| Facility failed to meet the following Requirement(s): | Corrected Date | Level of Harm | Residents Affected |
| 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
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10/31/2019
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| (B) Inventories of controlled substances shall be reconciled by the following:
2. Two (2) medication personnel, who are certified medication technicians or level I medication aides, when a licensed nurse is not available. II
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10/31/2019
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| At all times, including while being stored, prepared, displayed, served or transported to or from the facility, food shall be protected from potential contamination, including dust, insects, rodents, unclean equipment and utensils, unnecessary handling, coughs and sneezes, flooding, drainage and overhead leakage or overhead drippage from condensation. The temperature of potentially hazardous food shall be forty-five degrees Fahrenheit (45?F) or below or one hundred forty degrees Fahrenheit (140?F) or above at all times, except as otherwise provided in this section. In the event of a fire, flood, power outage or similar event that might result in the contamination of food, or that might prevent potentially hazardous food from being held at required temperatures, the person in charge shall immediately contact the Department of Health and Senior Services (the department). Upon receiving notice of this occurrence, the department shall take whatever action that it deems necessary to protect the residents. II/III
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10/31/2019
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| Potentially hazardous foods requiring cooking shall be cooked to heat all parts of the food to a temperature of at least one hundred forty degrees Fahrenheit (140?F), except that poultry, poultry stuffings, stuffed meats and stuffings containing meat shall be cooked to heat all parts of the food to at least one hundred sixty-five degrees Fahrenheit (165?F) with no interruption of the cooking process. Pork and food containing pork shall be cooked to heat all parts of the food to at least one hundred fifty degrees Fahrenheit (150?F); rare roast beef shall be cooked to an internal temperature of at least one hundred thirty degrees Fahrenheit (130?F); and rare beef steak shall be cooked to a temperature of one hundred thirty degrees Fahrenheit (130?F) unless otherwise ordered by the resident. II/III
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10/31/2019
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| Ice shall be dispensed only with scoops, tongs or other ice-dispensing utensils or through automatic self-service, ice-dispensing equipment. Ice-dispensing utensils shall be stored on a clean surface or in the ice with the dispensing utensil ' s handle extended out of the ice. Between uses, ice transfer receptacles shall be stored in a way that protects them from contamination. Ice storage bins shall be drained through an air gap. III
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10/31/2019
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Missouri Department of Health & Senior Services