Camelot Nursing And Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents with orders for psychotropic (medication used to treat mental health conditions by affecting mood, behavior, thoughts and perception) medications were informed about the medication before its use for two residents (Residents #5 and #12) out of five sampled residents. The facility's census was 74.Review of the facility's policy titled, Psychotropic Management, reviewed 07/26/23, showed:- A psychotropic drug is any drug that affects brain activities associated with mental health processes and behavior;- Upon admission, the Licensed Nurse will implement physician order for medication including an approved diagnosis or targeted behavior;- A Psychotropic Medication Consent from resident and/or resident's responsible party;- Complete psychoactive medication review on admission, quarterly, annually, and as needed;- Implement Standardized Behavior Tracking Monitoring Tool. 1. Review of Resident #5's medical record showed:- admitted on [DATE];-…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to inform of and provide a free basic haircut for two residents (Residents #14 and #75) out of four sampled Medicaid residents. This had the potential to affect all Medicaid residents. The facility's census was 74. Review of the Missouri Department of Social Services, MO Health Net Division State Regulations for Medicaid Reimbursement for Long Term Care Facilities, showed:- 13 CSR 70-10.010 (5) Covered Supplies, Items and Services. All supplies, items and services covered in the per-diem rate must be provided to the resident as necessary. Supplies and services which would otherwise be covered in a per diem rate, but which also are billable to the Title XVIII Medicare program must be billed to that program for facilities participating in the Title XVIII Medicare program. Covered supplies, items and services include, but are not limited to, the following:(K) All routine care items, including disposables and including, but not limited to, those items specified in Appendix A to this rule;- Appendix A showed the following items…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to document an accurate Minimum Data Set (MDS - a federally mandated assessment completed by facility staff) for two residents (Residents #8 and #10) out of 18 sampled residents. The facility census was 74.The facility did not provide a policy regarding MDS coding for accuracy.Review of the Resident Assessment Instrument (RAI) Manual, dated October 2025, showed:- J1400: Code 1, yes: if the medical record includes physician documentation: 1) that the resident is terminally ill; or 2) the resident is receiving hospice services;- H0300: Code 9, not rated: if during the seven-day look-back period the resident had an indwelling bladder catheter (a flexible tube inserted into the bladder to continuously drain urine into an external bag) for the entire seven days.1. Review of Resident #8's medical record showed:- admission date of 06/22/22;- Diagnoses of dementia (a decline in mental ability severe enough to interfere with daily life), respiratory failure (a condition where there's not enough oxygen or too much carbon dioxide in the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow physician's orders for three residents (Residents #6, #10, and #62) and failed to obtain orders for three residents (Residents #10, #15, and #62) out of 18 sampled residents. The facility's census was 74.Review of the facility's policy, Physician's Orders, reviewed 09/28/22, showed: - Physician orders shall be provided by licensed practitioners (Physicians, Nurse Practitioners, and Physician's Assistants) authorized to prescribe orders; - Orders must be recorded in the medical record by the licensed nurse authorized to transcribe such orders; - Physician orders must be documented clearly in the medical record; - Physician orders that are missing required components, are illegible or unclear must be clarified before implementation; - Physician Order Sheets (POS) will be maintained with current Physician orders as new orders are received. Discontinued orders will be marked discontinued with the date, and all new orders will be…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain proper infection control practices to prevent the development and transmission of infections when staff did not utilize appropriate Personal Protective Equipment (PPE - equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses) and Enhanced Barrier Precautions (EBP - an infection control strategy used in nursing homes requiring staff to use gloves and gowns during high-contact activities). The facility also failed to properly handle potentially contaminated sharps, failed to sanitize a glucometer (a small, portable device used to measure the sugar level in blood) per manufacturer's directions, and failed to perform hand hygiene during medication administration and at appropriate times during resident care. This affected three residents (Resident #3, #34, and #62) out of 18 sampled residents and two residents (Resident #9 and #42) outside the sample. The facility census was 74.Review of the facility's policy titled, Enhanced Barrier Precautions, reviewed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain an error rate of less than five percent when medications were administered. There were 28 opportunities with three medication errors made, for an error rate of 10.7%. Out of six residents observed, this affected two residents (Resident #1 and #47) out of 16 sampled residents and one resident (Resident #10) outside the sample. The facility's census was 64. Review of the facility's policy titled, Specific Medication Administration Procedures/Injectable Medication Administration, revised September 2018, showed: - Pen Devices: dial dose as instructed and prime pen needle per manufacturer guidelines. Review of NovoLog Flex Pen (insulin in a pen-type device) instructions showed: - Remove cap; - Attach needle; - Prime pen by turning dose selector to select two units; - Press and hold button and make sure drop of insulin appears; - Select dose; - Give injection; - After dose counter reaches zero, count to six; - After injection, remove needle and place in sharps container. Review of Fiasp Flextouch Pen…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to label medication in a safe and effective manner. This affected one resident (Resident #10) outside of the 16 sampled residents. The facility's census was 64. Review of the facility's policy titled, Medication Storage in the Facility/Storage of Medications, revised November 2018, showed: - Certain medications or package types, such as IV solution, multiple dose injectable vials, opthalmics, nitroglycerin tablets, blood sugar testing solutions and strips, once opened, require an expiration date shorter than the manufacturer's expiration date to insure medication purity and potency. Review of the manufacturer's recommendations for Fiasp Flextouch insulin pen showed the medication is to be discarded after eight weeks of being opened. 1. Observation on 10/23/24 at 11:10 A.M. of the nurse's medication cart on A Hall showed: - Resident #10's opened and undated Fiasp FlexTouch insulin pen (insulin in a pen-type device); - Licensed Practical Nurse (LPN) A gave Resident #10 a dose of insulin from the undated pen.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS, a federally mandated assessment completed by the facility) within the required time frames for seven residents (Resident #6, #34, #50, #58, #61, #65, and #68) out of 18 sampled residents. The facility's census was 72. Review of the facility's policy titled MDS 3.0, revised 04/26/23, showed: - MDS assessments will be completed per the 3.0 Resident Assessment Instrument (RAI) User's Manual guidelines. Review of the RAI Manual showed: - For the admission assessment, the MDS Completion Date (Z0500B) must be no later than 13 days after the Entry Date (A1600); - The ARD (Assessment Reference Date) of an assessment drives the due date of the next assessment. The next comprehensive assessment is due within 366 days after the ARD of the most recent comprehensive assessment; - For the admission assessment, the Care Area Assessment (CAA) Completion Date (V0200B2) must be no later than 13 days after the Entry Date (A1600); - For the Annual assessment, the CAA Completion Date (V0200B2)…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to complete a quarterly Minimum Data Set (MDS, a federally mandated assessment completed by the facility) within the required timeframe for six residents (Resident #7, #8, #44, #47, #61, and #63) out of 18 sampled residents. The facility's census was 72. Review of the facility's policy titled, MDS 3.0, revised 04/26/23, showed: - MDS assessments will be completed per the 3.0 Resident Assessment Instrument (RAI) User's Manual guidelines. Review of the Resident Assessment Instrument (RAI) Manual showed: - The ARD (Assessment Reference Date) of an assessment drives the due date of the next assessment. The next non-comprehensive assessment is due within 92 days after the ARD of the most recent OBRA assessment (ARD of previous OBRA assessment (Admission, Annual, Quarterly, Significant Change in Status, or Significant Correction assessment) + 92 calendar days); - The Quarterly assessment is an OBRA non-comprehensive assessment for a resident that must be completed at least every 92 days following the previous OBRA assessment of any…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to document an accurate Minimum Data Set (MDS- a federally mandated assessment) for three residents (Resident #7, #16, and #44) out of 18 sampled residents. The facility's census was 72. Review of the facility's policy titled, MDS 3.0, revised 04/26/23, showed: - MDS assessments will be completed per the 3.0 Resident Assessment Instrument (RAI) User's Manual guidelines. 1. Review of Resident #7's Medical Record showed: - admitted on [DATE]; - Physician's Order Sheets, dated September 2023 and October 2023, showed no orders for parenteral/interavenous (IV) feeding or feeding tube; - Diagnoses included Alzheimer's Disease (progressive mental deterioration), muscle weakness, cerebral infarction (stroke), anxiety (persistent worry and fear about everyday situations) and congestive heart failure (CHF, an inability of the heart to pump sufficient blood flow to meet the body's needs). Review of Resident #7's significant change MDS, dated [DATE],…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to assess residents for the risk of entrapment and review possible risks and benefits of side rails prior to installation or use. The facility also failed to care plan specific monitoring and supervision provided during the use of the bed rails and to obtain informed consent for use of the side rails prior to use for 11 residents (Residents #6, #7, #8, #27, #44, #47, #50, #58, #61, #65, and #68) out of 18 sampled residents. The facility's census was 72. Review of the FDA (Federal Drug Administration) documents entitled, Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment, dated [DATE], showed 413 people died as a result of entrapment events in the United States. Further review revealed those among the most vulnerable for these entrapment type events are elderly patients and residents, especially those who are frail, confused, restless, or who have uncontrolled body movement. Review of the FDA document entitled,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, facility staff failed to conduct regular inspections of all bed frames, mattresses and side rails as part of a regular maintenance program for 11 residents with side rails (Residents #6, #7, #8, #27, #44, #47, #50, #58, #61, #65, and #68) out of 18 sampled residents. The facility's census was 72. Review of the facility's policy titled, Bed Safety and Bed Rails, revised [DATE], showed: - Bed frames, mattresses and bed rails are checked for compatibility and size prior to use; - Maintenance staff routinely inspects all beds and related equipment to identify risks and problems including potential entrapment risks; - Maintenance provides a copy of inspections to the administrator and reports results to the quality assurance committee; - Any worn or malfunctioning bed system components are repaired or replaced using components that meet manufacturer specifications. Review of the FDA (Federal Drug Administration) documents entitled, Hospital Bed System Dimensional…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.