Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
58 residents
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Routine
Census: 58
Deficiencies: 2
Date: Feb 7, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with safety standards, specifically focusing on accident hazards related to wheelchair propulsion and the safe storage of hazardous materials.
Findings
The facility failed to ensure safe wheelchair propulsion for three residents, with staff pushing wheelchairs without foot pedals causing residents' feet to slide on the floor. Additionally, hazardous materials were not securely stored, with unlocked cabinets containing chemicals accessible to residents.
Deficiencies (2)
Failure to safely propel residents in wheelchairs, resulting in feet sliding on the floor and potential injury.
Failure to safely store hazardous materials, with unlocked cabinets containing chemicals accessible to residents.
Report Facts
Facility census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse C | Licensed Practical Nurse (LPN) | Interviewed regarding risks of pushing residents in wheelchairs without foot pedals |
| Director of Nursing | Director of Nursing (DON) | Interviewed about proper wheelchair foot pedal use and hazardous material storage |
| Administrator | Administrator | Interviewed about staff responsibilities for wheelchair safety and hazardous material storage |
| Maintenance Director | Maintenance Director | Interviewed about chemical storage and locking supply rooms |
| CNA A | Certified Nursing Assistant | Interviewed about shower room door locking and chemical safety |
| CNA B | Certified Nursing Assistant | Interviewed about locking storage cabinets and showers to prevent resident injury |
| Activity Director | Activity Director | Observed and interviewed regarding wheelchair propulsion without foot pedals |
Inspection Report
Routine
Census: 55
Deficiencies: 2
Date: Mar 8, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity and respiratory care, including evaluation of personal hygiene and respiratory therapy management.
Findings
The facility failed to maintain resident dignity by not properly cleaning and maintaining the fingernails of three dependent residents, which posed a risk of infection and dignity issues. Additionally, the facility failed to obtain physician orders for a resident's CPAP use and did not conduct daily respiratory assessments or document respiratory status and response to therapy.
Deficiencies (2)
Failure to maintain resident dignity by not cleaning and maintaining fingernails for three dependent residents.
Failure to obtain physician orders for CPAP use and failure to assess and document respiratory status and response to therapy for one resident.
Report Facts
Facility census: 55
Facility census: 54
Oxygen Saturation: 94
Oxygen Saturation: 91
Oxygen Saturation: 93
Oxygen Saturation: 94
Oxygen Saturation: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA E | Certified Nursing Assistant | Mentioned in relation to failure to clean resident fingernails |
| CMT F | Certified Medication Technician | Mentioned in relation to resident fingernail hygiene and care |
| RN G | Registered Nurse | Mentioned regarding staff responsibilities for checking resident fingernails |
| DON | Director of Nursing | Provided statements on staff responsibilities for fingernail care and respiratory assessments |
| LPN O | Licensed Practical Nurse | Discussed resident CPAP use, lack of physician orders, and respiratory assessments |
| RMA P | Registered Medical Assistant | Provided information about resident's CPAP settings and pulmonologist expectations |
Inspection Report
Census: 49
Deficiencies: 4
Date: Jan 13, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident transfers and discharges, safe mechanical lift transfers, food safety and hygiene practices, and infection prevention and control.
Findings
The facility failed to notify the ombudsman of resident transfers and discharges, did not follow safe mechanical lift procedures for resident transfers, had inadequate food handling and storage practices including failure to change gloves and perform hand hygiene, and failed to ensure proper hand hygiene during medication administration.
Deficiencies (4)
Failed to provide timely notification to the resident representative and ombudsman before transfer or discharge, including appeal rights.
Failed to provide safe mechanical lift transfer for residents, including not spreading the lift legs for stability during transfers.
Failed to change gloves and perform hand hygiene as necessary, cover trash cans when not in use, and properly store open food to prevent cross contamination and outdated usage.
Failed to ensure proper hand hygiene was performed during medication pass for sampled residents.
Report Facts
Residents affected: 2
Residents affected: 2
Residents affected: 49
Residents affected: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Developed checklist for discharges and transfers including notifying the ombudsman |
| Social Services Director | Social Services Director | Admitted to not notifying ombudsman of transfers or discharges previously |
| LPN I | Licensed Practical Nurse | Observed performing unsafe mechanical lift transfer |
| Nurse Assistant J | Nurse Assistant | Observed performing unsafe mechanical lift transfer |
| CNA G | Certified Nursing Assistant | Provided information on mechanical lift training and procedures |
| Registered Nurse A | Registered Nurse | Provided information on mechanical lift procedures and hand hygiene expectations |
| Dietary Manager | Dietary Manager | Provided information on glove use, hand hygiene, and food storage policies |
| LPN B | Licensed Practical Nurse | Observed failing to perform hand hygiene during medication administration |
| LPN C | Licensed Practical Nurse | Described hand hygiene practices during medication pass |
| Certified Medication Tech H | Certified Medication Technician | Described hand hygiene practices during medication pass |
| Administrator | Administrator | Provided information on expectations for staff compliance with policies |
Report
Feb 7, 2025
Report
Feb 7, 2025
Report
Mar 8, 2024
Report
Mar 8, 2024
Report
Jan 13, 2023
Report
Jan 13, 2023
Report
May 26, 2022
Report
Dec 22, 2020
Report
May 26, 2020
Report
Jan 10, 2020
Report
Jan 10, 2020
Report
Oct 26, 2018
Report
Oct 26, 2018
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