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Medicalodges Nevada

1210 West Ashland, Nevada, MO 64772 · For profit - Corporation · 100 certified beds · (417) 667-5064 Medicare & Medicaid certified

Call the home — (417) 667-5064 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609) — most recent Dec 2024
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)
  • nursing-staff turnover (71%) runs well above the national median (45%)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
900 S Adams St · (417) 667-6015 · Call to confirm hours
Pharmacy
1407 W Austin Blvd · (417) 667-3953 · Call to confirm hours
Grocery
1407 W Austin Blvd · (417) 667-3764 · Call to confirm hours
Park
400 W Atlantic Ave · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased19.6%18.1%15.4%worse
Long-stay residents who lose too much weight4.3%5.3%5.4%better
Long-stay residents with a catheter left in their bladder0.7%1.1%0.9%better
Long-stay residents with a urinary tract infection2.3%2.3%2.0%worse
Long-stay residents with depressive symptoms4.0%18.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.5%4.1%3.3%worse
Long-stay residents whose ability to walk worsened21.0%17.4%16.1%worse
Long-stay residents on antianxiety or hypnotic medication40.4%25.6%18.9%worse
Long-stay residents given the seasonal flu vaccine92.5%90.9%95.3%typical
Long-stay residents with pressure ulcers7.8%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control21.3%17.8%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table25.0%23.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%2.2%1.4%better
Long-stay hospitalizations per 1,000 resident days1.322.111.67better
Long-stay outpatient ER visits per 1,000 resident days1.282.331.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

0.14U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.101.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.50
RN hours/ resident / day
1.00
LPN hours/ resident / day
2.62
Aide hours/ resident / day
4.12
Total nurse hours/ resident / day
0.36
RN hoursweekends
70.6%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 100 beds and averages 34.7 residents a day — about 35% occupied, or roughly 65 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.12 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.62 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.43 hrs/resident/day on weekends vs 4.40 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.56 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

16
deficiencies at the latest standard inspection (2024-06-18)
3
at the previous standard inspection (2022-06-09)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · D2025-08-06 · tag F0800 — isolated
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, facility staff failed to provide each resident with a diet that met each resident's special dietary needs when staff served a regular texture meal to the one resident (Resident #1) who had a physician's order for a mechanically altered diet resulting in the resident choking. The facility had a census of 35.On 06/18/25, the Administer was notified of the non-compliance. The facility implemented measures including designated assignment of staff for overseeing serve-out of meals, nurses to be present in the dining room for all meals, assigning only nursing staff to pass prepared meals to residents, implementation of a meal ticket system with written current dietary needs of each resident printed new for each meal, in-servicing all staff, and increased audit/check processes throughout the meal to ensure meals are prepared according to physician's orders. The deficient practice was corrected on 06/20/25.Review of a facility policy titled, Diet Orders, dated 2011, showed the following:-Each resident shall have a diet order prescribed by the physician…

    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.

    Nutrition and Dietary Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2025-04-09 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement and maintain an effective infection control and prevention program when staff failed to follow the facility's infection control policies and guidance by the Centers for Disease Control (CDC) when staff failed to wear N95 masks (a respiratory protective device designed to achieve a very close facial fit and very efficient filtration of airborne particles) appropriately after two staff tested positive, with possible contact with other staff, for Covid-19. The facility census was 37. Review of the CDC's Infection Control Guidance: SARS-CoV-2 (Covid-19), updated 06/24/24, showed the following: -Source control refers to use of respirators or well-fitting facemasks or cloth masks to cover a person's mouth and nose to prevent spread of respiratory secretions when they are breathing, talking, sneezing, or coughing; -Masks and respirators also offer varying levels of protection to the wearer; -People, particularly those at high risk for…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-23 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure all allegations of abuse and neglect were reported immediately to facility management and to the State Survey Agency (Department of Health and Senior Services - DHSS) within the required two-hour time frame when staff failed to immediately report an allegation of employee to resident abuse of involving three residents (Resident #1, #2 and #3). The facility census was 31. The Administrator was notified on the morning of 12/17/24 of the Past Non-Compliance which occurred on 12/15/24 between 3:00 A.M. and 5:00 A.M. The accused certified nurse aide was suspended on 12/17/24. Staff assessed both residents for injuries and none were found. On 12/17/24, in-service of all staff was started. Staff began the full investigation on 12/17/24 and completed interviews on 12/17/24. The facility implemented monitoring, including once a week for four weeks or as needed for psychosocial support. The noncompliance was corrected on 12/17/24. Review of the facility's…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · F2024-06-18 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility staff failed to employ a qualified dietary manager for food and nutrition services with accredited education in food service management. The facility census was 45. Review showed the facility did not provide written policy regarding the certification requirements of the dietary manager. 1. Review of the facility's new hire list, generated on 06/10/24, showed the Dietary Manager (DM) was hired on 02/09/23. Review showed the facility did not provide documentation of the DM's training, experience, or qualifications that met the required certification requirements for the DM position. During an interview on 06/12/24, at 12:05 P.M., the DM said he/she had six years of experience in cooking and ten years experience as a food industry manager. The DM said he/she had started an online dietary certification program in November 2023, but had not yet completed the course. During an interview on 06/18/24, at 9:20 A.M., the Administrator said they received verbal verification of the DM's work experience. However, the DM's training and…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-06-18 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain a complete infection prevention and control program when the facility failed to implement the policy regarding enhanced barrier precautions (EBP-precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO-microorganisms that are resistant to one or more classes of antimicrobial agents) or any resident who has a chronic wound and/or indwelling medical device) and failed to train staff on EBP. Staff failed to practice proper hand hygiene to prevent possible infection when completing wound care for two residents (Resident #30 and #40). The facility census was 45. 1. Review of the CDC's Implementation of Personal Protective Equipment Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms, dated 07/12/22, showed the following: Review of the facility's table titled Summary of Personal Protective Equipment (PPE) use and Room Restriction for Residents…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-06-18 · tag F0882 — widespread
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to designate one or more individuals with specialized training in infection prevention and control (IPC) as the infection preventionist (IP) for the facility's infection prevention control program. The census was 45. Review showed the facility did not provide a policy related to the position of infection preventionist and required certification. 1. During an interview on 06/10/24, at 10:55 A.M., the Administrator said the interim Director of Nursing (DON), in the position for about two months, was currently enrolled in the State's online IPC program, but had not completed the certification. The Administrator said the facility was offering the other staff nurses the chance to enroll and become certified, but none had completed the course as yet. Review showed the facility did not provide documentation of the required certification for the IP position for the DON. During an interview on 06/14/24, at 10:53 A.M., the interim DON said he/she had begun, but was not finished with the online IPC training and certification. The DON…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-18 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure staff treated all residents with dignity and respect when the staff failed to provide a dignity bag for a catheter (a sterile tube inserted into the bladder to drain urine) bag for three residents (Resident #40, #10, and #16), failed to knock before entering the room of one resident (Resident #41), and when staff stood over three residents (Resident #33, #23, and #24) when assisting the residents with a meal. The facility census was 45. Review of the facility's policy titled State and Federal Regulation, dated 10/2019, showed the following information: -A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident. Review of facility policy titled Your Rights and Protections as a Nursing Home…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-18 · tag F0680 — pattern
    Ensure the activities program is directed by a qualified professional.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure an qualified individual was designated as the activities program director. The facility census was 45. Review showed the facility did not provide a policy pertaining to the activity program or requirements of the program director. 1. Review of the facility's current staff listing, provided on 06/10/24, showed no individual listed as an activities program director. Review of the facility's staffing schedules for the months of May 2024 and June 2024 showed no individual scheduled to lead activities. Observation on 06/10/24, at 3:10 P.M., showed six to eight residents in the dining room area playing Bingo. A resident was calling the numbers. No staff was present. Observations on 06/11/24, at 10:15 A.M., showed Certified Nursing Assistant (CNA)/Staffing Coordinator M lead approximately six to eight residents in exercising/dancing to music played in the central lobby/living area. During an interview on 06/11/24, at 11:00 A.M., CNA/Staffing Coordinator M said he/she tried to help by leading activities when…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-18 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide care per standard of practice when the facility failed to complete ordered labs/x-rays for two residents (Resident #26 and #29) resulting in a possible delay in care and when staff failed to provide restorative therapy for one resident (Resident #33). The facility census was 45. Review showed the facility did not provide a policy or procedure related to following physician orders for laboratory or diagnostic imaging. 1. Review of Resident #26's face sheet showed the following information: -admission date of 10/04/22; -Diagnoses included dementia (chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning) with agitation, fibromyalgia (chronic disorder characterized by widespread pain and other symptoms such as fatigue, muscle stiffness, and insomnia), Raynaud's syndrome (causes some areas of the body - such as fingers and toes - to feel…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-06-18 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure proper assessment and documentation was completed before side rail use when staff used side rails for two residents (Resident #39 and #40) who has been assessed as not appropriate for side rail use and when staff failed to document risk versus benefit review, failed to obtain informed consent for use, failed to care plan side use, failed to obtain physician orders for the use of side rails, and failed to complete measurements to reduce risk of entrapment for two residents (Resident #10 and #29). The facility census was 45. Review showed the facility did not have a policy regarding side rail/grab bar use that were not restraints. 1. Review of Resident #39's face sheet (resident's information at first glance) showed the following information: -admission date of 09/29/23; -Diagnoses included anemia (red blood cell deficiency), high blood pressure, kidney failure, and malnutrition. Review of the resident's quarterly Minimum Data Set…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 16 citations
  • Potential for harm · E2024-06-18 · tag F0728 — failed to protect against nurse-aide misconduct — pattern
    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure three nurse aides (NA) (NA A, NA H, NA J) of six sampled NAs, completed a certified nurse aide (CNA) training program within four months of employment in the facility. The facility census was 45. Review showed the facility did not provide a policy regarding nurse aide certification or training. 1. Review of NA H personnel file showed the following: -Date of hire on 09/07/23; -No documentation NA H had completed the nurse aide training program. During an interview on 06/13/24, at 9:50 A.M., NA H said that he/she was hired in September 2023. He/she was unsure when he/she had started the CNA classes online. He/she said that he/she had almost completed the online classes. 2. Review of NA J personnel file showed the following: -Date of hire on 09/11/23; -No documentation NA J had completed the nurse aide training program. During an interview on 06/12/24, at 2:10 P.M., Licensed Practical Nurse (LPN) I said NA J had taken his/her test last week with results pending. 3. Review of NA A personnel file showed the following:…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-18 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure suitable, nourishing snack alternatives were available and provided to residents outside of schedule mean services for diabetic residents. The facility census was 45. 1. Review of facility records showed there were 13 diabetic resident at the facility. Observation on 06/17/24, at 8:20 P.M., showed a tray on a shelf in the nurses' station containing multiple pre-packaged cookies and other sweet or salty snacks and a coffee carafe with assorted creamers/sugars. During the observation, Licensed Practical Nurse (LPN) L said the dietary staff usually put a few sandwiches on the tray when they bring it to the station at 7:00 P.M. nightly, but the sandwiches always went fast and none were left at that time. None of the present snacks were considered protein by the nurse. The evening shift and night shift staff did not have access to the kitchen or other food items after 7:00 P.M. During an interview on 06/17/24, at 9:00 P.M., Resident #20 said he/she was diabetic. The resident said they do not provide enough…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-18 · tag F0919 — failed to provide a working call system — pattern
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a properly working and monitored call light system was in place when staff failed to fix one resident's (Resident #41) nonfunctional call light, failed to answer one resident's (Resident #200) call light before it automatically reset, and failed to ensure the call lights alerted to a central location and all care staff have access to pagers that alerted to call lights. The facility census was 45. Review showed the facility did not provide have a written policy regarding the call system. 1. Review of Resident #41's face sheet (first glance at resident's information) showed the following information: -admission date of 02/21/24; -Diagnoses included heart failure, high blood pressure, sleep apnea (sleep disorder in which breathing stops and starts repeatedly), and squamous cell carcinoma (cancer that starts as a growth of cells on the skin). Review of the resident's admission Minimum Data Set (MDS - a federally mandated assessment…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-18 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed follow their abuse prevention policy when staff failed to request a criminal background check (CBC) and complete a Nurse Aide (NA) Registry check to ensure staff did not have a Federal Indicator (a marker given to a potential employee who has committed abuse, neglect, or misappropriation of property against residents) prohibiting them to work in a certified facility prior to one staff member's (Housekeeping S) contact with residents. A sample of 10 employees was reviewed in a facility with a census of 45. Review of the facility's policy entitled Abuse, Neglect and Exploitation, undated, showed the following: -All new employees will be investigated prior to employment for a previous history of abuse, neglect, or exploitation; -All non-licensed employees shall have a criminal background check as required by law and may be periodically checked; -Results of background checks will be maintained in the employee's personnel file; -All employees are hired on a probationary basis pending the result of their background check. Review of…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-18 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to complete the required Preadmission Screening and Resident Review (PASARR - a two level tool used to screen each resident in a nursing facility for a mental disorder or intellectual disability prior to admission) prior to or upon admission to the facility and after changes in condition for one resident (Resident #8), out of five sampled residents, to ensure the resident received appropriate care and services. The facility census was 45. Review showed the facility did not provide a policy or procedure addressing completion of PASARR forms. 1. Review of Resident #8's face sheet (brief information sheet about the resident) showed the following information: -admission date of 09/30/14; -Diagnoses included bipolar disorder (onset date of 01/10/20), major depressive disorder, mild intellectual disabilities (slower in all areas of conceptual development and social and daily living skills), and impulse disorder. Review of the resident's care plan, last reviewed 08/25/20, showed the following: -The resident had mood/behavior and…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-18 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide care to all pressure ulcers per standards of practice when the facility failed to have a system in place to ensure timely implementation of new wound care orders, to ensure timely physician notification of wounds, and to document and track wound timely and completely for one resident (Resident #40). A sample of 15 residents was reviewed in the facility with a census of 45. Review of the facility's policy titled, Wound Prevention and Management, revised 12/2018, showed the following information: -All residents will be assessed in the first four hours of admission using the Braden Scale (a standardized tool used in health care to assess a patients risk of developing pressure ulcers or pressure injuries) to determine the risk for skin breakdown. Residents will be reassessed quarterly and with any identified significant change; -The facility will develop a system to review all residents at risk on a weekly basis; -The facility will…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure an environment as free of accident hazards as possible when staff transferred one resident (Resident #39), who was non-weight bearing, with a gait belt. The facility census was 45. Review showed the facility did not provide a policy regarding transferring residents, gait belt use, or mechanical lift use. Review of the American Nurse Journal, titled Gait Belts 101, dated 05/03/19, showed the following information: -Before using a gait belt, conduct a mobility assessment which includes four elements - cognition, strength, balance, and endurance. If the patient passes to mobility test, still address any concern that a knee might buckle, a patient could become dizzy, or something could go wrong; -After the belt is properly secured, ensure that the patient's feet are placed flat on the floor (no dangling feet); -Be passive and careful not to grab the gait belt to pull the patient up to stand. A gait belt is used to steady a patient and…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-18 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to have a process in place to ensure pharmacist recommendations were follow-up and implemented if approved by the physician, when the facility failed to to adjust one resident's (Resident #23) medication as recommended by the pharmacist and agreed to by the physician. The facility census was 45. Review showed the facility did not provide a policy or procedure regarding following physician orders for pharmacist recommendations. 1. Review of Resident #23's face sheet showed the following information: -admission date of 08/31/23; -Diagnoses included left sided hemiplegia (paralysis of one side of the body), dementia, diabetes, and heart failure. Review of the resident's care plan, revised on 09/01/23, showed the following information: -Resident takes medications that have a Black Box Warning, (a serious warning from the FDA that appears on the labeling of certain prescription medications that have major risks associated with the drug) or have nursing considerations that need to be monitored; -High risk for potentially higher…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-18 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and record review, the facility failed to follow approved menus to ensure the nutritional needs of all residents were met when staff did not provide the approved pureed meals to two residents (Residents #24 and #95) and substituted nonequivalent items. The facility census was 45. Review showed the facility did not provide a policy regarding pureed diets. 1. Review of diet cards showed Residents #24 and #95 required puree textured diets. Review of the Pureed menu, for 06/13/24, showed the following: -Pureed honey glazed pork loin; -Pureed roasted sweet potatoes; -Pureed crunchy cabbage bake; -Pureed Gooey Butter Bar; -Pureed buttered dinner roll. During an interview on 06/13/24, at 11:00 A.M., the Dietary Manager (DM) said he/she did not know how to puree cabbage, so they were substituting with cottage cheese. During an interview on 06/14/24, at 12:20 P.M., Dietary Aide AA said the DM told him/her to substitute yogurt for the side salad, which would not puree appropriately. During an interview on 06/18/24, at 11:38 A.M., Registered Dietician (RD) Z said 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-09-11 · tag F0837 — widespread
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility's governing body failed to ensure the staff appointed in the role of administrator had a active administrator licensed recognized in the state of operations. The facility census was 46. Review showed the facility did not provide a policy regarding qualification for the role of administrator. 1. Observation, on [DATE], showed Staff Member A was identified as the administrator of the facility. Review of the Missouri Board of Nursing Home Administrators website, dated [DATE], showed Staff Member A did not have an active administrator licensed for the State of Missouri. During an interview on [DATE], at 5:40 P.M., Staff Member A said his/her administrator license had expired [DATE]. He/she sent in the paperwork to recertify his/her license in [DATE]. He/she never followed up or checked on whether it had been approved or if there was any additional information needed. He/she said she/he had looked to see if he/she was on the list of active administrators or inactive…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-06-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure staff stored, prepared, and served food in a sanitary conditions and protected against possible contamination when staff failed to clean a metal shelf in the kitchen from an accumulation of lint and dust; failed to repair and clean fluorescent light covers; failed to clean a window air conditioner pointed towards prepared foods in the kitchen; and failed to ensure the dishwasher chemicals tested at recommended level. The facility had a census of 32 residents. 1. Record review of the 2013 Missouri Food Code showed the following information: -Equipment food-contact surfaces and utensils shall be clean to sight and touch; -The food-contact surfaces of cooking equipment and pans shall be kept free of encrusted grease deposits and other soil accumulations; -Nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue, and other debris; -Nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-06-09 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain a clean, comfortable, homelike environment in the dining room, when fluorescent light fixtures contained dead bug. The facility census was 32. Record review showed the facility did not provide a policy regarding maintaining the cleanliness of the light covers/fixtures. 1. Observation of the dining room area closest to the door exiting to the smoking area for staff and residents showed the following: -On 06/06/22, at 2:30 P.M., ten of the eleven fluorescent light fixtures had dead bugs, too numerous to count, in the light fixture; -On 06/07/22, at 12:40 P.M., ten of eleven fluorescent light fixtures were had dead bugs, too numerous to count, in the light fixture;. -On 06/08/22, at 11:30 A.M., ten of eleven fluorescent light fixtures were had dead bugs, too numerous to count, in the light fixture. During an interview on 06/09/22, at 8:45 A.M., Dietary Aide (DA) B said kitchen staff and maintenance both clean the ceiling light covers. During an interview on 06/09/22, at 8:50 A.M., DA A said maintenance…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-06-09 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to follow facility policy to ensure staff completed employee tuberculosis (TB-a potentially serious infectious bacterial disease that mainly affects the lungs) screening tests on hire for three staff members. The facility census was 32. Record review of the facility's policy, Infection Control-Employee Infection Control Procedures, dated 06/04/2014, showed the following information: -All employees (including consultants and contract employees) will have a health screen and a two-step TB test (PPD) on employment to determine they are free of communicable disease. Thereafter, they shall have a TB test annually on or about their anniversary date; -Testing should be performed prior to or on the first date of employment and read in millimeters, using the measuring devices provided with the serum, within 48 to 72 hours. If the skin test is read as insignificant (induration of less than 10 mm), the test should be repeated within the next 7 to 21 days. Both tests must be properly documented: ie., date done, date read, results, and…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2019-08-08 · tag F0838 — failed to assess facility resources and resident needs — widespread
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to complete and document a facility-wide assessment to determine what resources were necessary to care for facility residents competently during both day-to-day operations and emergencies as required. A sampled of 15 residents was selected for review in a facility with a census of 52. 1. Record review of the facility's Resident Census and Condition form, dated 8/5/19, showed a census of 52 and the following resident characteristics: -Two residents with intellectual and/or developmental disability; -Twenty-eight residents with documented signs and symptoms of depression; -Twenty-one residents with documented psychiatric diagnosis (excluding dementias and depression); -Twenty-four residents with behavioral healthcare needs; -One resident on chemotherapy; -Two residents requiring tracheostomy care; -Two residents requiring ostomy (allows bodily waste to pass through a surgically created opening on the abdomen) care; -Two residents requiring tube feeding services; -Thirty-two residents on psychoactive (affecting the mind)…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-08-08 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide an ongoing program of activities designed to meet the needs, interests, and physical, mental and psychosocial well-being for residents including three residents (Residents #32, #46, and #48) and failed to accurately document which activities the residents attended or declined to attend. A sample of 15 residents was selected for review. The facility census was 52. Record review showed the facility did not provide a policy pertaining to the scheduling and attendance of activities for the residents. Record review of a facility form entitled, Resident Activity Program (revised in 2000), showed seven categories: spiritual, social, work, craft, individual, Bingo, and exercises. The bottom of the log included lines for 90-day Progress Report. 1. Record review of the facility's activity calendar for May, June, July, and August 2019, showed the following listed activities on the 100 days reviewed through the exit date of 8/8/19: -10:00…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2019-08-08 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, facility staff failed to complete a documented assessment, a quarterly risks/benefit review, and obtain signed consent for five residents (Resident #28, #31, #38, #43, and #201), prior to the use of side rails. A sample of 15 residents was selected for review. The facility census was 52. Record review of the guidance for industry and Food and Drug Administration (FDA) staff, hospital bed system dimensional and assessment guidance to reduce entrapment, issued on 3/10/2006, from the FDA, Center for Devices and Radiological Health, showed the following information: -The term medical bed and hospital bed are used interchangeably and include adult medical beds with side rails; -Evaluating the dimensional limits of the gaps in hospital beds may be one component of a bed safety program, which includes a comprehensive plan for patient and bed assessment; -Bed safety programs may also include plans for reassessment of hospital bed systems; -Reassessment may 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MEDICALODGES, INC. — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.7-0.7 vs chain
Health inspection 2 of 52.4-0.4 vs chain
Staffing 4 of 53.6+0.4 vs chain
Quality measures 2 of 52.8-0.8 vs chain
The other 17 homes this chain runs (chain average 2.7★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
MEDICALODGES INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/01/1966
HOUSER, SUSANIndividualW-2 MANAGING EMPLOYEEsince 06/05/2009
BUTLER, RICHARDIndividualCORPORATE DIRECTORsince 03/16/2004
COX, GARENIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 02/26/1998
DOLL, GAYLEIndividualCORPORATE DIRECTORsince 03/10/2005
HINES, SCOTTIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 03/19/2009
MARSHALL, CAROLIndividualCORPORATE DIRECTORsince 07/27/2006
OTT, RONIndividualCORPORATE DIRECTORsince 09/15/2006
CARDENAS, STACIIndividualCORPORATE OFFICERsince 05/28/2013
COOVER, TERESAIndividualCORPORATE OFFICERsince 09/21/2017
LAGER, SHANNONIndividualCORPORATE OFFICERsince 06/15/2013
LANTZ, KATHLEENIndividualCORPORATE OFFICERsince 10/22/2007
MCBRIDE, TRAVISIndividualCORPORATE OFFICERsince 11/15/2012
ROHLING MCCORD, CATHERINEIndividualCORPORATE OFFICERsince 06/09/2000
SMITH, PAMELAIndividualCORPORATE OFFICERsince 07/01/2014
WAECHTER HARMON, LORIIndividualCORPORATE OFFICERsince 03/31/2018

CMS files one row per role, so the 18 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$3.3M
Net patient revenuemost recent cost report
-17.0%
Operating marginrevenue minus expenses
$168K
Related-party expense4% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 6%Other / private 94%

This home reported $168K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$267per resident / day
operating cost
$8,130per month
≈ monthly operating cost
$229per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Missouri Medicaid page.

Typical monthly cost in Missouri
$6,741/mo
Nursing home (semi-private)
$7,604/mo
Nursing home (private)
$5,400/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 265493. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-06-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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