Deficiencies (last 4 years)
Deficiencies (over 4 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
38% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Life Safety
Census: 27
Deficiencies: 4
Date: Sep 22, 2025
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with fire alarm systems, hazardous area requirements, sprinkler system maintenance, and building construction and maintenance standards.
Findings
The facility failed to correct faults in the fire alarm system, maintain self-closing smoke partition doors, maintain the sprinkler system, and keep the building in good repair. These deficiencies affected all 27 residents present during the inspection.
Deficiencies (4)
19 CSR 30-86.022(9)(G) Fire Alarm System-Correct Faults. The facility failed to correct a fault with the complete fire alarm system, affecting 27 of 27 residents.
19 CSR 30-86.022(10)(A) Hazardous Area Requirements. The facility failed to maintain self-closing smoke partition doors separating hazardous areas, affecting 27 of 27 residents.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to maintain a complete sprinkler system, with missing and loose escutcheon rings, affecting 27 of 27 residents.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain the building in good repair, with ceiling drywall collapses and penetrations due to sprinkler leaks, affecting 27 of 27 residents.
Report Facts
Facility census: 27
Inspection Report
Life Safety
Census: 28
Deficiencies: 6
Date: Sep 3, 2024
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with fire safety regulations and codes at South Pointe-Assisted Living by Americ.
Findings
The facility failed to ensure all exit signs were operational and did not maintain or test the complete fire alarm system as required. The facility also failed to provide proper hazardous area separations, maintain the sprinkler system, and ensure oxygen storage compliance.
Deficiencies (6)
19 CSR 30-86.022(8)(C) Exit Sign-Illumination. The facility failed to ensure all exit signs were operational, including one at the rear center exit of the Arbor's.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to ensure the complete fire alarm system was tested and maintained according to NFPA 72, 1999 edition.
19 CSR 30-86.022(9)(D) Fire Alarm System Inspections/Certifications. The facility failed to have inspections and written certifications of the fire alarm system completed annually by a qualified service representative.
19 CSR 30-86.022(10)(A) Hazardous Area Requirements. The facility failed to provide required separation with self-closing, smoke-resistant doors for hazardous areas, including mechanical rooms and laundry room doors.
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert. The facility failed to inspect and maintain the sprinkler system in accordance with NFPA 25, 1998 edition, and lacked a current annual inspection report.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to ensure oxygen storage complied with NFPA 99, 1999 edition, including lack of signage and unsecured oxygen cylinders in resident rooms.
Report Facts
Facility census: 28
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 2
Date: Mar 13, 2024
Visit Reason
The inspection was conducted to investigate compliance with Employee Disqualification List (EDL) requirements and personnel record documentation following a complaint or allegation.
Complaint Details
The visit was complaint-related focusing on employee disqualification and personnel record compliance. The complaint was substantiated based on missing documentation for EDL checks and physician statements.
Findings
The facility failed to maintain documentation showing that employees who had contact with residents had an Employee Disqualification List review completed. Additionally, personnel records for four of six staff did not contain required physician statements indicating capability to work in a long-term care facility.
Deficiencies (2)
A4710 EDL Requirements: Facility staff failed to maintain documents showing that four employees had an Employee Disqualification List review completed prior to contact with residents.
A4733 Personnel Record-physician statement: Facility staff failed to ensure four employees had written statements from a licensed physician or designee indicating capability to work in a long-term care facility.
Report Facts
Number of employees reviewed: 6
Number of employees missing EDL documentation: 4
Facility census: 24
Inspection Report
Life Safety
Census: 29
Deficiencies: 5
Date: Dec 4, 2023
Visit Reason
The inspection was a fire safety inspection conducted on December 4, 2023, to assess compliance with fire safety regulations including flame resistance of curtains, wastebasket requirements, building construction, electrical wiring, and plumbing.
Findings
The facility failed to ensure all curtains and drapes were flame-resistant, used only approved metal or fire-resistant wastebaskets, maintained the building structure to prevent smoke and fire penetration, properly maintained electrical wiring, and complied with plumbing codes. Multiple deficiencies were observed throughout the facility affecting all 29 residents present during the inspection.
Deficiencies (5)
19 CSR 30-86.022(13)(D) Curtains/Drapes, Flame Resistant Interior Finish and Furnishings. The facility failed to ensure all curtains and drapes were certified or treated to be flame-resistant as required by NFPA 101, 2000 edition.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to ensure only metal or UL- or FM-fire-resistant rated wastebaskets were used for trash; an unapproved wastebasket was observed in the resident kitchen.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain the structure in good repair, allowing penetrations around vents, pipes, and holes in walls that could allow smoke, fire, and toxic gases to spread.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to properly maintain electrical wiring; a smoke/heat detector was hanging by wiring and no electrical wiring inspection report was available.
19 CSR 30-87.020(25) Plumbing per Code. The facility failed to maintain plumbing according to the National Plumbing Code; water heaters had drip legs terminating greater than 6 inches above the floor and PVC drip legs of decreased diameter were observed.
Report Facts
Facility census: 29
Inspection Report
Plan of Correction
Census: 33
Deficiencies: 1
Date: Aug 24, 2021
Visit Reason
The document is a plan of correction related to deficiencies found during an inspection of the facility's fire alarm system.
Findings
The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. No documentation was found for an annual fire alarm system inspection within the last twelve months.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system as required by NFPA 72, 1999 edition. No annual fire alarm inspection documentation was available for the past twelve months.
Report Facts
Facility census: 33
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