Deficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
46% occupied
Based on a August 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 11
Deficiencies: 2
Date: Aug 7, 2025
Visit Reason
The inspection was conducted due to an allegation of possible staff to resident abuse involving one sampled resident out of three sampled residents.
Complaint Details
The complaint was substantiated based on observation, interviews, and record review. The incident involved forcible restraint and verbal abuse by staff toward a resident. The facility did not complete a proper investigation or report as required.
Findings
The facility failed to thoroughly investigate the allegation of abuse where two Medication Aides forcibly held a resident down in a shower chair and engaged in inappropriate conversation with the resident. The facility also failed to ensure the dignity of the resident during care.
Deficiencies (2)
19 CSR 30-88.010(25) Report A/N to DHSS/DMH When Needed. The facility failed to immediately report or thoroughly investigate an allegation of possible staff to resident abuse involving forcible restraint and inappropriate verbal interaction with a resident.
19 CSR 30-88.010(29) Dignity/Privacy. The facility failed to ensure the dignity and respect of one resident by forcibly holding the resident down in a shower chair and engaging in inappropriate conversation during care.
Report Facts
Facility census: 11
Sampled residents: 3
Inspection Report
Plan of Correction
Census: 9
Deficiencies: 1
Date: May 17, 2021
Visit Reason
The inspection was conducted to evaluate compliance with protective oversight regulations following incidents involving resident falls and to assess the facility's adherence to neurological checks and post-fall monitoring policies.
Findings
The facility failed to provide adequate protective oversight for two residents at risk for falls by not ensuring proper neurological checks and post-fall monitoring were completed as required. Documentation and staff adherence to the facility's fall policy were insufficient, and some required notifications and assessments were not consistently performed.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide 24-hour protective oversight for residents departing on voluntary leave, including proper neurological checks and post-fall monitoring for two sampled residents at risk for falls.
Report Facts
Facility census: 9
Number of sampled residents: 2
Number of post-fall evaluations: 12
Number of follow-ups: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Thompson | LDHA | Signed the inspection report |
| Director of Nursing (DON) | Named in incident report and plan of correction related to resident fall and wound treatment | |
| Certified Medication Technician (CMT) A | Documented incident and assisted with resident care after fall | |
| Medical Assistant | Interviewed regarding documentation and notification practices |
Inspection Report
Plan of Correction
Census: 11
Deficiencies: 3
Date: Jul 10, 2019
Visit Reason
The inspection was a fire safety inspection conducted on July 10, 2019, to evaluate compliance with fire safety regulations including range hood certification, fire alarm system inspections, and sprinkler system inspections.
Findings
The facility failed to have the kitchen hood extinguishing system inspected semi-annually as required, lacked adequate documentation for fire alarm system inspections, and did not provide required fire sprinkler system inspection certification reports. The administrator stated they were in the process of scheduling inspections to correct these deficiencies.
Deficiencies (3)
A2213 - Range Hood Certification: The facility failed to have the kitchen hood extinguishing system inspected semi-annually as required. The last inspection was in September 2018, and the deficiency affects 11 residents.
A2250 - Fire Alarm System Inspections/Certifications: Certification paperwork was missing from the state book. The last fire alarm inspection certification report was dated September 18, 2018, and the deficiency affects 11 residents.
A2274 - Sprinkler System Inspections: The facility failed to provide required fire sprinkler system inspection certification reports. The deficiency affects 11 residents. The administrator and maintenance staff were scheduling inspections and reviewing pressure testing procedures.
Report Facts
Deficiencies cited: 3
Resident census: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E. Jeff Hunsaw | Administrator | Provided information and stated scheduling of inspections for fire safety systems |
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