Inspection Reports for
Oak Pointe of Warrenton
700 Forrest Ave, Warrenton, MO 63383, USA, MO, 63383
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
70% occupied
Based on a October 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 50
Deficiencies: 1
Date: Oct 22, 2024
Visit Reason
The visit was conducted to assess compliance with fire alarm system maintenance regulations and to document deficiencies related to the facility's fire alarm system inspection.
Findings
The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. The semi-annual fire alarm inspection was not documented, and the last annual inspection was conducted on 12-27-2023.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system as required by NFPA 72, 1999 edition, missing the semi-annual inspection documentation.
Report Facts
Facility census: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Hearn | Executive Director | Signed the statement of deficiencies and plan of correction |
Inspection Report
Plan of Correction
Census: 51
Deficiencies: 4
Date: Oct 31, 2023
Visit Reason
The inspection was conducted to identify deficiencies related to oxygen storage, community based assessments, individual service plans, and medication administration at Oak Pointe of Warrenton.
Findings
The facility failed to properly store oxygen cylinders, update community based assessments and individual service plans for residents with significant condition changes, and maintain a safe and effective medication system. Multiple residents' records showed missing or outdated documentation and medication errors.
Deficiencies (4)
19 CSR 30-86.022(17) Oxygen Storage Requirements. Facility staff failed to store oxygen cylinders in accordance with NFPA 99, 1999 Edition, resulting in unsecured cylinders accessible to unauthorized persons.
19 CSR 30-86.047(28)(F)(1)(C) Community Based Assessment-Significant Change. Facility staff failed to update four residents' community based assessments after significant condition changes.
19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements. Facility staff failed to update four residents' individual service plans following significant condition changes requiring additional services.
19 CSR 30-86.047(46) Safe & Effective Medication System. Facility staff failed to implement an effective medication administration system, resulting in medication being out of stock and missed doses for one resident.
Report Facts
Facility census: 51
Number of oxygen cylinders unsecured: 9
Residents with outdated community based assessments: 4
Residents with outdated individual service plans: 4
Medication doses missed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Swojana Horn | Executive Director | Named in plan of correction signature and responsible for corrective actions |
| Director of Nursing | Director of Nursing | Interviewed regarding residents' assessments, service plans, and medication administration issues |
| LIMA A | Level One Medication Aide | Interviewed about medication administration and missed doses |
| LIMA B | Level One Medication Aide | Interviewed about medication administration and missed doses |
Inspection Report
Plan of Correction
Census: 41
Deficiencies: 1
Date: Dec 12, 2022
Visit Reason
The inspection was conducted to evaluate the facility's medication administration system and compliance with regulatory requirements related to medication control and use.
Findings
The facility failed to implement an effective medication administration system, resulting in unavailable physician-prescribed medication for one resident. Staff did not document notification to the physician or pharmacy about the medication unavailability.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to ensure physician-prescribed medication was available for one resident, and staff did not document communication with the physician or pharmacy regarding the medication unavailability.
Report Facts
Facility census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Horn | Executive Director | Signed the statement of deficiencies and plan of correction |
| Director of Nursing | Interviewed regarding medication availability and monitoring | |
| Administrator | Interviewed regarding responsibility for medication monitoring |
Inspection Report
Plan of Correction
Census: 41
Deficiencies: 1
Date: Apr 4, 2022
Visit Reason
The document is a plan of correction following a survey conducted on 04/04/2022 regarding medication administration deficiencies at Oak Pointe of Warrenton.
Findings
The facility failed to implement an effective medication administration system, specifically failing to ensure physician-prescribed medication was available and properly documented for one resident. Multiple instances of missing documentation on the Medication Administration Record (MAR) were noted.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System. The facility failed to implement an effective medication administration system ensuring medications were administered as prescribed and properly documented for Resident #1.
Report Facts
Facility census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Moen | Executive Director | Signed the statement of deficiencies and plan of correction |
| Level One Medication Aide (L1MAA) | Interviewed regarding medication administration issues | |
| Director of Nursing (DON) | Interviewed regarding medication administration and documentation |
Inspection Report
Plan of Correction
Census: 43
Deficiencies: 2
Date: Oct 7, 2021
Visit Reason
The document is a plan of correction submitted following a deficiency statement related to fire alarm system testing and maintenance at the facility.
Findings
The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. No semi-annual or annual fire alarm system inspections had been conducted or documented as required, potentially affecting all 43 residents.
Deficiencies (2)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system per NFPA 72, 1999 edition. No semi-annual fire alarm system inspection had been conducted or documented.
19 CSR 30-86.022(9)(D) Fire Alarm System Inspections/Certifications. The facility failed to have the fire alarm system inspected and tested at least annually by an approved qualified service person as required by NFPA 72, 1999 edition.
Report Facts
Facility census: 43
Inspection Report
Plan of Correction
Census: 56
Deficiencies: 1
Date: Nov 12, 2019
Visit Reason
The inspection was conducted as part of the fire safety portion of the licensure inspection on 11/12/2019.
Findings
The facility failed to ensure all trash cans were solid metal or UL- or FM-fire resistant rated. Several wastebaskets were observed that were plastic and/or metal mesh, which is not compliant with fire safety regulations.
Deficiencies (1)
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure all trash cans were solid metal or UL- or FM-fire resistant rated. Several wastebaskets were plastic and/or metal mesh.
Report Facts
Facility census: 56
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 16
Date: Nov 19, 2018
Visit Reason
The inspection was conducted to investigate compliance with tuberculosis screening requirements, individual service plans, medication review, employee orientation, and other regulatory standards at Oak Pointe of Warrenton.
Complaint Details
The visit was complaint-related, focusing on tuberculosis screening, individual service plans, medication reviews, and employee orientation. Specific substantiation status is not stated.
Findings
The facility failed to screen residents and staff for tuberculosis as required, did not develop individual service plans for sampled residents, failed to complete monthly medication summaries, and did not ensure proper orientation training for sampled employees. Multiple deficiencies were identified across various regulatory requirements.
Deficiencies (16)
19 CSR 30-86.047(19) TB Screen Residents & Staff: The facility failed to screen two of three sampled employees and two of five residents for tuberculosis as required by state regulations.
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: The facility staff failed to develop individual service plans for four of five sampled residents.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: The facility failed to complete monthly summaries of residents' general condition and needs for four of five sampled residents.
19 CSR 30-86.047(62)(A) Orientation - Job Responsibilities: The facility failed to ensure two of three sampled employees received orientation training on job responsibilities prior to or on the first day of employment.
19 CSR 30-86.047(62)(B) Orientation - Emergency Response: The facility failed to ensure two of three sampled employees received orientation training on emergency response procedures.
19 CSR 30-86.047(62)(C) Orientation - Infection Control/Handwashing: The facility failed to ensure two of three sampled employees received orientation training on infection control and handwashing procedures.
19 CSR 30-86.047(62)(D) Orientation - Confidentiality: The facility failed to ensure two of three sampled employees received orientation training on confidentiality of resident information.
19 CSR 30-86.047(62)(E) Orientation - Resident Dignity: The facility failed to ensure two of three sampled employees received orientation training on preservation of resident dignity.
19 CSR 30-86.047(62)(F) Orientation - Abuse/Neglect Info: The facility failed to ensure two of three sampled employees received orientation training on abuse and neglect.
19 CSR 30-86.047(62)(G) Orientation - EDL: The facility failed to ensure two of three sampled employees received orientation training on the Employee Disqualification List.
19 CSR 30-86.047(62)(H) Orientation - Resident Rights/Property: The facility failed to ensure two of three sampled employees received orientation training on resident rights and protection of property.
19 CSR 30-86.047(62)(I) Orientation - Resident Mental Illness: The facility failed to ensure two of three sampled employees received orientation training on working with residents with mental illness.
19 CSR 30-86.047(62)(J) Orientation - Person Centered Care/Social Model: The facility failed to ensure two of three sampled employees received orientation training on person-centered care and social model of care.
19 CSR 30-83.047(63)(A) Alz/Dementia Training-Direct Care Staff, 3 hr: The facility failed to ensure two of three sampled employees received orientation training on Alzheimer's and dementia care.
19 CSR 30-86.047(65)(A) Safe Transfers Training Requirements: The facility failed to ensure two of three sampled employees received orientation training on safe transferring of residents.
19 CSR 30-88.010(36) Personal Clothing/Possessions: The facility failed to maintain a record of personal possessions for four of five sampled residents.
Report Facts
Facility census: 53
Number of sampled residents: 5
Number of sampled employees: 3
Inspection Report
Life Safety
Census: 61
Deficiencies: 2
Date: Sep 12, 2018
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with fire alarm and sprinkler system maintenance and testing regulations.
Findings
The facility failed to maintain and test the complete fire alarm system and sprinkler system in accordance with NFPA 72, 1999 edition. Specific issues included lack of semi-annual fire alarm inspection and improperly positioned escutcheon rings in the dining room.
Deficiencies (2)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to test and maintain the complete fire alarm system as required, missing the semi-annual fire alarm inspection.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing: The facility failed to maintain the sprinkler system in accordance with NFPA 13, with escutcheon rings improperly positioned creating a gap.
Report Facts
Facility census: 61
Escutcheon rings observed: 3
Viewing
Loading inspection reports...
