Deficiencies (last 5 years)
Deficiencies (over 5 years)
5.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
31% occupied
Based on a October 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 30
Deficiencies: 1
Date: Oct 10, 2024
Visit Reason
The inspection was conducted to investigate deficiencies related to resident care and discharge processes at the facility.
Findings
The facility failed to meet the regulation requiring care for residents whose needs cannot be met, as evidenced by one resident with a discharge placement issue. The resident exhibited aggressive behavior and was discharged to another Assisted Living Facility that initially refused placement.
Deficiencies (1)
19 CSR 30-86.047(10) Care to Meet Resident Needs or Discharge: The facility did not provide appropriate discharge placement for a resident whose needs could not be met, resulting in an emergency discharge and refusal of placement by the receiving facility.
Report Facts
Facility census: 30
Inspection Report
Plan of Correction
Census: 41
Deficiencies: 1
Date: Aug 5, 2024
Visit Reason
The document is a statement of deficiencies related to an inspection conducted on 08/05/2024, focusing on electrical wiring maintenance compliance.
Findings
The facility failed to provide documentation showing that electrical wiring had been inspected within the last two years by a qualified electrician. The facility census was 41 residents potentially affected by this deficiency.
Deficiencies (1)
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility did not show documentation that electrical wiring had been inspected within the last two years by a qualified electrician.
Report Facts
Facility census: 41
Inspection Report
Plan of Correction
Census: 50
Deficiencies: 1
Date: Jun 14, 2023
Visit Reason
The inspection was conducted to review electrical wiring maintenance compliance, specifically to verify if the electrical wiring had been inspected within the last two years by a qualified electrician.
Findings
The facility failed to provide documentation that the electrical wiring had been inspected within the last two years. The Director of Plant Operations reported difficulty in scheduling an electrician for the inspection.
Deficiencies (1)
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to show documentation that electrical wiring had been inspected within the last two years by a qualified electrician.
Report Facts
Facility census: 50
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 2
Date: May 4, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations of abuse and failure to ensure proper orientation training for staff at Anthology of the Plaza.
Complaint Details
The complaint investigation substantiated abuse by two Certified Nurse's Assistants toward a resident on 5/1/23, including verbal and physical abuse. The two CNAs were immediately suspended and subsequently terminated. Police were notified and a report was filed.
Findings
The facility failed to maintain proper orientation documentation for a Certified Nurse's Assistant and failed to ensure one sampled resident was free from physical and emotional abuse. The investigation substantiated abuse by two CNAs toward a resident, resulting in their suspension and termination.
Deficiencies (2)
19 CSR 30-86.047(20)(K) Personnel Record - orientation training: The facility failed to ensure one CNA had documentation of completing required orientation prior to working with residents. The facility census was 50 residents.
19 CSR 30-88.010(22) Free From Abuse: The facility failed to ensure one sampled resident was free from physical and emotional abuse by two CNAs who used profanity, roughly handled, and verbally abused the resident. The facility census was 50.
Report Facts
Facility census: 50
Sampled residents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Gorman | RN S/S | Named in verbal communication on 2/1/24 |
Inspection Report
Plan of Correction
Census: 50
Deficiencies: 1
Date: Jul 12, 2022
Visit Reason
The inspection was conducted to assess compliance with medication administration regulations and to identify deficiencies related to staff credentials and medication administration practices.
Findings
The facility failed to ensure medications were administered by appropriately credentialed staff. A Certified Nurse Assistant (CNA) was administering medications without the required Level One Medication Aide (L1MA) or Certified Medication Technician (CMT) certification.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility did not ensure medications were administered by personnel with appropriate credentials and training. A CNA administered medications without a current L1MA or CMT certification.
Report Facts
Facility census: 50
Inspection Report
Plan of Correction
Census: 52
Deficiencies: 3
Date: Jun 1, 2022
Visit Reason
The inspection was conducted to assess compliance with assisted living facility regulations, including individual service plans, protective oversight, staffing ratios, and resident care policies.
Findings
The facility failed to ensure proper individual service plans, appropriate use and physician orders for bedside mobility devices and side rails, adequate protective oversight, and proper staffing ratios. Several residents lacked required assessments and documentation, and staff training on safety devices was insufficient.
Deficiencies (3)
19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements. The facility failed to ensure the Individual Service Plan was updated to include appropriate settings for LALM and outlined safety measures to reduce entrapment risk. The facility census was 52 residents.
19 CSR 30-86.047(35) Protective Oversight. The facility failed to ensure bedside mobility devices were used only for mobility support and had physician orders for side rails for three sampled residents. Staff, residents, and family were not properly trained on entrapment risks. The facility census was 52 residents.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety. The facility failed to ensure appropriate personnel were on duty to assess residents after falls, negatively affecting one resident. The facility census was 52 residents.
Report Facts
Facility census: 52
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Named in findings related to bedside mobility device assessments and facility policy |
| Administrator | Administrator | Named in findings related to resident bed side rails and facility policy |
| Licensed Practical Nurse | Licensed Practical Nurse | Named in findings related to awareness of side rails and LALM comfort level |
| Certified Medical Technician | Certified Medical Technician (CMT) | Named in findings related to training on LALM comfort level and side rails |
| Caregiver A | Caregiver | Named in findings related to resident fall awareness and response |
Inspection Report
Life Safety
Census: 30
Deficiencies: 10
Date: Jul 14, 2021
Visit Reason
The inspection was a licensure inspection focused on fire safety and life safety code compliance conducted on July 14, 2021.
Findings
The facility failed to ensure no fire hazards were present, did not provide complete written emergency plans, had deficiencies in area of refuge requirements, locked exit doors, exit sign illumination, smoke detectors, fire alarm system monthly testing, flame resistant curtains/drapes, wastebasket compliance, and electrical wiring maintenance. Multiple Class II and Class III deficiencies were cited.
Deficiencies (10)
19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard General Requirements. The facility failed to ensure no portion of the building presented a fire hazard, evidenced by ceiling tiles out of place in the 3rd floor I/T closet.
19 CSR 30-86.022(5)(A) Fire Drill/Evacuation Plan, Consultation. The facility failed to provide complete written emergency plans and safety policies specific to the facility.
19 CSR 30-86.022(7)(D)(1-8) Area of Refuge Requirements. The facility failed to ensure a properly working entrance/exit door for the area of refuge/smoke separation door on the fifth floor.
19 CSR 30-86.022(7)(E) Locked Exit Doors. The facility failed to ensure exit doors with delayed egress locks functioned properly and were properly labeled with required signage.
19 CSR 30-86.022(8)(C) Exit Sign-Illumination. The facility failed to provide sufficient exit sign illumination; exit signs with battery backup on the fifth and third floors were not working properly.
19 CSR 30-86.022(9)(A)(1) Smoke Detectors-NFPA 13. The facility failed to have smoke detectors installed in areas open to corridors, including the 4th floor fitness room.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to show proof of monthly fire alarm system activation tests and had no fire alarm activation in May 2021.
19 CSR 30-86.022(13)(D) Curtains/Drapes, Flame Resistant. The facility failed to provide documentation that residents' curtains were flame resistant as required.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to ensure all wastebaskets were of approved types; multiple rooms had non-approved wastebaskets.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to properly maintain electrical wiring; exposed wires were found in an unoccupied closet.
Report Facts
Facility census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Plant Operations | Interviewed regarding fire safety deficiencies and corrective actions | |
| head activities director | Advised about mechanically blocking doors |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 3
Date: Jun 3, 2021
Visit Reason
The inspection was conducted as a complaint investigation following concerns about the facility's failure to meet resident needs, including coordination of mental health services and protective oversight.
Complaint Details
The complaint investigation was triggered by concerns about a resident's mental health needs not being met, resulting in a self-inflicted gunshot wound, and inadequate protective oversight leading to resident altercations. The Class I violation was determined to be at imminent danger level at the time of complaint investigation.
Findings
The facility failed to ensure coordination of mental health services for a resident who exhibited paranoid behavior and auditory hallucinations, resulting in a self-inflicted gunshot wound. Additionally, the facility failed to provide adequate protective oversight for another resident, leading to physical altercations.
Deficiencies (3)
19 CSR 30-86.047(10) Care to Meet Resident Needs or Discharge: The facility failed to coordinate mental health services or address changes in condition for a resident who exhibited paranoid behavior and auditory hallucinations, resulting in a self-inflicted gunshot wound. The facility lacked policies for coordinating mental health services and assessing changes in condition.
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide adequate protective oversight for one resident, allowing physical altercations to occur. The facility did not ensure interventions were in place to prevent harm and failed to provide continuous supervision as required.
19 CSR 30-86.047(40) Self-Control of Medication Requirements: The facility failed to ensure a resident's ability to self-administer medications was reassessed after changes in condition and failed to update individualized service plans accordingly. The facility lacked adequate medication self-administration assessments and documentation.
Report Facts
Facility census: 30
Facility census: 21
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 2
Date: Jan 13, 2021
Visit Reason
The inspection was conducted as a complaint investigation related to licensing and care deficiencies at Anthology of The Plaza.
Complaint Details
Complaint #MO00179837 and MO00167898 were investigated. The complaint was substantiated based on findings of unlicensed administrator and failure to provide proper care per the individualized service plan.
Findings
The facility failed to have a licensed administrator as required by Missouri regulations, affecting all 26 residents. Additionally, the facility staff failed to provide proper care per the individualized service plan for a sampled resident, including inadequate monitoring and documentation of wellness checks.
Deficiencies (2)
19 CSR 30-86.047(5) Administrator - Licensed. The operator failed to ensure the facility had a licensed administrator, affecting all 26 residents.
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan. The facility staff failed to provide care per the resident's individualized service plan, including failure to document frequent monitoring and wellness checks on 8/9/2020.
Report Facts
Residents affected: 26
Resident census: 26
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 2
Date: Mar 18, 2020
Visit Reason
The inspection was conducted as a complaint investigation triggered by an allegation of neglect related to a resident fall and failure to provide proper care per the individual service plan.
Complaint Details
The complaint investigation found the violation to be at an imminent danger Class I level. The facility implemented corrective actions during the onsite visit, lowering the severity to Class II. The resident was found to have been neglected after a fall, left unattended on the floor overnight, and subsequently hospitalized.
Findings
The facility failed to provide proper care to a resident who fell and was left unattended on the floor for an extended period, resulting in injury and hospitalization. The licensed practical nurse witnessed the resident on the floor but did not assist as promised. The facility also failed to ensure the resident was free from neglect and abuse.
Deficiencies (2)
19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: The facility staff failed to provide appropriate care per the resident's individual service plan after a fall, leaving the resident on the floor overnight without assistance.
19 CSR 30-88.010(22) Free From Abuse: The facility failed to ensure one resident was free from neglect when staff did not assist the resident after a fall and left the resident on the floor all night, resulting in injury and hospitalization.
Report Facts
Resident census: 19
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Named in neglect finding for failing to assist resident after fall |
| Care Manager A | Assisted resident after fall and involved in incident report | |
| Administrator | Involved in interviews and observations related to the incident |
Inspection Report
Plan of Correction
Census: 16
Deficiencies: 1
Date: Jan 24, 2020
Visit Reason
The inspection was conducted to evaluate compliance with medication administration regulations and to address deficiencies related to the safe and effective medication system at the facility.
Findings
The facility failed to have a safe and effective medication administration system as staff did not ensure a licensed or certified caregiver administered medications to one resident. The Executive Director was not licensed or certified to pass medications in Missouri.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System was not met as the facility failed to ensure medications were administered by licensed or certified personnel. The Executive Director was not licensed or certified to pass medications in Missouri.
Report Facts
Facility census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Named in medication administration incident and termination | |
| Executive Director | Executive Director | Not licensed or certified to pass medications; involved in medication administration |
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