Inspection Reports for
Prairie View Skilled Nursing
606 WEST MISSOURI ST, BLOOMFIELD, MO, 63825-9706
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
77% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 46
Deficiencies: 7
Date: Apr 3, 2025
Visit Reason
The inspection was conducted as a routine regulatory oversight visit to assess compliance with federal regulations related to resident transfer/discharge notifications, bed-hold policies, behavioral health services, medication management, insulin administration, and dietary services.
Findings
The facility was found deficient in multiple areas including failure to provide written transfer/discharge notices to residents and representatives, failure to inform residents of bed-hold policies in writing, inadequate trauma-informed care for a resident with PTSD, failure to reconcile narcotics properly, medication errors related to insulin administration, and failure to employ a qualified dietary manager.
Deficiencies (7)
Failed to provide written notice of transfer or discharge to residents and/or their representatives for three residents.
Failed to inform residents and representatives in writing of the facility's bed-hold policy at the time of hospital transfer for three residents.
Failed to identify, assess, and provide supportive interventions for a resident with PTSD, including lack of documentation of trauma triggers and incomplete behavioral health assessments.
Failed to ensure narcotics were reconciled at each shift change and failed to accurately administer, document, dispose of, and reconcile medications for one resident.
Failed to maintain medication error rate below 5%, with errors in insulin administration including failure to check blood sugar prior to administration and incorrect dosing.
Failed to ensure a resident was free from significant medication errors related to insulin administration without checking blood sugar prior to administration.
Failed to employ a qualified director of food and nutrition services; the Dietary Manager lacked required certification and experience.
Report Facts
Facility census: 46
Narcotic count reconciliation missed opportunities: 16
Narcotic count reconciliation missed opportunities: 25
Narcotic count reconciliation missed opportunities: 37
Narcotic count reconciliation missed opportunities: 15
Narcotic count reconciliation missed opportunities: 6
Narcotic count reconciliation missed opportunities: 12
Narcotic count reconciliation missed opportunities: 31
Narcotic count reconciliation missed opportunities: 41
Medication error rate: 10.71
Medication administration opportunities: 28
Medication errors: 3
Insulin dose: 3
Insulin dose: 6
Insulin dose: 9
Insulin dose: 9
Insulin dose: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CMT B | Certified Medication Technician | Named in medication error findings related to insulin administration and narcotic reconciliation |
| Director of Nursing | Director of Nursing (DON) | Named in narcotic reconciliation and medication administration findings |
| Social Service Director | Social Service Director (SSD) | Interviewed regarding transfer/discharge and bed-hold notification policies |
| Licensed Practical Nurse A | Licensed Practical Nurse (LPN) | Interviewed regarding verbal notification of hospital transfers |
| Administrator | Facility Administrator | Interviewed regarding transfer/discharge notices, bed-hold policies, narcotic reconciliation, and dietary manager certification |
| Dietary Manager | Dietary Manager (DM) | Named in deficiency for lack of required certification and experience |
| Registered Dietician | Registered Dietician (RD) | Provided guidance on dietary employee certification requirements |
Inspection Report
Annual Inspection
Census: 34
Deficiencies: 8
Date: Apr 26, 2024
Visit Reason
The inspection was conducted to assess compliance with professional standards of quality in a skilled nursing facility, including physician orders, wound care, therapy services, catheter care, medication administration, restorative nursing, infection control, and medication labeling and storage.
Findings
The facility failed to obtain physician orders for colostomy care, failed to follow wound care and therapy orders, improperly placed Foley catheter drainage bags, had a medication error rate above 5%, failed to label and store medications properly, and did not maintain proper infection control practices during medication administration, incontinent care, wound care, and blood glucose monitoring.
Deficiencies (8)
Failed to obtain a physician's order for colostomy care for Resident #11.
Failed to follow wound care orders for Resident #17, missing two out of five wound care opportunities.
Failed to follow physician orders for PT, OT, and ST evaluations and treatments for Residents #26 and #30.
Failed to provide appropriate restorative nursing care to Resident #8, missing multiple therapy opportunities.
Failed to ensure proper placement and privacy of Foley catheter drainage bag for Resident #27.
Medication error rate of 8.57% with three errors in medication administration for Residents #1, #5, and #22.
Failed to label insulin pens with opened or expiration dates as required.
Failed to maintain proper infection control practices during medication administration, incontinent care, wound care, and blood glucose monitoring for multiple residents.
Report Facts
Census: 34
Medication error opportunities: 35
Medication errors: 3
Medication error rate: 8.57
Missed restorative therapy opportunities: 15
Missed wound care opportunities: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Technician A | Named in medication error findings and infection control observations | |
| Assistant Director of Nursing | ADON | Interviewed regarding wound care orders, therapy evaluations, medication administration, and infection control |
| Director of Nursing | DON | Interviewed regarding physician orders, therapy evaluations, medication administration, and infection control |
| Certified Nursing Aide B | CNA | Observed and interviewed regarding incontinent care and infection control |
| Certified Nursing Aide E | CNA | Observed during incontinent care and infection control |
| Restorative Nurse Aide | RNA | Interviewed regarding restorative therapy completion |
| Administrator | Interviewed regarding physician orders, therapy evaluations, and medication administration | |
| Corporate Nurse | Interviewed regarding electronic medical records and therapy orders |
Inspection Report
Annual Inspection
Census: 15
Deficiencies: 5
Date: Oct 22, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care planning, staffing, and notification procedures in a skilled nursing facility.
Findings
The facility was found deficient in ensuring accurate advance directives for residents, timely notification of Medicare non-coverage, complete and updated individualized care plans reflecting residents' elected code status, involvement of residents and families in care planning, and designation of a full-time registered nurse as Director of Nursing.
Deficiencies (5)
Failed to ensure the accuracy of advance directives regarding resuscitation status for five residents.
Failed to complete and notify in the proper time frame for the Notice of Medicare Non-Coverage for one resident.
Failed to ensure residents had complete, accurate, and individualized care plans addressing elected code status with measurable goals and interventions.
Failed to ensure resident and/or family involvement in the revision or updating of care plans.
Failed to designate a Registered Nurse to serve as Director of Nursing on a full-time basis.
Report Facts
Residents affected: 5
Residents affected: 1
Residents affected: 4
Residents affected: 4
Facility census: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding care plan process, notification expectations, and staffing | |
| Social Services/Activity Director (SS/AD) | Interviewed regarding Medicare Non-Coverage notification and care plan process | |
| RN A | Registered Nurse | Interviewed regarding lack of full-time Director of Nursing |
| MDS Coordinator | Responsible for care plan completion and updates; interviewed regarding resident/family involvement |
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