Inspection Reports for
Ravenwood Terrace Senior Living

1830 Ravenwood Dr, Moberly, MO 65270, United States, MO, 65270

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 3.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

38% better than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2018
2019
2021
2023
2025

Occupancy

Latest occupancy rate 73% occupied

Based on a May 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

20% 40% 60% 80% 100% Aug 2018 Oct 2021 Jan 2025 May 2025

Inspection Report

Plan of Correction
Census: 40 Deficiencies: 1 Date: May 20, 2025

Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Ravenwood Terrace Assisted Living related to failure to update an Individualized Service Plan after multiple resident falls.

Findings
The facility failed to update one resident's Individualized Service Plan after multiple falls with injuries. The resident had multiple falls between January and May 2025, with injuries including lacerations and bruising, and the facility did not add new interventions or update the ISP accordingly.

Deficiencies (1)
19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements. The facility failed to update one resident's ISP after multiple falls with injuries, despite documented incidents and risk factors.
Report Facts
Facility census: 40 Completion date for plan of correction: Jul 3, 2025

Employees mentioned
NameTitleContext
Raoul ActonLNHASigned the Plan of Correction document

Inspection Report

Plan of Correction
Census: 40 Deficiencies: 5 Date: Feb 26, 2025

Visit Reason
The inspection was conducted to identify deficiencies related to fire safety, hazardous area requirements, combustible materials storage, wastebasket compliance, electrical wiring maintenance, and extension cord usage at Ravenwood Terrace-Assisted Living by Americare.

Findings
The facility failed to meet several fire safety and hazardous area requirements, including inadequate separation of hazardous areas, storage of unnecessary combustible materials, use of non-compliant wastebaskets, lack of timely electrical wiring inspections, and improper use of extension cords and electrical appliances in resident rooms.

Deficiencies (5)
19 CSR 30-86.022(10)(A) Hazardous Area Requirements. The facility failed to ensure hazardous areas were separated by at least a one-hour fire-resistant rating, affecting 21 of 21 residents in the Ravenwood building.
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility stored unnecessary combustible materials in the building, affecting 19 of 19 residents in the Arbors building.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to use only metal or UL- or FM-fire-resistant rated wastebaskets, affecting 19 residents in the Arbors building.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have electrical wiring inspected every two years by a qualified electrician, affecting all 40 residents in the main building.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles. The facility failed to ensure extension cords complied with electrical appliance standards, affecting 21 of 21 residents in the Ravenwood building.
Report Facts
Facility census: 40 Residents affected: 21 Residents affected: 19 Residents affected: 40 Residents affected: 21

Inspection Report

Plan of Correction
Census: 19 Deficiencies: 2 Date: Jan 2, 2025

Visit Reason
The document is a plan of correction following a state survey inspection conducted on January 2, 2025, at Ravenwood Terrace Assisted Living. The visit was to address deficiencies related to cleanliness and odor control in resident rooms.

Findings
The facility failed to maintain rooms neat, orderly, and free from urine odors, particularly in Resident #1's room. The facility also failed to ensure Resident #1 was groomed and free from body odor, with repeated refusals to shower documented.

Deficiencies (2)
19 CSR 30-86.032(23) Rooms Neat, Orderly, Cleaned Daily. The facility failed to ensure urine odors in Resident #1's room were eliminated, with strong odors observed in the bathroom and bedding. The facility census was 19.
19 CSR 30-86.047(38) Assist to be Clean & Odor Free. The facility failed to ensure Resident #1 was groomed and free of odor, with documented refusals to shower and strong urine odor noted. The census was 19.
Report Facts
Facility census: 19 Deficiencies cited: 2

Employees mentioned
NameTitleContext
Director of NursingInterviewed regarding Resident #1's refusal to shower and care
Housekeeper DInterviewed regarding room cleaning and odor issues

Inspection Report

Plan of Correction
Census: 34 Deficiencies: 1 Date: Feb 28, 2023

Visit Reason
The inspection was conducted to assess compliance with controlled substance reconciliation requirements at Ravenwood Terrace Assisted Living. The document includes a statement of deficiencies and a plan of correction related to medication reconciliation.

Findings
The facility failed to ensure inventories of Schedule II controlled substances were reconciled each shift as required. Staff failed to sign Controlled Dosage System count sheets for multiple shifts across January and February 2023, indicating incomplete medication reconciliation.

Deficiencies (1)
19 CSR 30-86.047(51)(A)(1) Schedule II Meds-Reconcile Each Shift, Record: The facility failed to maintain accurate controlled substance reconciliation records as staff did not sign Controlled Dosage System count sheets for multiple shifts in January and February 2023.
Report Facts
Facility census: 34

Inspection Report

Plan of Correction
Census: 14 Deficiencies: 1 Date: Oct 8, 2021

Visit Reason
The inspection was conducted due to a deficiency related to protective oversight for a resident at high risk of elopement.

Findings
The facility failed to provide protective oversight for a high-risk resident who eloped by exiting through a window and walking 0.2 miles to a nearby college campus. Window stoppers were missing or not installed on several windows, and staff failed to monitor the resident adequately.

Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight was not met as the facility failed to provide 24-hour protective oversight for a resident at high risk of elopement who left the premises without staff knowledge.
Report Facts
Facility census: 14 Elopement risk score: 13

Employees mentioned
NameTitleContext
Director of NursingMentioned as entering resident's room and involved in oversight
AdministratorMentioned as leaving car to find resident and approving plan of correction

Inspection Report

Renewal
Census: 33 Deficiencies: 1 Date: Mar 7, 2019

Visit Reason
The inspection was conducted as part of the licensure inspection including the fire safety portion on March 7, 2019.

Findings
The facility failed to have the electrical wiring inspection done every two years as required. The last electrical wiring inspection expired on 02/28/2019.

Deficiencies (1)
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have the electrical wiring inspection done every two years as required. The last inspection expired on 02/28/2019.
Report Facts
Facility census: 33

Inspection Report

Plan of Correction
Census: 39 Deficiencies: 6 Date: Aug 23, 2018

Visit Reason
The inspection was conducted to assess compliance with health and safety regulations related to food preparation, storage, and resident care at Ravenwood Terrace-Assisted Living.

Findings
The facility was found to have multiple deficiencies including unclean kitchen floors, staff not wearing hair restraints, food not protected from contamination, improper food handling with bare hands, and unclean nonfood-contact surfaces. A resident care deficiency was also noted related to proper use of gait belts and safe transfers.

Deficiencies (6)
A6012 Floor Surfaces: The kitchen floor was not properly cleaned, with dark debris and grease observed under cabinets and behind the refrigerator.
A7003 Clean Clothing, Hair Restraints: Facility staff failed to wear hair restraints in the kitchen, risking contamination of food.
A7015 Food-Protected, Temp, Need to Contact DHSS: Food was left uncovered during preparation and staff handled food with bare hands, risking contamination.
A7018 Food Storage-Not in Toilet Rm or Vestibule: Food was stored in uncovered buckets without secure lids, exposing it to contamination.
A7067 Nonfood Contact Surfaces, Cleaned as Needed: Oven, shelves, and cabinet surfaces were dirty with grease and food debris.
A4777 Proper Care Per Individual Service Plan: One resident did not receive proper care during transfers, including failure to use gait belts and improper lifting techniques.
Report Facts
Census: 39

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