Inspection Reports for
Quail Run Health Care Center
1405 WEST GRAND AVE, CAMERON, MO, 64429-1118
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
10.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
91% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
32 residents
Based on a January 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Census: 32
Deficiencies: 1
Date: Jan 7, 2026
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulations regarding transfer and discharge procedures, specifically focusing on whether the facility allowed a resident to return after hospital transfer and documented reasons for denial of return.
Findings
The facility failed to allow one resident to return after hospital transfer without documenting the reason in the medical record why the resident's needs could not be met. The resident exhibited significant behavioral and psychiatric issues, and the facility cited safety concerns for other residents as the reason for non-admission, but did not properly document this in the resident's record.
Deficiencies (1)
Failure to allow a resident to return to the facility after hospital transfer without documented reason in the medical record.
Report Facts
Residents affected: 1
Facility census: 32
Inspection Report
Routine
Census: 56
Deficiencies: 1
Date: Nov 7, 2024
Visit Reason
The inspection was conducted to evaluate the facility's pest control program and ensure it effectively prevents and deals with flies and other pests within the nursing home.
Findings
The facility failed to maintain an effective pest control program to prevent flies in resident rooms and dining areas, resulting in flies landing on residents and their food. The facility had recently started a new pest control program and was working with an outside service to address the issue.
Deficiencies (1)
Failure to maintain an effective pest control program to prevent flies in the facility, resulting in flies landing on residents and their food.
Report Facts
Facility census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding the source of flies and pest control program | |
| Administrator | Interviewed regarding the pest control program and efforts to address flies |
Inspection Report
Annual Inspection
Census: 56
Deficiencies: 16
Date: Nov 7, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements and resident care standards.
Findings
The facility was found deficient in multiple areas including resident dignity and respect, call light accessibility, grievance process, advance directives, care planning, quality of care, medication management, staff competencies, infection control, food safety, and pest control. Deficiencies ranged from minimal harm to potential for actual harm affecting some or few residents.
Deficiencies (16)
Failed to treat residents with dignity and respect by not addressing residents by their preferred names and failing to assist with eating and dressing.
Failed to reasonably accommodate resident needs by not ensuring call lights were within reach for residents.
Failed to consider and respond to resident council grievances and failed to communicate back with residents regarding their concerns.
Failed to ensure staff invoked Durable Power of Attorney prior to allowing a resident to sign a Do Not Resuscitate form and failed to obtain advance directives for code status.
Failed to maintain a sanitary, orderly, and comfortable environment including housekeeping and maintenance issues such as dirty floors, broken tiles, odors, and missing call light cords.
Failed to provide call light cords in resident bathrooms and maintain doors accessible to residents.
Failed to develop comprehensive person-centered care plans for residents and failed to invite residents or responsible parties to care plan meetings.
Failed to ensure staff provided services meeting professional standards including lack of physician orders for dialysis and improper monitoring of low air loss mattress settings.
Failed to provide complete perineal care and ensure showers or bed baths were completed as scheduled.
Failed to ensure nurse aides completed competencies upon hire and annually.
Failed to ensure consultant pharmacist performed monthly drug regimen reviews and that physician was notified of recommendations.
Failed to ensure medication administration was free of errors including use of expired insulin and improper administration of eye drops, nasal sprays, and mixing of medications.
Failed to employ a dietary manager with appropriate competencies and skills to carry out food and nutrition service functions.
Failed to maintain kitchen and food storage in a sanitary manner including dirty equipment, food thawing improperly, and dirty dishes.
Failed to ensure staff practiced hand hygiene when performing resident care tasks.
Failed to maintain an effective pest control program to prevent flies in the facility.
Report Facts
Medication errors: 8
Resident census: 56
Staff hire dates: CNA E hired 2/21/24, CNA D hired 8/21/23, CNA C hired 4/15/24.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA C | Certified Nurse Aide | Named in deficient perineal care and hand hygiene findings. |
| CNA D | Certified Nurse Aide | Named in deficient perineal care and hand hygiene findings. |
| LPN B | Licensed Practical Nurse | Named in medication administration and low air loss mattress monitoring findings. |
| CMT A | Certified Medication Technician | Named in medication administration errors including eye drops and nasal spray. |
| Director of Nursing | Director of Nursing | Provided expectations and comments on multiple deficient areas including care planning, medication administration, hand hygiene, and grievance process. |
| Administrator | Administrator | Provided comments on grievance process, dietary manager training, kitchen maintenance, and pest control. |
| Maintenance Supervisor | Maintenance Supervisor | Named in kitchen maintenance and pest control findings. |
| Registered Dietitian | Registered Dietitian | Provided expectations on kitchen cleanliness and dietary manager training. |
| Regional Quality Assurance Nurse | Regional Quality Assurance Nurse | Provided comments on medication regimen reviews and low air loss mattress monitoring. |
Inspection Report
Annual Inspection
Census: 51
Deficiencies: 9
Date: May 2, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal regulations related to resident care, medication administration, activities, trauma-informed care, nurse aide training, food preparation, and kitchen sanitation.
Findings
The facility was found deficient in multiple areas including failure to provide proper Skilled Nursing Facility Advance Beneficiary Notices, incomplete trauma-informed care planning for residents with PTSD, inadequate care planning for resident activity preferences, failure to document medication administration properly, insufficient assistance with activities of daily living such as bathing and grooming, lack of a qualified activity professional, failure to provide appropriate pureed food consistency, and poor kitchen sanitation.
Deficiencies (9)
Failed to provide Skilled Nursing Facility Advance Beneficiary Notices (ABN) using the most current CMS-10055 form to residents.
Failed to develop and implement a comprehensive person-centered trauma informed plan of care for a resident with PTSD.
Failed to revise care plans to accurately represent the care needs including activity and recreation needs for multiple residents.
Failed to document administration of physician ordered medications on the Medication Administration Record (MAR) for three residents.
Failed to ensure residents received necessary services to maintain good grooming and personal hygiene when showers were not provided twice a week.
Failed to provide ongoing program of activities designed to meet residents' needs for five residents.
Failed to employ a qualified activity professional to oversee the activity program; the activity director had not completed approved training.
Failed to provide pureed foods at an appropriate texture and consistency; pureed foods were stringy and contained particles.
Failed to maintain the kitchen in a sanitary manner; missing floor tiles, food debris, grease buildup, and dust were observed in multiple areas.
Report Facts
Residents affected: 3
Residents affected: 1
Residents affected: 5
Residents affected: 3
Residents affected: 4
Residents affected: 5
Staff affected: 5
Facility census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA B | Nurse Aide | Mentioned as employed without completed nurse aide training and involved in care deficiencies |
| NA C | Nurse Aide | Mentioned as employed without completed nurse aide training and involved in care deficiencies |
| NA D | Nurse Aide | Mentioned as employed without completed nurse aide training and involved in care deficiencies |
| NA E | Nurse Aide | Mentioned as employed without completed nurse aide training and involved in care deficiencies |
| NA F | Nurse Aide | Mentioned as employed without completed nurse aide training and involved in care deficiencies |
| Cook A | Cook | Observed preparing pureed food not meeting consistency standards |
| Director of Nursing | Director of Nursing | Interviewed regarding medication administration and nurse aide training deficiencies |
| Administrator | Administrator | Interviewed regarding ABN forms, activity program, nurse aide training, and other deficiencies |
| Certified Medication Technician A | Certified Medication Technician | Interviewed regarding medication administration documentation |
| Licensed Practical Nurse C | Licensed Practical Nurse | Interviewed regarding medication administration and PTSD care |
| Certified Nurse Aide E | Certified Nurse Aide | Interviewed regarding PTSD care and resident behaviors |
| Social Services Director | Social Services Director | Interviewed regarding PTSD care and training |
| Activity Director | Activity Director | Interviewed regarding activity program and training |
| Dietary Manager | Dietary Manager | Interviewed regarding pureed food preparation and kitchen sanitation |
| Registered Dietician | Registered Dietician | Interviewed regarding pureed food preparation and kitchen sanitation |
| Nurse Aide B | Nurse Aide | Interviewed regarding bathing and grooming care |
| Nurse Aide C | Nurse Aide | Interviewed regarding bathing and grooming care |
| Nurse Aide D | Nurse Aide | Interviewed regarding bathing and grooming care |
| Licensed Practical Nurse B | Licensed Practical Nurse | Interviewed regarding bathing and grooming care |
Inspection Report
Routine
Census: 48
Deficiencies: 15
Date: Dec 3, 2021
Visit Reason
The inspection was conducted as a routine regulatory survey of Quail Run Health Care Center to assess compliance with healthcare facility regulations and standards.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity during insulin administration, improper management of resident funds, failure to complete required assessments such as MDS and PASARR, inadequate care planning, medication administration errors, improper transfer techniques, inadequate personal care, failure to treat constipation appropriately, failure to reposition residents timely, unsafe respiratory care practices, and improper food storage and labeling.
Deficiencies (15)
Failure to assure staff maintained resident dignity during insulin administration in a non-private setting.
Failure to provide personal funds and final accounting within thirty days upon discharge for residents.
Failure to purchase a surety bond with sufficient amount to cover residents' personal funds.
Failure to utilize correct Skilled Nursing Facility Beneficiary Notice of Non-coverage (SNF ABN) form for residents.
Failure to provide timely notification of transfer or discharge including required contact information.
Failure to complete Minimum Data Set (MDS) assessment upon admission and periodically as required.
Failure to identify and complete significant change MDS for resident with decline in condition.
Failure to complete PASARR Level II screening for residents with serious mental illness as indicated.
Failure to update comprehensive, person-centered care plan to address resident needs including falls and hospice admission.
Failure to follow professional standards of care in medication administration including blood pressure monitoring, eye drop administration, and medication storage.
Failure to provide adequate perineal care and complete morning care for residents unable to perform ADLs.
Failure to provide appropriate treatment for constipation and failure to reposition resident every 2 hours.
Failure to ensure safe resident transfers including improper use and placement of gait belts.
Failure to provide safe and appropriate respiratory care including failure to date oxygen and nebulizer tubing.
Failure to prepare and store food in accordance with professional standards including failure to label and date food items.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 3
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 3
Residents affected: 3
Residents affected: 2
Residents affected: 3
Residents affected: 4
Food items: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN B | Licensed Practical Nurse | Named in findings related to insulin administration, eye drop administration, and oxygen tubing |
| CNA A | Certified Nurse Aide | Named in findings related to perineal care and resident transfers |
| CNA B | Certified Nurse Aide | Named in findings related to perineal care and resident transfers |
| CNA C | Certified Nurse Aide | Named in findings related to perineal care and resident transfers |
| CNA D | Certified Nurse Aide | Named in findings related to resident repositioning and feeding |
| Administrator | Facility Administrator | Provided interview statements regarding expectations for care and compliance |
| Business Office Manager | Business Office Manager | Named in findings related to resident funds and beneficiary notices |
| Director of Nursing | Director of Nursing | Named in findings related to care planning, transfers, and staff training |
| Social Services Director | Social Services Director | Named in findings related to PASARR screenings and medication administration |
| Restorative Aide A | Restorative Aide | Named in findings related to resident transfers and perineal care |
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