Inspection Reports for
The Ozarks Methodist Manor

One Missouri state licensure deficiency (Class III) concerning fire extinguishers not being installed and maintained in accordance with NFPA 10, including extinguishers mounted at improper heights and affecting all residents.

One state licensure deficiency (Class II) was cited for sprinkler system noncompliance. The deficiency concerns failed items from the facility's annual sprinkler inspection, including a painted sprinkler head, a leaking 2" 90-degree main drain valve, and a broken handle on the 2" 90-degree main drain.

1 Missouri State Form deficiency (Class III) for clothes dryer vent/lint trap maintenance; the surveyor found a crushed dryer vent in the hall laundry room creating lint removal and overheating risk affecting all residents.

Four deficiencies were cited: two federal life-safety deficiencies involving hazardous area enclosure/door closure and smoking/ashtray disposal, and two Missouri state licensure deficiencies that refer to those same issues.

Six deficiencies were cited: three federal life safety deficiencies involving building construction integrity including missing sprinkler escutcheons and ceiling penetrations, missing GFCI protection in wet locations, and improper use of power strips; and three Missouri state licensure violations citing substantially constructed/maintained physical plant, electrical wiring/equipment, and extension cord/duplex receptacle requirements.

One state licensure deficiency was cited for failure to maintain the facility fire alarm system, involving a missing transient suppressor and non-working horn notification devices/horn-strobes.

The complaint investigation was triggered by an allegation from the resident's guardian that a Certified Nursing Assistant (CNA A) may have taken $40 from the resident. The resident thought a family member took the money. The allegation was reported to the Ombudsman and local police. Multiple staff, including CNAs and Licensed Practical Nurse (LPN D), were interviewed. The resident's family member and guardian provided statements. The facility conducted two follow-up investigations but was unable to determine what happened to the money.

The facility failed to ensure residents were free from misappropriation when $40 was taken from Resident #1's wallet without the resident's knowledge or consent. Despite multiple staff interviews and investigations, the facility was unable to determine what happened to the missing money. The investigation remains open with no individual identified as responsible.

Six Life Safety deficiencies were cited covering delayed-egress egress doors that did not function as labeled, exit directional signage, an unsealed hazardous area penetration in a boiler room, lack of required hood/exhaust for a cooking stove in an activity area, improperly located photoelectric smoke detectors relative to air diffusers, and unauthorized portable space heaters.

The facility was found deficient in multiple areas including dignity in meal service, cleanliness of bathroom vents, timely completion and transmission of resident assessments, comprehensive care planning, pressure ulcer care, nutritional monitoring and intervention, staffing requirements, nurse staffing postings, dietary manager qualifications, completeness of medical records, infection prevention program review, and antibiotic stewardship.

The complaint involved a staff member (Certified Nurse Aide B) threatening and cursing at a resident (Resident #1), which was overheard by another staff member (Housekeeper A). The facility failed to report this allegation within the required two-hour timeframe to management and the state licensing agency.

The facility failed to report an allegation of abuse immediately to facility management and the state licensing agency within the required two-hour timeframe. This deficiency was uncorrected from a previous citation.

The facility failed to timely report and investigate an allegation of abuse, ensure proper documentation and follow-up of residents' code status and behavioral health needs, maintain adequate fall prevention care plans, provide timely treatment for urinary tract infections, employ a qualified dietary manager, maintain food safety and sanitation standards, properly dispose of refuse, maintain accessible call light systems, and implement an effective pest control program.

The facility was found deficient in multiple areas including failure to post prior survey results in an accessible location, incomplete and late Minimum Data Set (MDS) assessments and transmissions, inadequate policies and procedures for abuse reporting, failure to document antibiotic monitoring for a resident with a urinary tract infection, lack of physician orders and cleaning protocols for a resident's CPAP machine, incomplete documentation of a resident's decline before death, and non-functioning bathroom exhaust ventilation in multiple resident rooms.

Four deficiencies were cited: two federal life-safety deficiencies involving hazardous area enclosure/door closure and smoking/ashtray disposal, and two Missouri state licensure deficiencies that refer to those same issues.

Six deficiencies were cited: three federal life safety deficiencies involving building construction integrity including missing sprinkler escutcheons and ceiling penetrations, missing GFCI protection in wet locations, and improper use of power strips; and three Missouri state licensure violations citing substantially constructed/maintained physical plant, electrical wiring/equipment, and extension cord/duplex receptacle requirements.