Deficiencies (last 5 years)
Deficiencies (over 5 years)
2.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
56% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
81% occupied
Based on a October 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 30
Deficiencies: 1
Date: Oct 30, 2024
Visit Reason
The inspection was conducted to assess compliance with regulations regarding employee disqualification list (EDL) inquiries prior to allowing staff contact with residents.
Findings
The facility failed to ensure all newly hired staff members were listed on the employee disqualification list prior to contact with residents. Four sampled staff members had delayed EDL checks ranging from 12 days to seven months after their start dates.
Deficiencies (1)
19 CSR 30-86.042(11)(B) EDL Inquiry: The facility failed to make timely inquiries to the employee disqualification list for four newly hired staff members before allowing contact with residents.
Report Facts
Facility census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LIMA B | Level One Medication Aide | Named in delayed EDL check finding |
| Cook D | Cook | Named in delayed EDL check finding |
Inspection Report
Plan of Correction
Census: 33
Deficiencies: 1
Date: Dec 7, 2023
Visit Reason
The document is a plan of correction related to a deficiency found during a survey conducted on 12/07/2023 regarding improper use of resident funds and conflicts of interest involving facility employees.
Findings
The facility failed to ensure resident funds were used only when authorized by residents or their designees, allowing a business office manager to become a resident's designee, creating a conflict of interest. The facility also lacked a policy for employees becoming designees for residents.
Deficiencies (1)
19 CSR 30-88.020(2) Resident Fund Use: The facility allowed one employee to become a resident's designee, creating a potential conflict of interest and failed to provide a policy for employees becoming designees for residents.
Report Facts
Facility census: 33
Inspection Report
Plan of Correction
Census: 30
Deficiencies: 1
Date: Sep 20, 2023
Visit Reason
The inspection was conducted to assess compliance with advance directive requirements for residents, focusing on annual review and notification of residents or their representatives.
Findings
The facility failed to review advance directives annually with residents or their legally authorized representatives for four sampled residents. The facility also lacked a policy regarding annual review of advance directives with residents or their designees.
Deficiencies (1)
19 CSR 30-88.010(10) Advance Directive Requirements were not met as the facility staff failed to review advance directives annually with residents or their legally authorized representatives for four sampled residents. The facility did not provide a policy regarding annual review of advance directives with residents or their designees.
Report Facts
Facility census: 30
Number of sampled residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed regarding knowledge of advance directive review requirements | |
| Wellness Director | Responsible for reviewing and documenting advance directives and auditing resident files |
Inspection Report
Plan of Correction
Census: 28
Deficiencies: 4
Date: Oct 18, 2022
Visit Reason
The inspection was conducted to identify deficiencies related to employee disqualification checks, tuberculosis screening, personnel records, and resident rights compliance at The Bungalows at Nevada.
Findings
The facility failed to ensure newly hired employees were checked against the employee disqualification list prior to contact with residents. The facility also failed to complete required tuberculosis screenings for residents and staff, maintain written physician statements for staff, and review resident rights annually for some residents.
Deficiencies (4)
19 CSR 30-86.042(11)(B) EDL Inquiry: The facility failed to check that newly hired employees were not listed on the employee disqualification list prior to allowing contact with residents for three staff members.
19 CSR 30-86.042(18) TB Screen Resident/Staff: The facility failed to ensure required two-step tuberculosis screening tests and annual TB screenings were completed and documented for residents and staff.
19 CSR 30-86.042(21)(I) Personnel Record-physician statement: The facility failed to ensure all staff had a written statement signed by a licensed physician or designee indicating they could work in a long-term care facility for four staff members.
19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: The facility failed to review resident rights annually for three residents and did not ensure residents or their representatives were fully informed of their rights.
Report Facts
Facility census: 28
Staff members with missing EDL checks: 3
Residents with missing TB screening: 3
Staff with missing physician statements: 4
Residents with missing annual rights review: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LIMA A | Level One Medication Aide | Named in EDL inquiry and TB screening deficiencies |
| PCA C | Personal Care Aide | Named in EDL inquiry and TB screening deficiencies |
| Facilities Director D | Named in EDL inquiry, TB screening, and physician statement deficiencies | |
| Executive Director | Interviewed regarding deficiencies and responsible for corrective actions |
Inspection Report
Plan of Correction
Census: 26
Deficiencies: 1
Date: Jul 9, 2019
Visit Reason
The inspection was conducted as a fire safety inspection to assess compliance with hazardous area requirements related to fire protection.
Findings
The facility failed to provide protection from hazardous areas as required by regulation. Specifically, a door from the kitchen to the front exit pathway was propped open, preventing the self-closing device from functioning.
Deficiencies (1)
19 CSR 30-86.022(10)(A) Hazardous Area Requirements were not met because the door from the kitchen to the front exit pathway was propped open, preventing the self-closing device from closing the door.
Report Facts
Facility census: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Gilbert | Executive Director | Named in plan of correction and corrective action |
Inspection Report
Plan of Correction
Census: 65
Deficiencies: 1
Date: Mar 13, 2019
Visit Reason
The inspection was conducted to assess compliance with tuberculosis screening requirements for residents and staff at Morningside of Nevada.
Findings
The facility failed to ensure the required two-step tuberculin test was completed for one of two sampled staff. Specifically, the second step of the TB test was missed for a Level One Medication Aide (LIMA) staff member.
Deficiencies (1)
19 CSR 30-86.042(18) TB Screen Resident/Staff: The facility failed to complete the required two-step tuberculin test for a sampled staff member, missing the second step of the test.
Report Facts
Facility census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director of Nursing | Regional Director of Nursing | Interviewed regarding TB testing procedures and oversight |
Inspection Report
Life Safety
Census: 23
Capacity: 24
Deficiencies: 3
Date: Jun 28, 2018
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with fire alarm system maintenance, floor separation/doors, and sprinkler system maintenance/testing regulations.
Findings
The facility failed to maintain the complete fire alarm system, ensure proper smoke separation between floors, and maintain the sprinkler system with required hydraulic data nameplate. Deficiencies affected most or all residents present during the inspection.
Deficiencies (3)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. This deficiency affected all 23 residents present.
19 CSR 30-86.022(10)(E) Floor Separation/Doors. The facility failed to ensure proper smoke separation between floors as doors did not have a latching mechanism that positively latched. This deficiency affected 23 of 26 residents.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to ensure the sprinkler system was installed as required and was missing the hydraulic data nameplate. This deficiency affected all 23 residents present.
Report Facts
Facility census: 23
Facility census: 24
Residents affected: 23
Residents affected: 23
Residents affected: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Lindsay | Executive Director | Signed plan of correction on 10/26/2018 |
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