Inspection Reports for
Oakridge of Plattsburg
205 EAST CLAY AVE, PLATTSBURG, MO, 64477-8100
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
87% occupied
Based on a November 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Nov 17, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding a resident who sustained burns to the fingers after being left unattended during meal service.
Complaint Details
The complaint investigation found that Resident #1 was left unattended with hot food and sustained burns to the right hand fingers. The incident was witnessed by Resident #2. The facility was notified on 2025-10-07, and an investigation and corrective actions were promptly initiated.
Findings
The facility failed to provide adequate supervision and a safe dining environment for one resident who sustained burns to the fingers when left unattended during meal service. Corrective actions including staff training and new meal service policies were implemented and the non-compliance was corrected on 2025-10-07.
Deficiencies (1)
Failure to provide adequate supervision and a safe dining environment resulting in burns to a resident's fingers during meal service.
Report Facts
Facility census: 52
Blister size: 2
Blister size: 3
Blister size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN C | Licensed Practical Nurse | Interviewed regarding resident's need for assistance and meal supervision |
| LPN B | Licensed Practical Nurse | Assessed burns on resident's hand on 2025-10-07 |
| LPN A | Licensed Practical Nurse | Provided wound care to resident's right hand and fingers |
| CNA A | Certified Nursing Assistant | Noticed burns on resident's fingers and notified LPN A |
| RN A | Registered Nurse | Notified of burns and interviewed regarding skin assessment |
| DON | Director of Nursing | Notified of incident and contacted facility NP |
| Administrator | Aware of resident's burns and corrective measures implemented |
Inspection Report
Routine
Census: 55
Deficiencies: 7
Date: Nov 21, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, safety, medication administration, infection control, food service, and facility maintenance.
Findings
The facility was found deficient in multiple areas including environmental cleanliness and maintenance, inadequate personal care and hygiene for dependent residents, unsafe wheelchair practices, improper use and assessment of bed rails, medication administration errors, food safety violations, and failure to implement proper infection prevention and control measures.
Deficiencies (7)
Failed to provide a comfortable and homelike environment by not cleaning cobwebs, not repairing dining room chairs, and not securing handrails.
Failed to provide adequate care and assistance with activities of daily living including incomplete perineal care, lack of repositioning, toileting, and hygiene for dependent residents.
Pushed residents in wheelchairs who were able to propel themselves without footrests, posing safety risks and promoting decline in mobility.
Failed to assess residents for bed rail entrapment risks, obtain informed consent, physician orders, and complete quarterly safety assessments; failed to care plan side rails appropriately.
Medication administration errors including contamination of eye dropper tips, improper nasal spray administration, and unmeasured liquid medication doses resulting in a medication error rate of 19.35%.
Failed to maintain food safety standards including uncovered trash cans, improper hand washing and glove use, improper sanitizing of food prep surfaces, improper storage and labeling of food and spices, storing dishes face up, and improper thawing of meat.
Failed to implement infection prevention and control program adequately by not using enhanced barrier precautions for residents with wounds and catheters, failing to keep catheter drainage bags off the floor and contaminated surfaces, and not wearing gowns during wound care.
Report Facts
Medication errors: 6
Facility census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN C | Licensed Practical Nurse | Named in medication administration errors including eye dropper contamination and unmeasured liquid medication |
| CNA D | Certified Nurses Aide | Named in failure to keep catheter drainage bag off floor and failure to use enhanced barrier precautions |
| LPN A | Licensed Practical Nurse | Named in wound care without gown use and infection control deficiencies |
| LPN B | Licensed Practical Nurse | Named in wound care without gown use and infection control deficiencies |
Inspection Report
Routine
Census: 53
Deficiencies: 6
Date: Apr 7, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident dignity during dining, management of residents' personal funds, transfer/discharge notification, provision of personal care, and restorative therapy services.
Findings
The facility failed to ensure staff treated residents with dignity during dining by standing while assisting residents to eat. The facility also failed to keep residents' money separate from the facility's operating account and maintain a sufficient surety bond. Additionally, the facility did not provide timely and complete written transfer/discharge notices, failed to provide complete perineal care to dependent residents, and lacked an active restorative therapy program to maintain or improve residents' range of motion.
Deficiencies (6)
Staff failed to sit while assisting residents to eat, affecting dignity of three residents.
Facility failed to keep residents' money separated from the facility's operating account affecting eight residents.
Facility failed to maintain a surety bond sufficient to cover residents' money in the Resident Trust Fund account.
Facility failed to provide timely and complete written notice of transfer or discharge to residents or their representatives.
Facility staff failed to provide complete perineal care to dependent residents, not separating skin folds or using clean wipes appropriately.
Facility failed to provide appropriate restorative therapy services to residents with limited range of motion due to staffing issues and lack of active program.
Report Facts
Residents affected: 3
Residents affected: 8
Residents affected: 3
Residents affected: 3
Residents affected: 4
Facility census: 53
Resident funds in operating account: 1190.88
Resident funds in operating account: 860.06
Resident funds in operating account: 3411.46
Resident funds in operating account: 176.35
Resident funds in operating account: 1899.91
Resident funds in operating account: 140.18
Resident funds in operating account: 4197.4
Resident funds in operating account: 5566.25
Surety bond amount: 10000
Average monthly balance: 11923.42
Required bond amount: 18000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA D | Certified Nurse Aide | Named in dignity during dining deficiency for standing while assisting residents to eat |
| Director of Nursing | Director of Nursing | Provided statements regarding dining assistance policy and restorative therapy program |
| Business Office Manager | Business Office Manager | Interviewed regarding resident funds in operating account and surety bond |
| CNA C | Certified Nurse Aide | Named in perineal care deficiency for improper wiping technique |
| CNA B | Certified Nurse Aide | Named in perineal care deficiency for improper wiping technique |
| CNA A | Certified Nurse Aide | Named in restorative therapy deficiency and perineal care deficiency |
| Physical Therapy Director | Physical Therapy Director | Interviewed regarding lack of active restorative therapy program |
Inspection Report
Routine
Census: 56
Deficiencies: 8
Date: Oct 17, 2019
Visit Reason
The inspection was conducted to assess compliance with federal regulations related to employee screening, resident transfer and discharge notifications, care planning, professional standards of care, call light accessibility, catheter care, and medication storage.
Findings
The facility failed to check the Nurse Aide Registry for all new hires, provide written transfer/discharge notices and bed hold policy information to residents, develop and implement complete care plans for residents, follow physician orders for oxygen monitoring and catheter care, ensure call lights and water pitchers were accessible to residents, and properly discard expired medications from medication carts. Several residents were affected by these deficiencies, with minimal harm noted.
Deficiencies (8)
Failed to check Nurse Aide Registry for five newly hired employees.
Failed to provide written notice of transfer or discharge and reasons to residents or their representatives for three sampled residents.
Failed to provide written information on bed hold policy to three sampled residents upon transfer to hospital.
Failed to develop and implement complete care plans consistent with residents' specific conditions and needs for two sampled residents.
Failed to meet professional standards of quality by not following physician orders for oxygen saturation monitoring and catheter care for two sampled residents.
Failed to ensure call lights were within reach and accessible for two sampled residents and failed to place water pitcher within reach for one resident.
Failed to provide appropriate catheter care and prevent urinary tract infections for one sampled resident with a suprapubic catheter.
Failed to discard expired medications and biologicals stored within medication carts.
Report Facts
Residents affected by NA registry check deficiency: 5
Residents affected by transfer/discharge notice deficiency: 3
Residents affected by bed hold policy deficiency: 3
Residents affected by care plan deficiency: 2
Residents affected by professional standards deficiency: 2
Residents affected by call light deficiency: 3
Residents affected by catheter care deficiency: 1
Expired medications found: 4
Facility census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse B | Licensed Practical Nurse | Named in deficiency for not having Nurse Aide Registry check. |
| Housekeeping Aide A | Housekeeping Aide | Named in deficiency for not having Nurse Aide Registry check. |
| Certified Nursing Aide B | Certified Nursing Aide | Named in deficiency for not having Nurse Aide Registry check. |
| Certified Nurse Aide A | Certified Nurse Aide | Observed providing catheter care improperly and delayed response to resident call light. |
| Director of Nursing | Director of Nursing | Interviewed regarding deficiencies in care planning, catheter care, call light placement, and medication cart checks. |
| Certified Medication Technician A | Certified Medication Technician | Interviewed about expired medications found in medication carts. |
| Registered Nurse A | Registered Nurse | Interviewed about resident's neck contracture and care needs. |
| Restorative Aide | Restorative Aide | Interviewed about resident's neck contracture and assistance needs. |
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