| Facility failed to meet the following Requirement(s): | Corrected Date | Level of Harm | Residents Affected |
| Smoking.
(C) The contents of ashtrays shall be disposed of properly in receptacles made of noncombustible material. II/III
|
9/20/2024
| | |
| Furniture and equipment shall be maintained in good condition and shall be replaced if broken, torn, heavily soiled or damaged. Rooms shall be so designed and furnished that the comfort and safety of the residents are provided for at all times. II/III
|
6/17/2024
| | |
| Plumbing fixtures which are accessible to residents and which supply hot water shall be thermostatically controlled so that the water temperature at the fixture does not exceed one hundred twenty degrees Fahrenheit (120��F) (49��C) and the water shall be at a temperature range between one hundred five degrees Fahrenheit (105��F) (41��C) and one hundred twenty degrees Fahrenheit (120��F) (49��C). I/II
|
6/17/2024
| | |
| The administrator/manager of a residential care facility shall have successfully completed the state approved Level I Medication Aide course unless he or she is a physician, pharmacist, licensed nurse or a certified medication technician, or if the facility is operating in conjunction with a skilled nursing facility or intermediate care facility on the same premises, or, for an assisted living facility, if the facility employs on a full-time basis, a licensed nurse who is available seven (7) days per week. II/III
|
6/17/2024
| | |
| The operator shall be responsible to assure compliance with all applicable laws and regulations. The administrator/manager shall be fully authorized and empowered to make decisions regarding the operation of the facility and shall be held responsible for the actions of all employees. The administrator/manager ' s responsibilities shall include oversight of residents to assure that they receive care appropriate to their needs. II/III
|
9/20/2024
| | |
| The facility shall screen residents and staff for tuberculosis as required for long-term care facilities by 19 CSR 20-20.100. II
|
9/20/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(A) Job responsibilities; II/III
|
6/17/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(B) Emergency response procedures; II/III
|
9/20/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(C) Infection control and handwashing procedures and requirements; II/III
|
6/17/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(D) Confidentiality of resident information; II/III
|
9/20/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(E) Preservation of resident dignity; II/III
|
9/20/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(F) Information regarding what constitutes abuse/neglect and how to report abuse/neglect to the department (1-800-392-0210); II/III
|
9/20/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(G) Information regarding the Employee Disqualification List; II/III
|
9/20/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(H) Instruction regarding the rights of residents and protection of property; II/III
|
9/20/2024
| | |
| Prior to or on the first day that a new employee works in the facility he or she shall receive orientation of at least one (1) hour appropriate to his or her job function. This shall include at least the following:
(I) Instruction regarding working with residents with mental illness. II/III
|
9/20/2024
| | |
| The administrator/manager shall maintain on the premises an individual personnel record on each facility employee, which shall include the following:
(I) Written statement signed by a licensed physician or physician ' s designee indicating the person can work in a long-term care facility and indicating any limitations; III
|
9/20/2024
| | |
| The administrator/manager shall maintain on the premises an individual personnel record on each facility employee, which shall include the following:
(L) Reason for termination if the employee was terminated due to abuse or neglect of a resident, residents ' rights issues or resident injury. III
|
6/17/2024
| | |
| Residents admitted or readmitted to the facility shall have an admission physical examination by a licensed physician. Documentation should be obtained prior to admission but shall be on file not later than ten (10) days after admission and shall contain information regarding the resident ' s current medical status and any special orders or procedures which should be followed. If the resident is admitted directly from a hospital or another long-term care facility and is accompanied on admission by a report which reflects his/her current medical status, an admission physical will not be required. II/III
|
9/20/2024
| | |
| The facility shall maintain a record in the facility for each resident which shall include the following:
(B) A review monthly or more frequently, if indicated, of the resident ' s general condition and needs; a monthly review of medication consumption of any resident controlling his or her own medication, noting if prescription medications are being used in appropriate quantities; a daily record of administration of medication; a logging of the medication regimen review process; a monthly weight; a record of each referral of a resident for services from an outside service; and a record of any resident incidents including behaviors that present a reasonable likelihood of serious harm to himself or herself or others and accidents that potentially could result in injury or did result in injuries involving the resident; III
|
6/17/2024
| | |
| Menus shall be planned in advance and shall be readily available for personnel involved in food purchase and preparation. Food shall be served as planned although substitutes of equal nutritional value and complementary to the remainder of the meal can be made if recorded. III
|
6/17/2024
| | |
| Poisonous or toxic materials consist of the following categories: insecticides and rodenticides; disinfectants, sanitizer and related cleaning or drying agents; and caustics, acids, polishes and other chemicals. Each of these three (3) categories set forth shall be stored and physically located separate from each other. All poisonous or toxic materials shall be stored in locked cabinets or in a similar physically separate place used for no other purpose which is not accessible to residents. II
|
6/17/2024
| | |
| Walls and ceilings, including doors, windows and skylights, shall be clean and maintained in good repair. III
|
9/20/2024
| | |
| Each resident shall be permitted to retain and use personal clothing and possessions as space permits. Personal possessions may include furniture and decorations in accordance with the facility's policies and shall not create a fire hazard. The facility shall maintain a record of any personal items accompanying the resident upon admission to the facility, or which are brought to the resident during his or her stay in the facility, which are to be returned to the resident or responsible party upon discharge, transfer, or death. II/III
|
9/20/2024
| | |
Missouri Department of Health & Senior Services