Inspection Reports for
Westport Estates Senior Living
904 S Apache Dr, Marshall, MO 65340, United States, MO, 65340
Back to Facility ProfileDeficiencies (last 8 years)
Deficiencies (over 8 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
47% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 29
Deficiencies: 2
Date: Oct 23, 2025
Visit Reason
The inspection was conducted to assess compliance with tuberculosis screening requirements for residents and staff, and self-control of medication requirements in the assisted living facility.
Findings
The facility failed to ensure a two-step tuberculosis test was completed for five sampled employees. Additionally, the facility failed to obtain physician orders for three of five sampled residents to self-administer or keep medications at bedside.
Deficiencies (2)
19 CSR 30-86.047(19) TB Screen Residents & Staff: The facility did not ensure a two-step tuberculosis test was completed as required upon hire for five sampled employees. The facility census was 29.
19 CSR 30-86.047(40) Self-Control of Medication Requirements: The facility failed to obtain a physician's order for three of five sampled residents to self-administer or keep medications at bedside. The facility census was 29.
Report Facts
Facility census: 29
Number of sampled employees missing TB test: 5
Number of sampled residents missing physician orders: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Cook D | Sampled employee missing two-step TB test | |
| Life Enrichment Coordinator E | Sampled employee missing two-step TB test | |
| Personal Care Attendant F | Sampled employee missing two-step TB test | |
| Certified Medication Aide (CMA)/Level 1 Medication Aide (LIMA) G | Sampled employee missing two-step TB test | |
| Certified Medication Aide (CMA) H | Sampled employee missing two-step TB test | |
| Director of Nursing | Responsible for administering TB tests and medication compliance |
Inspection Report
Plan of Correction
Census: 21
Deficiencies: 2
Date: Mar 4, 2024
Visit Reason
The inspection was conducted to identify deficiencies related to combustible materials storage and room cleanliness at Westport Estates-Assisted Living.
Findings
The facility failed to prevent storage of excessive combustible materials and did not ensure rooms were neat, orderly, and cleaned daily. These deficiencies affected all twenty-one residents present during the inspection.
Deficiencies (2)
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility stored excessive combustible materials in rooms A3, A4, B8, and 12 without proper self-closures or signage.
19 CSR 30-86.032(23) Rooms Neat, Orderly, Cleaned Daily. The facility failed to ensure rooms were neat, clean, and orderly, including excessive clutter in room D5 causing a higher fuel load.
Report Facts
Facility census: 21
Inspection Report
Plan of Correction
Census: 20
Deficiencies: 1
Date: Aug 17, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with medication administration regulations and to assess the safety and effectiveness of the medication system.
Findings
The facility failed to implement a safe and effective medication system ensuring all residents' medications were administered according to physician instructions. Observations and record reviews identified multiple medication administration errors impacting four residents.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System. The facility failed to implement a safe medication system assuring all residents' medications were administered per physician instructions, impacting four of eight sampled residents. Medication cups were unlabeled and medications were removed from locked cabinets without proper labeling or documentation.
Report Facts
Facility census: 20
Residents impacted: 4
Sampled residents: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Level One Medication Aide (LIMA) | Observed removing medication cups and administering medications | |
| Director of Nursing (DON) | Interviewed regarding medication room and administration practices | |
| Administrator | Interviewed about expectations for medication administration |
Inspection Report
Plan of Correction
Census: 21
Deficiencies: 2
Date: Mar 8, 2022
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Westport Estates-Assisted Living following a survey conducted on 03/08/2022. It addresses regulatory compliance issues related to medication administration and medication destruction/disposition.
Findings
The facility failed to ensure a safe and effective medication system, including failure to observe residents' medication consumption and failure to ensure expired medications were removed from the medication cart. These deficiencies affected multiple residents and were classified as Class II and Class III violations.
Deficiencies (2)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to ensure staff continuously observed residents' consumption of medications, affecting three residents. Facility census was 21.
19 CSR 30-86.047(56)(E)(1-2) Medications-Return to RX / Destroy, Records: The facility failed to ensure expired medications were removed from the Medication Cart for current use. Facility census was 21.
Report Facts
Residents affected: 3
Facility census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CMA A | Certified Medication Aide | Observed placing medication cups with medications and interviewed regarding medication observation process |
| Director of Nursing | Interviewed regarding medication administration observation practices | |
| Administrator | Interviewed regarding medication observation requirements |
Inspection Report
Plan of Correction
Census: 7
Deficiencies: 1
Date: Aug 25, 2021
Visit Reason
The inspection was conducted due to a deficiency related to protective oversight for a resident who wandered off the premises unsupervised.
Findings
The facility failed to provide protective oversight for one resident who left the facility without staff knowledge, resulting in the resident being found outside near a parking lot. The facility census was seven at the time of inspection.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight was not met as the facility failed to provide 24-hour protective oversight for a resident who wandered off and was found outside unsupervised.
Report Facts
Facility census: 7
Inspection Report
Plan of Correction
Census: 31
Deficiencies: 2
Date: Jan 8, 2020
Visit Reason
The inspection was a licensure inspection focused on fire safety and sprinkler system compliance at an assisted living facility.
Findings
The facility failed to ensure hazardous areas were properly separated by fire-resistant partitions and doors, and failed to install and maintain a complete sprinkler system according to NFPA 13 standards. Observations included missing self-closure devices, lack of fire shutters, and absence of sprinkler heads and hydraulic calculation data plates.
Deficiencies (2)
19 CSR 30-86.022(10)(A) Hazardous Area Requirements. The facility failed to ensure the kitchen was separated from the rest of the facility by smoke stop partitions and self-closing doors, allowing smoke and toxic gases to pass to other areas.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility failed to install and maintain a complete sprinkler system, including missing sprinkler heads in resident closets and lack of hydraulic calculation data plates.
Report Facts
Facility census: 31
Inspection Report
Plan of Correction
Census: 33
Deficiencies: 5
Date: Jan 3, 2019
Visit Reason
The inspection was conducted as a fire safety inspection and to identify deficiencies related to fire hazards, kitchen hood systems, fire alarm systems, dryer lint traps, and sprinkler system maintenance at Westport Estates-Assisted Living.
Findings
The facility failed to ensure no fire hazards were present, maintain the kitchen hood extinguishing system, test and maintain the fire alarm system, keep dryer lint traps clean, and maintain sprinkler system components. Multiple Class II and Class III deficiencies were identified affecting all 33 residents.
Deficiencies (5)
19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard General Requirements. The facility failed to ensure no section of the building presented a fire hazard as evidenced by noisy and malfunctioning bathroom exhaust fans.
19 CSR 30-86.022(4)(B)(1)(2) Range Hood-After 7/11/80 & Before 10/1/00 Range Hood Extinguishing Systems. The facility failed to properly maintain the kitchen hood system as the drip pan was not installed on its mounting bracket.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain Complete Fire Alarm Systems. The facility failed to ensure the fire alarm system was tested and maintained, missing the required six month inspection.
19 CSR 30-86.022(10)(C) Clothes Dryers Vented, Lint Traps Protection from Hazards. The facility failed to ensure dryer lint traps were kept clean, with lint buildup observed in dryer lint traps.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing Sprinkler Systems. The facility failed to ensure the fire sprinkler system was maintained, with missing escutcheon rings on sprinkler heads.
Report Facts
Facility census: 33
Deficiency count: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Stedman | Administrator | Signed the plan of correction document |
Inspection Report
Plan of Correction
Census: 40
Deficiencies: 3
Date: Oct 24, 2018
Visit Reason
The inspection was conducted to identify deficiencies related to criminal background checks, employee disqualification list inquiries, and medication destruction procedures at Westport Estates Assisted Living by Americare.
Findings
The facility failed to obtain good cause waivers for employees with disqualifying criminal convictions, did not complete required EDL checks for new employees before contact with residents, and failed to maintain accurate medication destruction logs with proper signatures and documentation.
Deficiencies (3)
19 CSR 30-86.047(13)(A)(2) Criminal Convictions - Good Cause Waiver: The facility failed to obtain a good cause waiver for an employee with a Class B felony conviction before allowing contact with residents.
19 CSR 30-86.047(13)(B) EDL Inquiry: The facility failed to ensure two new employees had completed employee disqualification list checks before contact with residents.
19 CSR 30-86.047(56)(E)(1-2) Medications-Return to RX / Destroy, Records: The facility failed to maintain medication destruction logs with required dates, signatures, and documentation for controlled and non-controlled medications for multiple residents.
Report Facts
Facility census: 40
Number of sampled employees: 6
Number of sampled residents: 10
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