CNA) | Interviewed about reporting procedures for misappropriation |
| Certified Medical Technician B | Certified Medical Technician (CMT) | Interviewed about reporting procedures for misappropriation |
Inspection Report
Routine
Census: 62
Deficiencies: 3
Date: Sep 16, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including posting of nurse staffing information and medication administration practices.
Findings
The facility failed to post daily nurse staffing information in a publicly accessible manner and had medication administration errors related to insulin pen use, including failure to prime pens and failure to ensure meals were provided within 30 minutes of insulin administration for three residents.
Deficiencies (3)
Failure to post daily nurse staffing information in a clear and readable format accessible to residents and visitors.
Medication error rate exceeded 5% due to failure to prime insulin pens and failure to ensure full dose administration and timely meal intake for three residents.
Failure to ensure residents were free from significant medication errors related to insulin pen administration.
Report Facts
Facility census: 62
Medication error rate: 11.53
Medication errors: 3
Insulin doses: 1
Insulin doses: 8
Insulin doses: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse A | Licensed Practical Nurse | Observed administering insulin without priming pen |
| Licensed Practical Nurse B | Licensed Practical Nurse | Described insulin pen administration process |
| Licensed Practical Nurse C | Licensed Practical Nurse | Interviewed about nurse staffing posting and insulin pen administration |
| Licensed Practical Nurse D | Licensed Practical Nurse | Interviewed about insulin pen administration |
| Licensed Practical Nurse E | Licensed Practical Nurse | Interviewed about insulin pen priming importance |
| Director of Nursing | Director of Nursing | Provided instructions on insulin pen administration and nurse staffing posting |
| Administrator | Administrator | Agreed with DON instructions and explained nurse staffing posting status |
Inspection Report
Routine
Census: 47
Deficiencies: 3
Date: Sep 26, 2019
Visit Reason
The inspection was conducted to evaluate compliance with regulations regarding resident transfer notifications, bed hold policies, and infection control practices related to glucometer disinfection.
Findings
The facility failed to notify residents and their representatives in writing about hospital transfers and failed to notify the ombudsman for two residents. The facility also failed to inform residents and families about bed hold policies at the time of hospital transfer. Additionally, the facility did not properly disinfect glucometers between uses, risking infection transmission.
Deficiencies (3)
Failed to notify resident, representative, and ombudsman in writing of hospital transfer for two residents.
Failed to inform residents and representatives in writing about bed hold policies at time of hospital transfer for two residents.
Failed to properly disinfect glucometers between uses, risking infection transmission among residents with diabetes.
Report Facts
Residents affected: 2
Residents affected: 3
Facility census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Named in glucometer disinfection deficiency observations |
| LPN B | Licensed Practical Nurse | Interviewed regarding glucometer cleaning procedures |
| Director of Nursing | Director of Nursing | Interviewed regarding transfer paperwork and glucometer cleaning expectations |
| Social Services Director | Social Services Director | Interviewed regarding transfer notice procedures and record keeping |
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