Inspection Reports for
Steelville Senior Living
311 NORTH SPRING ST, STEELVILLE, MO, 65565-5089
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
31% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
195% occupied
Based on a May 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 41
Deficiencies: 1
Date: May 19, 2025
Visit Reason
The inspection was conducted to assess compliance with food safety and hygiene standards in the facility's kitchen during the noon meal service.
Findings
Facility staff failed to perform proper hand hygiene to prevent cross-contamination in the kitchen during meal service, as observed through multiple instances of staff not washing hands between glove changes or after touching contaminated surfaces.
Deficiencies (1)
Facility staff failed to perform hand hygiene in a manner to prevent cross-contamination in the kitchen during the noon meal service.
Report Facts
Facility census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cook | Observed failing to perform hand hygiene between glove changes and after touching trash can lid | |
| Food Service Assistant (FSA) E | Observed failing to perform hand hygiene when entering kitchen, between glove changes, and after touching trash can lid | |
| Dietary Manager (DM) | Interviewed about hand hygiene expectations and responsibility for staff compliance | |
| Administrator | Interviewed about staff training and hand hygiene policies |
Inspection Report
Routine
Census: 41
Deficiencies: 6
Date: Aug 16, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident rights, care planning, staffing, medication management, food safety, and infection control.
Findings
The facility was found deficient in multiple areas including resident access to funds on weekends, incomplete care plans for catheters and falls, inadequate RN coverage, expired and improperly stored medications, unsafe food storage temperatures, improper sanitization of kitchen wares, and failure to follow infection control procedures during wound care, catheter care, perineal care, and blood glucose testing.
Deficiencies (6)
Failed to ensure residents had appropriate access to their trust fund account on weekends.
Failed to document and update care plans regarding catheters and falls for sampled residents.
Failed to provide RN coverage for at least 8 consecutive hours per day, seven days a week.
Failed to discard expired medications and ensure medications were properly labeled and stored; nonmedication items stored in medication refrigerator; loose pills found in medication carts.
Failed to maintain food at safe temperatures; walk-in refrigerator temperatures consistently above 41°F; cold table items served at unsafe temperatures; kitchen wares not fully submerged in sanitizer solution.
Failed to use appropriate infection control procedures including hand hygiene and glove changes during wound care, catheter care, perineal care, and blood glucose testing.
Report Facts
Facility census: 41
Dates without RN coverage: 10
Expired medication count: 4
Medication cart loose pills count: 6
Walk-in refrigerator temperature readings: 50
Cold table food temperatures: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Named in infection control deficiency related to wound and catheter care |
| CMT B | Certified Medication Technician | Named in medication cart and blood glucose testing deficiencies |
| CNA E | Certified Nurses Aide | Named in infection control deficiency related to perineal care |
| Director of Nursing | Director of Nursing | Interviewed regarding RN coverage and infection control expectations |
| Administrator | Facility Administrator | Interviewed regarding resident funds access and infection control expectations |
| Dietary Manager | Dietary Manager | Interviewed regarding food temperature monitoring and sanitization |
| LPN D | Licensed Practical Nurse | Responsible for medication storage room and medication cart checks |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 72
Deficiencies: 1
Date: Mar 14, 2024
Visit Reason
The inspection was conducted following a reported case of Legionella in a resident, to investigate the facility's water management program and infection control related to Legionella bacteria.
Complaint Details
The visit was complaint-related due to a reported case of Legionella in Resident #1, who tested positive on 02/20/24 and died on 02/21/24. The complaint investigation found deficiencies in the water management program and infection control practices.
Findings
The facility failed to develop and implement complete policies and procedures for inspection, testing, and maintenance of the water system to inhibit Legionella growth. Testing showed poorly controlled Legionella growth in water samples, and the facility lacked documentation of testing protocols, responsible staff, and acceptable control ranges. One resident tested positive for Legionella and subsequently died. The facility had an immediate jeopardy which was later removed after corrective actions.
Deficiencies (1)
Failure to develop and implement complete policies and procedures for inspection, testing, and maintenance of the facility's water systems to inhibit Legionella growth.
Report Facts
Facility census: 48
Total capacity: 72
Legionella samples collected: 28
Legionella positive samples: 20
Legionella CFU/ml levels: 1
Legionella CFU/ml levels: 2
Legionella CFU/ml levels: 4
Legionella CFU/ml levels: 5
Water management team meetings: 2
Water management company visits: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Provided information about water management program deficiencies, Legionella positive resident, and corrective actions | |
| Maintenance Director | Discussed water system maintenance, chlorination pumps, water testing, and lack of training |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 17, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory standards for Steelville Senior Living.
Findings
No health deficiencies were found during this inspection.
Inspection Report
Routine
Census: 47
Deficiencies: 3
Date: May 5, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident environment, food safety, infection control, and catheter care at Steelville Senior Living.
Findings
The facility failed to maintain a clean, homelike environment with raised floor transition strips causing accessibility issues, damaged walls and floors, and inadequate reporting of maintenance issues. Food safety violations included improper labeling, storage, and sanitation practices. Infection control lapses were observed with staff failing to perform proper hand hygiene and catheter care, increasing risk of infection.
Deficiencies (3)
Failed to maintain resident rooms clean and in good repair, including raised floor transition strips preventing easy wheelchair access.
Failed to protect, label, and date stored food; failed to maintain kitchen equipment and flooring in a clean sanitary manner; failed to ensure ice machine drained through an air gap; failed to sanitize thermometer between uses; failed to allow kitchenware to air dry.
Failed to use appropriate infection control procedures including hand hygiene during care and catheter care, resulting in potential infection risk.
Report Facts
Facility census: 47
Dented cans: 3
Food packages: 13
Food packages: 9
Food packages: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA B | Certified Nurse Assistant | Named in infection control deficiency related to hand hygiene and glove use |
| NA D | Nurse Aid | Named in infection control deficiency related to hand hygiene and glove use |
| Maintenance Director | Mentioned regarding maintenance reporting and awareness of raised floor strips and paint chips | |
| Administrator | Mentioned regarding maintenance reporting and awareness of facility environment issues | |
| Director of Nursing | Mentioned regarding maintenance reporting and infection control expectations | |
| DM | Dietary Manager | Mentioned regarding food labeling, storage, and sanitation practices |
| LPN E | Licensed Practical Nurse | Mentioned regarding infection control and catheter care |
| Nurse Practitioner | NP | Mentioned regarding catheter care and infection risk |
| CNA G | Certified Nurse Assistant | Mentioned regarding catheter care and infection risk |
Inspection Report
Routine
Census: 45
Deficiencies: 4
Date: Dec 6, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to care planning, catheter care, application of ace wraps and compression stockings, and medication storage and labeling at Steelville Senior Living.
Findings
The facility failed to update care plans to reflect significant resident conditions, did not follow physician orders for catheter care and application of ace wraps or compression stockings, and failed to properly store and label medications including expired items in medication carts.
Deficiencies (4)
Failure to update care plans to include dialysis, wounds, catheter use, and leg wraps for multiple residents.
Failure to maintain professional standards in catheter care including tubing touching the floor and failure to follow catheter change orders.
Failure to apply ace wraps or compression stockings as ordered for multiple residents.
Failure to store and label medications properly, including expired insulin pens, eye drops, and outdated pain medications.
Report Facts
Facility census: 45
Weight loss percentage: 22.56
Catheter change intervals: 30
Medication expiration: 28
Hydrocodone order dates: 365
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN E | Registered Nurse | Interviewed regarding catheter care, medication procedures, and ace wrap responsibilities |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding catheter change orders, medication storage, and care plan updates |
| MDS Coordinator | Interviewed regarding care plan updates and resident condition changes | |
| CNA B | Certified Nursing Assistant | Interviewed regarding catheter bag handling and ace wrap application |
| LPN F | Licensed Practical Nurse | Interviewed regarding catheter change procedures and physician order verification |
| CMT G | Certified Medication Technician | Interviewed regarding medication expiration awareness and cart management |
| LPN D | Licensed Practical Nurse | Interviewed regarding ace wrap application and documentation |
| CMT A | Certified Medical Technician | Interviewed regarding ace wrap removal and treatment administration |
| CNA A | Certified Nursing Assistant | Interviewed regarding application of TED hose and ace wraps |
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