Inspection Results
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Facility failed to meet the following Requirement(s):Corrected DateLevel of HarmResidents Affected
The operator shall designate an individual for administrator who is currently licensed as an administrator by the Missouri Board of Nursing Home Administrators, in accordance with Chapter 344, RSMo. II 5/30/2025   
The administrator shall maintain on the premises an individual personnel record on each facility employee, which shall include the following: (E) Documentation of experience and education including for positions requiring licensure or certification, documentation evidencing competency for the position held, which includes copies of current licenses, transcripts when applicable, or for those individuals requiring certification, such as certified medication technicians, level I medication aides and insulin administration aides; printing the Web Registry search results page available at www.dhss.mo.gov/cnaregistry shall meet the requirements of the employer ' s check regarding valid certification; III 5/30/2025   
The administrator shall maintain on the premises an individual personnel record on each facility employee, which shall include the following: (G) The results of background checks required by section 660.317, RSMo; and a copy of any good cause waiver granted by the department, if applicable; III 5/30/2025   
The administrator shall maintain on the premises an individual personnel record on each facility employee, which shall include the following: (H) Position in the facility; III 5/30/2025   
The administrator 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 5/30/2025   
The administrator shall maintain on the premises an individual personnel record on each facility employee, which shall include the following: (J) Documentation of the employee ' s tuberculin screening status; III 5/30/2025   
The administrator shall maintain on the premises an individual personnel record on each facility employee, which shall include the following: (K) Documentation of what the employee was instructed on during orientation training; III 5/30/2025   
There shall be written documentation maintained in the facility showing actual hours worked by each employee. III 5/30/2025   
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 5/30/2025   
Staffing Requirements. (A) The facility shall have an adequate number and type of personnel for the proper care of residents, the residents ' social well being, protective oversight of residents and upkeep of the facility. At a minimum, the staffing pattern for fire safety and care of residents shall be one (1) staff person for every fifteen (15) residents or major fraction of fifteen (15) during the day shift, one (1) person for every twenty (20) residents or major fraction of twenty (20) during the evening shift and one (1) person for every twenty-five (25) residents or major fraction of twenty-five (25) during the night shift. I/II Time Personnel Residents 7 a.m. to 3 p.m. (Day)* 1 3-15 3 p.m. to 9 p.m. (Evening)* 1 3-20 9 p.m. to 7 a.m. (Night)* 1 3-25 *If the shift hours vary from those indicated, the hours of the shifts shall show on the work schedules of the facility and shall not be less than six (6) hours. III 5/30/2025