Inspection Reports for
The Georgia Brown Blosser Home for Women
1210 E Eastwood St, Marshall, MO 65340, United States, MO, 65340
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
55% occupied
Based on a June 2022 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Life Safety
Census: 6
Deficiencies: 8
Date: Jun 22, 2022
Visit Reason
The inspection was a fire safety inspection conducted to assess compliance with fire alarm activation requirements, fire safety training, locked exit doors, fire alarm system completeness, door devices, smoke section partitions, elevator requirements, and hot water temperature regulations.
Findings
The facility failed to meet several fire safety regulations including fire alarm activation during drills, fire safety training for employees, locked exit door functionality, maintenance of a complete fire alarm system, proper door self-closing devices, smoke section partitions, elevator inspection permits, and thermostatic control of hot water temperature. The facility census was six residents at the time of inspection, and all deficiencies affected these six residents.
Deficiencies (8)
19 CSR 30-86.022(5)(F) Fire Alarm Activation Requirements. The facility staff could not locate records showing the fire alarm was activated monthly for the past twelve months during fire drills. The facility census was six residents at the time of inspection.
19 CSR 30-86.022(6)(A)(1-3) Fire Safety Training Requirements-employees. The facility failed to ensure fire safety training was provided to all employees during orientation, at least every six months, and when training needs were identified. The facility census was six residents.
19 CSR 30-86.022(7)(E) Locked Exit Doors. The facility failed to ensure exit door locks did not require a key, tool, or special knowledge to unlock from inside. The glass storm door was difficult to unlock, affecting six residents.
19 CSR 30-86.022(9)(A) Fire Alarm Complete System. The facility failed to maintain a complete fire alarm system including smoke detectors and visual/audible alarms. Three smoke detectors were removed due to water damage. The facility census was six residents.
19 CSR 30-86.022(10)(G) Door Devices - Self/Auto closing. The facility failed to ensure all doors providing separation between floors had self-closing devices or interconnected electromagnetic hold-open devices. The facility census was six residents.
19 CSR 30-86.022(10)(J) Smoke Section Partitions < 20 beds. The facility failed to ensure kitchen doors were held closed and not propped open, compromising residents' ability to exit in a fire. The facility census was six residents.
19 CSR 30-86.032(19) Elevator Requirements. The facility failed to obtain a current elevator inspection permit from the Missouri Division of Fire Safety. The facility census was six residents.
19 CSR 30-86.032(34) Hot Water 105-120 Degrees F. The facility failed to ensure hot water was thermostatically controlled to not exceed 120 degrees Fahrenheit. The facility census was six residents.
Report Facts
Facility census: 6
Deficiencies cited: 8
Inspection Report
Plan of Correction
Census: 5
Deficiencies: 3
Date: Mar 9, 2022
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Georgia Brown Blosser Home for The, detailing regulatory deficiencies found during a survey conducted on 03/09/2022.
Findings
The facility failed to screen residents and staff for tuberculosis as required, maintain monthly summaries in residents' charts, and ensure residents' personal lives were not regulated beyond reasonable adherence to meal schedules. These deficiencies affected multiple residents and staff and were supported by interviews and record reviews.
Deficiencies (3)
19 CSR 30-86.042(18) TB Screen Resident/Staff: The facility failed to screen residents and staff for tuberculosis as required for long-term care facilities. This affected one employee file and three sampled residents.
19 CSR 30-86.042(62)(B) Resident Record Requirements: The facility failed to maintain a monthly summary in residents' charts of their general condition and needs. This affected three sampled residents.
19 CSR 30-88.010(41) Resident Lives Not Regulated/Controlled: The facility failed to ensure residents did not have their personal lives regulated or controlled beyond reasonable adherence to meal schedules. This affected three residents.
Report Facts
Facility census: 5
Inspection Report
Plan of Correction
Census: 9
Deficiencies: 2
Date: Mar 4, 2020
Visit Reason
The document is a statement of deficiencies from a licensure inspection conducted on March 4, 2020, identifying fire safety and electrical wiring violations.
Findings
The facility failed to activate the fire alarm system monthly as required and did not conduct fire drills in January and February 2020. Additionally, the facility failed to have electrical wiring inspected every two years as required.
Deficiencies (2)
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to activate the fire alarm system monthly and did not conduct fire drills for January and February 2020. This affected all nine residents.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have electrical wiring inspected every two years as required, affecting all nine residents.
Report Facts
Facility census: 9
Inspection Report
Plan of Correction
Census: 8
Deficiencies: 1
Date: Apr 30, 2019
Visit Reason
The visit was conducted to assess compliance with medication administration regulations and to address deficiencies related to staff certification and training in medication administration.
Findings
The facility failed to ensure a safe and effective medication system as staff administering medications were not certified as Level I Medication Aides. Two residents' medication administration was observed with uncertified staff. The facility lacked a process to track biennial training and certification status of medication aides.
Deficiencies (1)
19 CSR 30-86.042(51) Safe/Effective Medication System: The facility failed to ensure staff administering medications were certified as Level I Medication Aides. Two residents received medications from uncertified staff.
Report Facts
Facility census: 8
Residents sampled: 3
Staff expected to administer medications: 9
Staff delinquent in training: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Lead Medication Aide | Observed administering medication; certification status inactive |
| Staff B | Cook | Observed administering medication; certification status inactive |
| Anita Wright | Manager | Provided statements regarding training processes and signed plan of correction |
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 6
Date: May 14, 2018
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to perform required background checks, employee disqualification list inquiries, tuberculosis screening, physician orders compliance, medication system safety, and controlled substances reconciliation.
Complaint Details
The complaint investigation substantiated multiple deficiencies related to employee background checks, tuberculosis screening, medication administration, and controlled substances reconciliation.
Findings
The facility was found deficient in multiple areas including failure to request criminal background checks and employee disqualification list checks for new hires, failure to ensure tuberculosis screening for new employees, failure to follow physician orders for medication administration, deficiencies in medication administration and documentation, and failure to reconcile controlled substances properly. The facility census was eight at the time of inspection.
Deficiencies (6)
19 CSR 30-86.042(11)(A) Criminal Background Check Request: The facility failed to request criminal background checks for three new employees and did not obtain a new check for a returning employee.
19 CSR 30-86.042(11)(B) EDL Inquiry: The facility failed to ensure three new employees had an Employee Disqualification List check completed at the time of hire or re-hire.
19 CSR 30-86.042(18) TB Screen Resident/Staff: The facility failed to ensure two new employees were screened for tuberculosis as required and lacked documentation of annual TB tests for two employees.
19 CSR 30-86.042(40) Physicians Orders & Proper Care: The facility failed to follow physician orders for medication administration for one resident, with inconsistent documentation of medication and weight changes.
19 CSR 30-86.042(51) Safe/Effective Medication System: The facility failed to develop and implement a safe medication system ensuring proper administration and monitoring by qualified staff.
19 CSR 30-86.042(55)(B)(1-3) Controlled Substances - Reconcile, Personnel: The facility failed to ensure controlled substance inventories were reconciled by qualified staff for two residents, with incomplete documentation and policy deficiencies.
Report Facts
Facility census: 8
Number of new employees without CBC: 3
Number of new employees without EDL check: 3
Number of new employees without TB screening: 2
Number of residents sampled for medication review: 4
Number of residents with controlled substances reconciliation issues: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anita Wright | Administrator | Named in plan of correction and interview regarding background checks and medication system |
| LIMA B | Employee with missing CBC and EDL checks | |
| LIMA C | Employee with missing CBC and EDL checks | |
| LIMA D | Employee with missing CBC and EDL checks | |
| Aide F | Employee with missing CBC and EDL checks and medication administration issues | |
| LIMA A | Assistant Manager | Named in TB screening and medication administration interviews |
Inspection Report
Life Safety
Census: 6
Deficiencies: 2
Date: Jan 25, 2018
Visit Reason
The inspection was a fire safety inspection conducted to evaluate compliance with fire drill requirements and electrical wiring maintenance.
Findings
The facility failed to properly conduct required fire drills on the proper rotation and failed to maintain the electrical system, including a faulty GFCI outlet. Both issues had the potential to affect all staff and residents in an emergency.
Deficiencies (2)
19 CSR 30-86.022(5)(D) Fire Drill Requirements were not met as the facility failed to conduct fire drills on the proper rotation. The facility census was 6 at the time of inspection.
19 CSR 30-86.032(13) Electrical Wiring was not maintained as the facility had a faulty GFCI outlet by the kitchen sink that would not trip when tested.
Report Facts
Fire drills conducted: 11
Facility census: 6
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