Deficiencies (last 2 years)
Deficiencies (over 2 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% 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 May 2022 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 19
Deficiencies: 2
Date: May 23, 2022
Visit Reason
This document is a Plan of Correction related to deficiencies found during a facility inspection conducted on May 23, 2022.
Findings
The facility failed to maintain the sprinkler system and electrical wiring according to regulatory standards, affecting all 19 residents. Specific issues included a displaced sprinkler head, missing hydraulic calculation plate, unapproved electrical adapters, and unsafe powerstrip configurations.
Deficiencies (2)
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility failed to inspect and maintain the sprinkler system properly, including a displaced sprinkler head and missing hydraulic calculation plate. This deficiency affected all 19 residents.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to properly maintain electrical wiring, including use of unapproved electrical adapters and unsafe powerstrip configurations, creating a safety and fire hazard. This deficiency affected all 19 residents.
Report Facts
Facility census: 19
Inspection Report
Plan of Correction
Census: 24
Deficiencies: 5
Date: Jun 19, 2019
Visit Reason
The inspection was a fire safety inspection conducted on June 19, 2019, identifying deficiencies related to smoke doors, sprinkler system maintenance, oxygen storage, heating devices, and electrical wiring.
Findings
The facility failed to meet several fire safety regulations including smoke doors not closing properly, missing sprinkler system escutcheon rings, improper oxygen storage, use of a portable heater not meeting fire safety standards, and unapproved electrical extension cords and outlets in resident rooms.
Deficiencies (5)
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds. The facility failed to provide a fire safe building for its occupants as the smoke doors separating the dining room from the hallway did not fully close when separated from their magnetic holding devices.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to maintain the sprinkler system as escutcheon rings were missing and open holes were observed around sprinkler heads in resident room E7 and the hallway.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to store portable oxygen cylinders properly as they were standing upright but not secured in an approved rack or by chain or band inside the oxygen storage room.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable. The facility used a portable heater in the Wellness Office which did not meet fire safety standards and was disposed of on 6/19/19.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to properly maintain electrical wiring as unapproved electrical extension cords and multiple outlet adapters were in use in resident rooms C-1 and F-2.
Report Facts
Facility census: 24
Deficiency count: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Kelley | Director of Nursing | Educated therapy company on heater fire safety and replaced extension cord; involved in fire safety precautions education |
| Director of Nursing | Interviewed regarding awareness of deficiencies and corrective actions |
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