Inspection Reports for
The Manor at Elfindale

1707 W Elfindale St, Springfield, MO 65807, United States, MO, 65807

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

76% better than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2021
2023
2024

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Feb 2, 2024

Visit Reason
This document is a Statement of Deficiencies and Plan of Correction report for the Manor at Elfindale nursing home following a survey completed on February 2, 2024.

Findings
No health deficiencies were found during the survey.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Aug 15, 2023

Visit Reason
The inspection was conducted as an annual survey of the nursing home facility to assess compliance with health and safety regulations.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Complaint Investigation
Census: 90 Deficiencies: 5 Date: Dec 3, 2021

Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to timely report an allegation of abuse involving two residents to the State Survey Agency within two hours of receiving the allegation.

Complaint Details
The complaint involved failure to report an allegation of abuse involving two residents (Resident #8 and Resident #58) to the State Survey Agency within two hours of receiving the allegation. The facility census was 90. The investigation confirmed the failure to report and lack of documentation.
Findings
The facility failed to report an allegation of abuse involving two residents to the State Survey Agency within the required timeframe. Multiple staff interviews confirmed knowledge of abuse reporting requirements, but the incident was not reported. Additionally, the facility failed to document consent and gap measurements for bed rails for eight residents, and there were sanitation issues in the kitchen including mold buildup in the ice machine, lint buildup in the walk-in freezer vent, and missing or broken light fixture covers in the dry pantry.

Deficiencies (5)
Failed to timely report an allegation of abuse involving two residents to the State Survey Agency within two hours.
Failed to document completion of measurements to ensure no gaps that could cause injury or entrapment and failed to obtain signed consent for use of side rails for eight residents.
Failed to maintain the ice machine in a clean manner; ice reflector shield had mold buildup.
Failed to ensure the air cooling vent in the walk-in freezer was free of lint which could contaminate food.
Failed to ensure two fluorescent light fixtures in the dry storage pantry had covers and one cover was broken, risking contamination of food by broken glass.
Report Facts
Facility census: 90 Sample size: 18 Residents affected by bed rail documentation deficiency: 8

Inspection Report

Annual Inspection
Deficiencies: 0 Date: May 23, 2019

Visit Reason
The document is an annual inspection report for the Manor at Elfindale nursing home, conducted to assess compliance with health regulations.

Findings
No health deficiencies were found during the inspection.

Report

Feb 5, 2024

Report

Feb 2, 2024

Report

Aug 15, 2023

Report

Dec 3, 2021

Report

Dec 3, 2021

Report

Mar 26, 2021

Report

Feb 8, 2021

Report

Sep 9, 2020

Report

Sep 3, 2020

Report

Jun 26, 2020

Report

May 23, 2019

Report

May 23, 2019

Report

Sep 27, 2018

Report

May 11, 2018

Report

May 11, 2018

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