Inspection Reports for
Turners Rock Senior Living Community
3911 E Sunshine St, Springfield, MO 65809, MO, 65809
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
89% occupied
Based on a January 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 62
Deficiencies: 8
Date: Jan 29, 2024
Visit Reason
The inspection was conducted to assess compliance with fire safety and life safety regulations, including area of refuge requirements, locked exit doors, smoke detectors, fire alarm systems, door devices, smoke partitions, sprinkler systems, and wastebasket requirements.
Findings
The facility was found deficient in multiple fire and life safety areas, including failure to provide a two-way communication system in the area of refuge, improper delayed egress locks, smoke detectors not properly installed, incomplete fire alarm testing and maintenance, self-closing doors not functioning, and use of non-compliant wastebaskets. These deficiencies affected all 62 residents present during the inspection.
Deficiencies (8)
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.
19 CSR 30-86.022(7)(E) Locked Exit Doors. The facility failed to ensure delayed egress locks were installed and signed in accordance with NFPA 101, and more than one such device was located in an egress path.
19 CSR 30-86.022(9)(A)(1) Smoke Detectors-NFPA 13. The facility failed to ensure smoke detectors were installed no more than 30 feet apart as required by NFPA 13.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system as required by NFPA 72.
19 CSR 30-86.022(10)(G) Door Devices - Self/Auto closing. The facility failed to ensure doors providing separation between floors were self-closing.
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds. The facility failed to ensure doors in smoke partitions were self-closing and closed properly.
19 CSR 30-86.022(11)(F) Sprinkler Systems-Inspections, Cert. The facility failed to maintain a complete sprinkler system and replace painted sprinkler heads.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to ensure only metal or UL/FM fire-resistant rated wastebaskets were used for trash.
Report Facts
Facility census: 62
Deficiencies cited: 8
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 1
Date: Jan 16, 2024
Visit Reason
The inspection was conducted due to complaints regarding inadequate heating and low temperatures in resident rooms at Turners Rock facility.
Complaint Details
The complaint was substantiated based on observations, interviews, and record review showing low temperatures in resident rooms and lack of heating policy.
Findings
The facility failed to maintain resident room temperatures at or above 68 degrees Fahrenheit, with temperatures measured as low as 5 degrees F in some rooms. The facility lacked a policy on minimum temperatures and use of space heaters, and some heating units were not functioning properly.
Deficiencies (1)
19 CSR 30-86.032(9) Temperatures in Resident Areas: The facility failed to maintain temperatures not less than 68 degrees Fahrenheit in resident rooms and common areas accessible to residents. Temperatures were measured below 68 degrees affecting at least three residents, and no policy was provided regarding minimum temperatures or space heater use.
Report Facts
Facility census: 62
Temperature readings: 5
Temperature readings: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brad Schaidle | Administrator/General Manager | Signed the inspection report |
Inspection Report
Plan of Correction
Census: 62
Deficiencies: 1
Date: Jan 14, 2024
Visit Reason
The document is a statement of deficiencies issued following an inspection on January 14, 2024, related to regulatory compliance at the facility.
Findings
The facility failed to ensure the prohibition of portable heaters, with observation of a portable electric heater in use in a resident's room. The Director of Maintenance removed the heater upon discovery and reported challenges maintaining comfortable temperatures with permanent heating units.
Deficiencies (1)
19 CSR 30-86.032(10) requires that heating systems restrict the use of portable heaters in residential care facilities. The facility was found using a portable electric heater in a resident's room, violating this regulation.
Report Facts
Facility census: 62
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 1
Date: Oct 20, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding a missing medication card for one resident at Turners Rock Senior Living.
Complaint Details
The investigation was triggered by a complaint about missing narcotics (clonazepam) for Resident #1. The allegation was substantiated based on missing medication cards and discrepancies in narcotic counts documented by staff.
Findings
The facility failed to ensure a safe and effective medication system as a card containing 30 pills of clonazepam went missing while in the facility's possession. Multiple staff interviews and record reviews revealed discrepancies in narcotic counts and documentation.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to maintain a safe medication system when a card of clonazepam medication went missing for one resident. Documentation and narcotic counts were inconsistent among staff.
Report Facts
Facility census: 60
Medication pills per card: 30
Number of narcotic cards expected: 5
Number of narcotic cards observed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brad Eldridge | General Manager, Administrator | Named as general manager notified of missing narcotics and signer of plan of correction |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 2
Date: Jul 24, 2023
Visit Reason
The inspection was conducted to investigate deficiencies related to tuberculosis screening for residents and staff, and protective oversight for residents, following a complaint or allegation.
Complaint Details
The complaint investigation substantiated that the facility failed to provide required tuberculosis screening and protective oversight, resulting in a resident elopement incident.
Findings
The facility failed to ensure required two-step tuberculosis screening tests were administered to all sampled staff and residents. Protective oversight was not provided 24 hours a day for residents at risk of elopement, resulting in a resident leaving the facility without staff knowledge.
Deficiencies (2)
19 CSR 30-86.047(19) TB Screen Residents & Staff: The facility did not ensure the required two-step tuberculosis screening test was administered to five sampled staff and three sampled residents. Staff failed to document the second step of the TB test.
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide 24-hour protective oversight for residents, allowing a resident with a history of elopement to leave the facility without staff knowledge.
Report Facts
Facility census: 58
Inspection Report
Plan of Correction
Census: 48
Deficiencies: 1
Date: Oct 6, 2022
Visit Reason
The inspection was conducted to investigate a deficiency related to protective oversight for a resident who left the facility without proper supervision and notification.
Findings
The facility failed to provide protective oversight for one resident who left the premises without staff awareness or proper notification procedures. The facility lacked a policy for monitoring residents leaving voluntarily and did not require residents to sign out when leaving the premises.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide protective oversight for one resident who left the facility and was found near the highway without staff knowledge. The facility lacked a policy for monitoring residents leaving voluntarily and did not require residents to sign out when leaving.
Report Facts
Census: 48
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