Inspection Reports for
Richland Care Center, Inc
400 TRI-COUNTY LANE, RICHLAND, MO, 65556-8582
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
41% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 35
Deficiencies: 5
Date: Sep 20, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident personal funds management, refund of personal funds upon discharge, pre-employment screenings, food safety and temperature control, and infection prevention and control programs.
Findings
The facility was found deficient in properly managing residents' personal funds, timely refunding discharged residents' funds, completing required pre-employment screenings for staff, maintaining safe food temperatures during service, and implementing a comprehensive water management program to prevent Legionnaire's Disease. The facility census was 35 at the time of inspection.
Deficiencies (5)
Failed to prevent commingling of four current residents' personal funds with facility operating funds and lacked a policy for accounting records.
Failed to provide refunds of personal funds to nine discharged residents within the required 30 days and lacked a policy for accounting records.
Failed to complete pre-employment screenings (Criminal Background Check, Employee Disqualification List verification, Family Care Safety Registry) for three employees.
Failed to ensure prepared hot food items were served at safe and appetizing temperatures; food served to residents in rooms was below required temperature standards.
Failed to develop and implement policies and procedures for inspection, testing, and maintenance of facility water systems to inhibit growth of waterborne pathogens including Legionella.
Report Facts
Facility census: 35
Resident credit balances: 446
Resident credit balances: 988
Resident credit balances: 2971.92
Resident credit balances: 18
Resident credit balances: 2020
Resident credit balances: 226
Resident credit balances: 1323
Resident credit balances: 466.38
Resident credit balances: 452
Resident credit balances: 452
Resident credit balances: 353
Resident credit balances: 7173
Resident credit balances: 1932
Number of employees sampled: 10
Number of employees missing screenings: 3
Food temperature: 105
Food temperature: 114
Food temperature: 92
Food temperature: 113
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Dietary Manager | Assistant DM | Responsible for completing pre-employment screenings; stated screenings were not completed for sampled staff. |
| Maintenance Director | Maintenance Director | Responsible for water management program; unable to provide complete documentation. |
| Administrator | Administrator | Started 08/02/24; responsible for reviewing Account Receivable reports and water management program; unaware of some deficiencies. |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 2
Date: Dec 7, 2023
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to timely report and investigate an allegation of sexual abuse towards one resident (Resident #1).
Complaint Details
The complaint involved an allegation of sexual abuse (rape) towards Resident #1. The allegation was not reported within the required two-hour timeframe, and no investigation was conducted. The Director of Nursing believed the resident's statements were hallucinations due to medication. The administrator was not initially aware of the allegation but later acknowledged the failure to report and investigate properly.
Findings
The facility staff failed to report the sexual abuse allegation to the Department of Health and Senior Services within the required two-hour timeframe and did not investigate the allegation properly. The Director of Nursing assumed the resident's statements were hallucinations related to medication and did not initiate an investigation.
Deficiencies (2)
Failed to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Failed to investigate an allegation of rape for one resident.
Report Facts
Facility census: 33
Resident MDS assessment date: Nov 29, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant A | Certified Nursing Assistant | Reported the allegation of rape by Resident #1 and stated the Director of Nursing was aware. |
| Director of Nursing | Director of Nursing | Was aware of the allegation but did not investigate, attributing the resident's statements to hallucinations from medication. |
| Administrator | Administrator | Initially unaware of the abuse allegation; later acknowledged failure to be notified and start investigation within required timeframe. |
Inspection Report
Routine
Census: 29
Deficiencies: 3
Date: May 24, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards including posting of abuse hotline information, food safety and storage practices, infection prevention and control, and proper use of contact precautions.
Findings
The facility failed to post the required Adult Abuse and Neglect Hotline information in accessible locations, improperly stored and handled food items with multiple sanitation violations, failed to use proper infection control procedures including perineal care and contact precautions for C-diff residents, and did not post required COVID-19 infection prevention guidance at facility entrances.
Deficiencies (3)
Failed to post the required telephone number for the Adult Abuse and Neglect Hotline in accessible locations for residents and visitors.
Failed to store food properly to prevent contamination and out-dated use, failed to wear hair restraints, failed to perform hand hygiene, and failed to keep kitchen waste containers covered.
Failed to use appropriate infection control procedures including improper perineal care wiping technique and failure to maintain transmission-based precautions for a resident with C-diff infection.
Report Facts
Census: 29
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Technician G | Certified Medication Technician | Interviewed regarding posting of Adult Abuse and Neglect Hotline number |
| Licensed Practical Nurse H | Licensed Practical Nurse | Interviewed regarding posting of Adult Abuse and Neglect Hotline number and contact precautions |
| Nurse Aide F | Nurse Aide | Interviewed regarding posting of Adult Abuse and Neglect Hotline number and infection control |
| Director of Nursing | Director of Nursing | Interviewed regarding posting of Adult Abuse and Neglect Hotline number, infection control expectations, and COVID-19 posting requirements |
| Activities Director | Activities Director | Interviewed regarding posting of Adult Abuse and Neglect Hotline number |
| Restorative Aide | Restorative Aide | Interviewed regarding posting of Adult Abuse and Neglect Hotline number |
| Dietary Manager | Dietary Manager | Interviewed regarding food storage, hair restraint use, and hand hygiene |
| Administrator | Administrator | Interviewed regarding food safety policies, hair restraint use, hand hygiene monitoring, and COVID-19 posting requirements |
| Dietary Aide M | Dietary Aide | Observed and interviewed regarding hair restraint use and hand hygiene |
| Dietary Aide N | Dietary Aide | Observed and interviewed regarding hand hygiene and hair restraint use |
| Certified Nurse Aide A | Certified Nurse Aide | Observed providing perineal care improperly |
| Certified Nurse Aide B | Certified Nurse Aide | Observed providing perineal care improperly |
| Certified Nurse Aide C | Certified Nurse Aide | Observed providing perineal care improperly and failing to use PPE for C-diff resident |
| Nurse Aide K | Nurse Aide | Interviewed regarding contact precautions for C-diff resident |
| Licensed Practical Nurse I | Licensed Practical Nurse | Observed entering C-diff resident room without appropriate PPE |
| Infection Preventionist | Infection Preventionist | Interviewed regarding COVID-19 posting requirements |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 3
Date: Oct 8, 2020
Visit Reason
The inspection was conducted due to complaints regarding medication error rates exceeding 5% and failure to implement proper infection prevention and control practices, including improper storage of oxygen tubing and failure to maintain transmission-based precautions.
Complaint Details
The visit was complaint-related due to concerns about medication error rates and infection control practices. The complaint was substantiated as deficiencies were found in medication administration and infection prevention protocols.
Findings
The facility staff failed to ensure medication error rates were below 5%, with two medication errors out of 25 opportunities (7.69%). Additionally, staff failed to properly store oxygen tubing and nebulizer masks for multiple residents and did not maintain proper transmission-based precautions, including leaving doors open for residents on high-risk COVID-19 monitoring.
Deficiencies (3)
Medication error rate exceeded 5%, with staff failing to hold the insulin needle in the skin for 5 seconds as per policy.
Failure to store oxygen tubing and nebulizer masks properly to avoid contamination for four residents.
Failure to maintain proper transmission-based precautions for two residents, including leaving doors open despite high-risk status.
Report Facts
Medication error rate: 7.69
Medication errors: 2
Opportunities for error: 25
Census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse A | Licensed Practical Nurse | Named in medication error findings and interview regarding insulin administration |
| Director of Nursing | Director of Nursing | Provided interview statements regarding insulin administration and infection control policies |
| Certified Nurse Assistant D | Certified Nurse Assistant | Observed improperly storing oxygen tubing |
| Certified Nurse Assistant F | Certified Nurse Assistant | Interviewed regarding residents on high level monitoring and door status |
| Administrator | Administrator | Interviewed regarding lack of oxygen storage policy |
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