Inspection Reports for
The Fremont Senior Living
1520 E Bates St, Springfield, MO 65804, United States, MO, 65804
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
45% better than Missouri average
Missouri average: 5.5 deficiencies/year
Deficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
83% 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
Plan of Correction
Census: 60
Deficiencies: 1
Date: May 22, 2025
Visit Reason
The document is a plan of correction related to a deficiency found during an inspection on May 22, 2025, regarding locked exit doors at the facility.
Findings
The facility failed to provide delayed egress locks in compliance with NFPA 101, Section 7.2.1.6.1, 2000 edition. The locks required a code to be entered before opening, delaying egress and failing to meet safety standards.
Deficiencies (1)
19 CSR 30-86.022(7)(E) Locked Exit Doors: The facility failed to provide delayed egress locks that do not require a key, tool, special knowledge, or effort to unlock from inside. A door required a code to open, delaying egress.
Report Facts
Facility census: 60
Attempts pushing door: 6
Pound-force: 15
Seconds door held: 3
Inspection Report
Plan of Correction
Census: 55
Deficiencies: 2
Date: Dec 17, 2024
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Fremont Senior Living following a survey conducted on 12/17/2024. The visit was to assess compliance with regulations related to resident care and medication management.
Findings
The facility failed to promptly notify the legally authorized representative of medication changes for a resident and did not have policies regarding medication notifications and allergy management. Medication orders containing drugs on a resident's allergy list were administered without proper safeguards.
Deficiencies (2)
19 CSR 30-86.047(37) Appropriate Action & Notification: Facility staff failed to notify the legally authorized representative of a medication change for a resident and lacked a policy for medication change notifications.
19 CSR 30-86.047(46) Safe & Effective Medication System: Facility staff administered medication containing a drug on a resident's allergy list and failed to provide a policy regarding medication administration related to allergies.
Report Facts
Facility census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Billy House Henry | Administrator | Signed the Statement of Deficiencies form |
Inspection Report
Complaint Investigation
Census: 13
Deficiencies: 1
Date: Sep 26, 2022
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to provide twenty-four hour protective oversight for a resident in the memory care unit.
Complaint Details
The complaint was substantiated based on interviews, record reviews, and video evidence showing the resident exited the facility unsupervised and staff failed to follow elopement protocols.
Findings
The facility failed to provide continuous protective oversight for one resident, allowing the resident to leave the facility unsupervised on multiple occasions. Staff did not consistently document monitoring of the resident's wander guard placement as required.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide 24-hour protective oversight for one resident, allowing the resident to leave the facility without staff knowledge and failed to consistently document wander guard monitoring.
Report Facts
Memory care census: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terri Milage | Executive Director | Signed the statement of deficiencies on 10/19/22 |
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 1
Date: May 5, 2022
Visit Reason
The inspection was conducted due to a complaint investigation regarding staff behavior and treatment of residents, specifically involving a staff member yelling at a resident and pushing another resident in a wheelchair.
Complaint Details
The complaint was substantiated based on interviews and record reviews showing staff yelling at and pushing residents. The Executive Director and other staff confirmed the incidents during interviews.
Findings
The facility failed to ensure staff treated each resident with consideration, respect, and full recognition of their dignity and individuality. Staff were observed yelling at residents and pushing a resident in a wheelchair, violating resident rights.
Deficiencies (1)
19 CSR 30-88.010(29) Dignity/Privacy: The facility failed to ensure staff treated residents with dignity and respect, evidenced by a staff member yelling at one resident and pushing another resident in a wheelchair. This violation was classified as Class II.
Report Facts
Facility census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheryl Kay | Executive Director, LPN | Named as Executive Director providing interview and signature on the report |
| Licensed Practical Nurse A | Reported staff witnessed CNA yelling at Resident #1 | |
| Certified Nurse Assistant B | Staff member who yelled at Resident #1 and was involved in the incident |
Inspection Report
Plan of Correction
Census: 60
Deficiencies: 3
Date: Apr 6, 2022
Visit Reason
The inspection was conducted to assess compliance with fire safety and life safety regulations, including area of refuge requirements, locked exit doors, and sprinkler system maintenance.
Findings
The facility failed to provide a functioning two-way communication system in the area of refuge, delayed egress locks did not comply with NFPA 101 standards, and the sprinkler system had corroded and painted heads that may not operate properly in a fire. These deficiencies affected all 60 residents present during the inspection.
Deficiencies (3)
19 CSR 30-86.022(7)(D)(1-8) Area of Refuge Requirements. The facility failed to provide a two-way communication system between the area of refuge and a remote monitored area, delaying evacuation in an emergency.
19 CSR 30-86.022(7)(E) Locked Exit Doors. The facility failed to provide delayed egress locks compliant with NFPA 101, including required signage and proper operation, affecting all exit doors.
19 CSR 30-86.022(11)(E) Sprinkler System, Res. Impaired, Multilevel. The facility failed to maintain a complete sprinkler system; several sprinkler heads were corroded or painted, potentially impairing fire response.
Report Facts
Facility census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cherry Kay | Executive Director, LPN | Signed the statement of deficiencies on April 29, 2022 |
Inspection Report
Plan of Correction
Census: 59
Deficiencies: 1
Date: Jan 25, 2022
Visit Reason
The document is a Plan of Correction submitted in response to a deficiency cited during a survey conducted on 01/25/2022 at Fremont Senior Living, The.
Findings
The facility failed to provide protective oversight for a resident who suffered first and second degree burns from hot water served at an unsafe temperature. The hot water temperature at the drink station was measured at 170-177 degrees Fahrenheit, exceeding safe limits.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight was not met as facility staff failed to provide protective oversight for a resident who suffered burns due to hot water served at unsafe temperatures.
Report Facts
Facility census: 59
Hot water temperature: 170
Hot water temperature: 177
Hot water temperature: 172
Burn area measurement: 13
Burn area measurement: 10
Burn area measurement: 3
Burn area measurement: 2
Inspection Report
Life Safety
Census: 51
Deficiencies: 3
Date: Mar 26, 2019
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with combustible materials storage, smoke section partitions, and heater safety regulations at Fremont Senior Living.
Findings
The facility was found storing unnecessary combustible materials under stairs, had smoke partitions that were not one-hour fire-rated as required, and failed to ensure no portable heaters were used. These deficiencies potentially affected all 51 residents present during the inspection.
Deficiencies (3)
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility stored large amounts of unnecessary combustible materials under stairs, violating fire safety regulations.
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds. The facility failed to install one-hour fire-rated smoke partitions from floor-to-roof deck, allowing fire and toxic gases to spread.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable. The facility failed to ensure no portable heaters were used, violating heating safety regulations.
Report Facts
Containers of chafing fuel: 42
Fluid volume of chafing fuel: 211
Facility census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Virginia Winfrey | Administrator | Signed the inspection report. |
| Regional Plant Operations Director | Interviewed regarding combustible materials storage and smoke partitions. | |
| Regional Plant Operations Manager | Interviewed regarding removal of portable electric space heater. |
Inspection Report
Plan of Correction
Capacity: 50
Deficiencies: 3
Date: Apr 16, 2018
Visit Reason
This document is a Plan of Correction submitted by Fremont Senior Living following a deficiency statement from a Missouri Department of Health and Senior Services inspection conducted on 04/16/2018.
Findings
The facility failed to update Community Based Assessments and Individual Service Plans timely for residents with significant condition changes. The facility also failed to ensure physician orders were complete and current, particularly regarding care for residents with foley catheters.
Deficiencies (3)
19 CSR 30-86.047(28)(F)(1)(C) Community Based Assessment-Significant Change: The facility failed to update Community Based Assessments when two residents had significant condition changes. The facility census was 29 at the time.
19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements: The facility failed to complete individualized service plans for two of three sampled residents with condition changes. The facility census was 62 at the time.
19 CSR 30-86.047(47)(A) Physicians Orders Followed: The facility failed to ensure physician orders were complete and current for treatments, including transcription of orders for foley catheter care for two residents. The facility census was 62 at the time.
Report Facts
Facility census: 29
Facility census: 62
Total licensed capacity: 50
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