Inspection Reports for
St Francois Manor
1180 OLD JACKSON RD, FARMINGTON, MO, 63640-3428
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
89 residents
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 2
Date: Nov 17, 2025
Visit Reason
The inspection was conducted based on Complaint #2616588 regarding failure to notify a resident's physician or guardian after a change in condition and failure to follow physician's orders related to urinary catheter care for Resident #1.
Complaint Details
Complaint #2616588 involved substantiated issues including failure to notify physician and guardian of condition change and failure to follow physician's orders for catheter care and follow-up.
Findings
The facility failed to notify the physician and guardian after Resident #1 pulled out his/her urinary catheter and failed to follow physician's orders regarding catheter care and follow-up appointments. Staff did not document reinsertion of the catheter or monitor urine output as ordered.
Deficiencies (2)
Failed to notify resident's physician or guardian after a change in condition when urinary catheter was pulled out.
Failed to follow physician's orders for urinary catheter care, including lack of follow-up appointments and inadequate monitoring of urine output.
Report Facts
Residents Affected: 1
Facility Census: 89
Catheter size: 18
Balloon size: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse B | Licensed Practical Nurse | Interviewed regarding knowledge of straight catheterization orders |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed about resident's catheter care and monitoring |
| Nurse Aide A | Nurse Aide | Interviewed about monitoring and documentation of urine output |
| Administrator | Administrator | Interviewed about expectations for following physician orders and scheduling follow-up appointments |
| Director of Nursing | Director of Nursing | Interviewed about expectations for notifying physician and guardian and following physician orders |
Inspection Report
Routine
Census: 78
Deficiencies: 7
Date: Jun 13, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including posting of hotline information, resident safety related to bed rails, nurse staffing, medication labeling, food storage, and maintenance of bed equipment.
Findings
The facility was found deficient in multiple areas including failure to post required hotline information, inadequate assessment and maintenance of bed rails for residents, lack of RN coverage for some days, failure to post nurse staffing data daily, expired medications present, improper food storage and temperature control, and lack of regular inspections for bed frames and side rails.
Deficiencies (7)
Failed to post required telephone number to the Department of Health and Senior Services hotline and State Survey Agency information in a form accessible to residents.
Failed to assess residents for safety risk related to bed rails and to provide ongoing monitoring and maintenance of beds with side rails.
Failed to provide a Registered Nurse on duty for eight consecutive hours per day, seven days a week.
Failed to post nurse staffing information daily with all required components in a clear and readable format.
Failed to ensure medications and biologicals were labeled in accordance with accepted professional principles; expired medications found.
Failed to store and distribute food under sanitary conditions; multiple food items not dated and freezer temperatures consistently above required range.
Failed to conduct regular inspections of all bed frames, mattresses, and side rails for safety and possible entrapment.
Report Facts
Facility census: 78
Days without RN coverage: 2
Expired medication count: 21
Expired medication count: 8
Freezer temperature out of range: 129
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding posting hotline information, RN coverage expectations, nurse staffing posting, medication expiration, and freezer temperature logs | |
| Director of Nursing | DON | Interviewed regarding side rail assessments, nurse staffing posting, medication expiration, and freezer temperature logs |
| Maintenance Director | Interviewed regarding maintenance and inspection of side rails and walk-in freezer issues | |
| Registered Nurse B | RN | Interviewed regarding medication expiration responsibilities and side rail assessments |
| Certified Medication Technician A | CMT | Interviewed regarding pharmacy medication expiration checks |
| Restorative Aide C | Interviewed regarding side rail assessments and recommendations | |
| Assistant Director of Nursing | ADON | Interviewed regarding side rail ordering and assessments |
| Dietary Manager | DM | Interviewed regarding food storage, freezer issues, and temperature logs |
| MDS Coordinator | Interviewed regarding side rail assessments |
Inspection Report
Routine
Census: 80
Deficiencies: 1
Date: Nov 26, 2024
Visit Reason
The inspection was conducted to ensure the nursing facility met professional standards of quality, specifically reviewing medication administration practices.
Findings
The facility failed to follow physician's orders regarding medication administration for one resident, who missed 18 doses of clonazepam out of 28 opportunities. The facility lacked a proper system for ordering and tracking medications, leading to delays and missed doses.
Deficiencies (1)
Failed to follow physician's orders regarding medication administration for one resident, resulting in missed doses of clonazepam.
Report Facts
Missed medication doses: 18
Census: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Discovered resident was out of medication and called Psychiatric Nurse Practitioner |
| CMT B | Certified Medication Technician | Noticed resident was out of clonazepam and informed LPN A |
| Director of Nurses | Director of Nurses | Interviewed about medication ordering and tracking procedures |
| Psychiatric Nurse Practitioner | Psychiatric Nurse Practitioner | Ordered medication and communicated with pharmacy about lost order |
| Administrator | Administrator | Interviewed regarding expectations for notification of low medications |
Inspection Report
Routine
Census: 77
Deficiencies: 5
Date: Jun 13, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident privacy, environment safety and cleanliness, trauma-informed care, medication management, and pharmaceutical services at the nursing home.
Findings
The facility was found deficient in multiple areas including failure to provide privacy curtains for residents, inadequate environmental cleanliness and maintenance, failure to assess and address PTSD triggers for residents, missed medication administrations and refill delays, and storage of expired medications. The deficiencies were generally of minimal harm and affected a few residents.
Deficiencies (5)
Failed to provide a privacy curtain to maintain privacy for two residents (Resident #3 and #10).
Failed to provide a safe, clean, comfortable, and homelike environment; multiple environmental issues observed including holes in walls, peeling baseboards, sticky substances on floors, and unclean bathroom vents.
Failed to identify, assess, and provide supportive interventions for six residents with PTSD; no trauma assessments or personalized triggers addressed in care plans.
Failed to ensure medications were accurately administered, documented, disposed of, and reconciled for two residents; multiple missed doses and refill delays noted.
Failed to ensure drugs and biologicals were labeled and stored properly; expired medications found in storage.
Report Facts
Residents affected: 2
Residents affected: 6
Missed medication doses: 5
Missed medication doses: 1
Missed medication doses: 7
Missed medication doses: 7
Facility census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper A | Interviewed regarding responsibility for privacy curtains | |
| Maintenance director | Interviewed regarding responsibility for privacy curtains | |
| Administrator | Interviewed regarding expectations for resident privacy and building maintenance | |
| Director of Nursing | DON | Interviewed regarding environmental issues, medication management, and PTSD assessments |
| Certified Nurse's Assistant B | CNA | Interviewed regarding awareness of resident interventions related to PTSD triggers |
| Registered Nurse C | RN | Interviewed regarding care plan requirements for PTSD |
| Interim Social Services Designee | SSD | Interviewed regarding PTSD assessments at admission |
| Licensed Practical Nurse I | LPN | Interviewed regarding medication availability for residents |
| Certified Medication Technician E | CMT | Interviewed regarding medication ordering and refill process |
| Pharmacist H | Interviewed regarding medication refill requests and pharmacy communication | |
| Licensed Practical Nurse D | LPN | Interviewed regarding medication storage and pharmacy visits |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 29, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at St Francois Manor.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 71
Deficiencies: 4
Date: Jan 12, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to the facility's environment, resident care, food safety, and waste disposal.
Findings
The facility was found to have multiple deficiencies including failure to maintain a safe, clean, and homelike environment, inadequate physical therapy services for a resident, unsanitary food storage and preparation conditions, and improper waste disposal practices. These deficiencies had the potential to affect all or many residents with minimal harm.
Deficiencies (4)
Failure to maintain a safe, clean, comfortable and homelike environment with grime on doors, unclean walls, and maintenance issues.
Failure to provide appropriate physical therapy services to maintain or improve resident function.
Failure to store and distribute food under sanitary conditions, including food on the floor, grime on kitchen equipment, and ice build-up in refrigeration.
Failure to properly dispose of garbage with dumpster lids left open on multiple occasions.
Report Facts
Facility census: 71
Residents affected: 1
Residents affected: Few
Residents affected: Many
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident #72 | Resident | Named in physical therapy deficiency for not receiving ordered therapy |
| Resident #13 | Resident | Reported maintenance issues and roof leak |
| CNA E | Certified Nursing Assistant | Reported on maintenance and wall damage |
| Maintenance Director | Maintenance Director | Described repair process and priorities |
| Administrator | Facility Administrator | Provided information on housekeeping routines and order processing |
| Director of Nursing | Director of Nursing | Discussed physician order processing issues |
| Licensed Practical Nurse (LPN) A | Licensed Practical Nurse | Discussed order double-checking process |
| Certified Nurse Aid (CNA) B | Certified Nurse Aid | Reported resident therapy status |
| MDS Coordinator | MDS Coordinator | Discussed order double-checking process |
| Dietary Aide C | Dietary Aide | Reported cleaning duties and dumpster lid expectations |
| Dietary Aide D | Dietary Aide | Reported cleaning duties and dumpster lid expectations |
| Dietary Manager | Dietary Manager | Discussed kitchen cleanliness and maintenance issues |
| Registered Dietician | Registered Dietician | Discussed food storage and kitchen cleanliness expectations |
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