Deficiencies (last 5 years)
Deficiencies (over 5 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
97 residents
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 97
Deficiencies: 1
Date: Dec 30, 2025
Visit Reason
The inspection was conducted as part of the facility's annual survey to assess compliance with regulations, specifically focusing on meal service times and nutritional care.
Findings
The facility failed to serve meals in accordance with its policy and scheduled mealtimes, resulting in delayed breakfast service for two sampled residents. Observations and interviews confirmed that meals were served late, causing resident dissatisfaction and potential nutritional risk.
Deficiencies (1)
Failed to serve meals and snacks at times in accordance with resident’s needs, preferences, and requests, including providing suitable and nourishing alternative meals for residents who want to eat at non-traditional times or outside of scheduled meal times.
Report Facts
Facility census: 97
Meal service times: 8.5
Meal service times: 12.5
Meal service times: 17.5
Number of sampled residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant A | Certified Nursing Assistant | Interviewed regarding meal delivery process and late breakfast meals for residents |
| Dietary Manager | Dietary Manager | Interviewed about meal ordering process and new resident meal preferences |
| Administrator | Administrator | Interviewed about meal service expectations and timing |
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Jun 28, 2024
Visit Reason
The inspection was conducted due to complaints regarding failure to report and investigate allegations of verbal abuse, failure to revise care plans accurately, inadequate pressure ulcer care, unnecessary psychotropic medication administration, food safety violations, and failure to implement Enhanced Barrier Precautions (EBP) for residents with wounds or indwelling devices.
Complaint Details
The complaint investigation revealed failures in abuse reporting and investigation, care plan accuracy, pressure ulcer care, psychotropic medication administration, food safety, and infection control practices related to Enhanced Barrier Precautions.
Findings
The facility failed to timely report and investigate verbal abuse allegations for one resident, did not revise care plans accurately for two residents, failed to implement pressure ulcer treatment and prevention measures for one resident, administered unnecessary psychotropic medications to one resident, failed to maintain food safety standards in the kitchen, and did not implement required Enhanced Barrier Precautions for three residents with wounds or indwelling devices.
Deficiencies (7)
Failed to timely report an allegation of verbal abuse to the State Survey Agency for one resident.
Failed to thoroughly investigate an allegation of verbal abuse for one resident.
Failed to revise care plans accurately for two residents, including failure to identify inaccurate diagnosis and failure to address hospice services.
Failed to ensure pressure ulcer treatment orders and prevention measures were implemented for one resident.
Administered two separate doses of psychotropic medications without documented clinical need for one resident.
Failed to store foods in sealed containers, ensure cleanliness of the ice machine, and use adequate hand hygiene during food service.
Failed to implement Enhanced Barrier Precautions for three residents with chronic wounds or indwelling devices.
Report Facts
Residents reviewed for abuse: 25
Residents reviewed for care plan accuracy: 25
Residents reviewed for pressure ulcers: 25
Residents reviewed for psychotropic medication use: 25
Residents reviewed for Enhanced Barrier Precautions: 25
Resident R37 BIMS score: 15
Resident R345 BIMS score: 14
Resident R3 BIMS score: 15
Resident R10 BIMS score: 6
Open wound size on R3's left foot: 1.5
Open wound size on R3's left foot: 1
Psychotropic medication doses administered: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA7 | Certified Nursing Assistant | Named in verbal abuse allegation involving Resident R37 |
| FADON | Former Assistant Director of Nursing | Received verbal abuse report from Resident R37 and reported to Administrator |
| Director of Nursing | Director of Nursing | Provided statements on abuse reporting, care plan, wound care, and medication administration |
| LPN2 | Licensed Practical Nurse | Entered wound treatment order incorrectly and provided statements on wound care |
| Dietary Manager | Dietary Manager | Reported food safety violations and kitchen sanitation issues |
| Maintenance Director | Maintenance Director | Responsible for cleaning ice machine, confirmed cleaning but missed contamination on lid |
| Registered Nurse 2 | Registered Nurse | Provided statements on psychotropic medication administration and documentation |
| Certified Nursing Assistant 5 | Certified Nursing Assistant | Described catheter care procedures and PPE use |
| Licensed Practical Nurse 4 | Licensed Practical Nurse | New employee trained on infection control, unaware of Enhanced Barrier Precautions |
| Assistant Director of Nursing 1 | Assistant Director of Nursing | Provided training and statements on infection control and Enhanced Barrier Precautions |
| Infection Preventionist/Wound Care Nurse | Infection Preventionist/Wound Care Nurse | Provided statements on wound care assessments and Enhanced Barrier Precautions |
Inspection Report
Complaint Investigation
Census: 96
Deficiencies: 2
Date: Nov 8, 2023
Visit Reason
The inspection was conducted due to concerns about the facility's failure to ensure staff obtained physician's orders and assessed residents for safe administration of medications kept at the bedside for two sampled residents.
Complaint Details
The complaint investigation found that medications were left at bedside without physician's orders or assessments for self-administration, posing potential risk to residents. Staff interviews confirmed lack of policy and inconsistent medication administration practices.
Findings
The facility failed to have a policy on medication administration and did not ensure physician's orders or assessments for self-administration of medications were completed for residents with medications at bedside. Staff left medications at bedside without orders, and some residents had medications accessible without proper supervision or assessment.
Deficiencies (2)
Facility failed to ensure staff obtained physician's orders and assessed residents for safe administration of medication to be kept at the bedside for two sampled residents.
Facility provided no policy on medication administration.
Report Facts
Facility census: 96
Medication administration time: 7
Blood glucose reading: 153
Insulin units administered: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regional Nurse A | Stated facility lacked medication at bedside and self-administration policies | |
| Licensed Practical Nurse A | LPN | Stated staff should not leave medication on residents bedside table |
| Registered Nurse A | RN | Administered medications to Residents #1 and #2, left medications at bedside for Resident #1 |
| Certified Medication Technician A | CMT | Reported finding medications at bedside without proper supervision |
| Licensed Practical Nurse B | LPN | Described standard medication administration practices |
| Administrator | Expected medications left at bedside to have physician's order | |
| Assistant Director of Nursing | ADON | Expected staff to watch residents take medications and not leave medications at bedside |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 22, 2023
Visit Reason
The inspection was conducted as an annual survey of Northland Rehabilitation & Health Care Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 22, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction related to a survey completed on 02/22/2023 for Northland Rehabilitation & Health Care Center.
Findings
No health deficiencies were found during the survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 22, 2022
Visit Reason
The document is an annual inspection report for Northland Rehabilitation & Health Care Center, summarizing the findings of the survey completed on 12/22/2022.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 76
Deficiencies: 10
Date: Oct 17, 2019
Visit Reason
The inspection was a routine survey of Northland Rehabilitation & Health Care Center to assess compliance with regulatory requirements related to resident rights, advance directives, transfer/discharge notifications, care planning, medication administration, nutrition, infection control, and staffing.
Findings
The facility was found deficient in multiple areas including failure to post ombudsman contact information conspicuously, incomplete documentation and verification of advance directives, failure to provide timely written transfer/discharge notices, incomplete and non-person-centered care plans, improper insulin administration and delayed meal service, inadequate catheter and peri care, incomplete documentation of enteral feeding and water intake, failure to post nurse staffing data accessibly, and failure to ensure hand hygiene and infection control protocols were followed.
Deficiencies (10)
Failed to post in a conspicuous location a list of names, addresses and telephone numbers of all pertinent State agencies and advocacy groups.
Failed to ensure staff obtained appropriate documentation and signatures related to residents' advance directives.
Failed to provide written notice of transfer or discharge to residents or their responsible parties and the reasons for the transfer in writing, in a language they understood.
Failed to develop and implement comprehensive, person centered care plans that included measurable objectives to meet the residents' needs, conditions, and risks.
Failed to ensure staff followed professional standards of care when administering insulin and monitoring Low Air Loss mattress settings.
Failed to ensure staff provided complete peri care and catheter care in a manner to prevent infection or possibility of infection.
Failed to ensure staff documented enteral nutrition and water residents actually received and failed to follow facility guidelines related to enteral medication administration and feeding tube placement verification.
Failed to post the complete nurse staffing data in a prominent place readily accessible to all residents and visitors on a daily basis at the beginning of each shift.
Failed to provide residents with a nourishing, well-balanced diet, taking into consideration the preferences of each resident.
Failed to ensure staff followed hand washing/sanitizing protocols to prevent the spread of infection.
Report Facts
Residents affected: 11
Residents affected: 1
Residents affected: 3
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 4
Facility census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Provided wound care and discussed hand hygiene during wound treatment for Resident #52 |
| LPN C | Licensed Practical Nurse | Provided wound care and dressing changes for Resident #12 and Resident #36, with noted hand hygiene lapses |
| CNA E | Certified Nurse Aide | Provided peri and catheter care for Resident #31 and discussed proper peri care technique |
| CNA F | Certified Nurse Aide | Provided peri and catheter care for Resident #31 and discussed proper peri care technique |
| LPN A | Licensed Practical Nurse | Administered medications via feeding tube for Resident #213 and discussed feeding tube medication administration |
| CMT A | Certified Medication Technician | Administered medications to Resident #170 with noted hand hygiene lapses |
| Director of Nurses | Director of Nursing | Provided multiple interviews regarding care planning, insulin administration, hand hygiene, and staffing postings |
| Administrator | Facility Administrator | Provided interview regarding dietary services and meal delivery issues |
| Social Services Director | Social Services Director | Provided interview regarding transfer/discharge notices |
| MDS Coordinator | MDS Coordinator | Provided interview regarding care planning and Low Air Loss mattress monitoring |
| CNA A | Certified Nurse Aide | Provided interview regarding Resident #213 toileting assistance |
| CNA D | Certified Nurse Aide | Provided interview regarding Resident #52 repositioning and pressure ulcer care |
| Corporate Nurse | Corporate Nurse | Provided interview regarding transfer/discharge notices |
| Lead [NAME] | Lead Dietary Staff | Requested reprint of meal order tickets due to illegibility |
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