CENTRAL REGION

Facility: West Woods Care Center, Inc.

Bourbon, MO

12-Bed Residential Care Facility

Date of Notice: January 2007

Owner: Converse, Richard & Audrey

Operator: Not Listed

Registered Agent: Not Listed

Legal Action: DENIAL OF LICENSURE

Description: The operator has failed to provide a complete application, including all required attachments, demonstrating financial capacity to operate the facility. The operator failed to provide additional information related to the application within (10) working days of the change or of SLTC's request.

Facility: West Woods Care Center, Inc.

Bourbon, MO

12-Bed Residential Care Facility

Date of Notice: February 2007

Owner: Converse, Richard & Audrey

Operator: Not Listed

Registered Agent: Not Listed

Legal Action: RECISSION OF DENIAL AND RE-DENIAL OF APPLICATION FOR LICENSE

Description: The operator has failed to provide a complete application, including all required attachments, demonstrating financial capacity to operate the facility. The operator failed to provide additional information related to the application within 10 working days of the change or of SLTC's request. The facility and the operator are not in substantial compliance with the provisions of sections 198.003 to 198.096 and the standards established thereunder. The facility has had a history of chronic noncompliance with SLCR standards between August, 2004 and present as identified in Statements of Deficiencies previously provided to the facility and the Statement of Deficiencies enclosed with this letter. (Letter on file with MCQC).

Facility: Ridgeway Residential Care

Sullivan, MO

20-Bed Residential Care Facility

Date of Notice: February 2007

Owner: Turner, Deborah J.

Operator: Deborah J. Turner

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: A complaint investigation was completed on 11/28/06. The facility was not in substantial compliance with participation requirements. A revisit was completed on 2/14/07. The facility failed to have a designated administrator who is currently licensed as a nursing home administrator. The administrator's license expired 6/30/06.

Facility: South Pointe Assisted Living by Americare

Washington, MO

50-Bed Assisted Living Facility

Date of Notice: March 2007

Owner: Not Listed

Operator: Washington Residential, LLC

Registered Agent: Husch Registered Agent, Inc.

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: An inspection was completed on 12/15/06. The facility was not in substantial compliance with participation requirements. A revisit was completed on 2/16/07. The facility failed to complete community based assessments for one of six residents reviewed and had not completed 12 to 15 additional residents' community based assessments. Also, the facility staff failed to develop individual service plans for three residents.

Facility: Westbrook Terrace Assisted Living by Americare

Jefferson City, MO

31-Bed Assisted Living Facility

Date of Notice: May 2007

Owner: Not Listed

Operator: Jefferson City Residential, LLC

Registered Agent: Husch Registered Agent, Inc.

Legal Action: Class I Notice of Noncompliance

Description: Based on resident and staff interview and record review, staff failed to safely evacuate four residents (Residents #1, #2, #3, and #4) from the building during an unplanned fire alarm. The facility census was 22 residents.

Facility: Ashbury Heights of Jefferson City

Jefferson City, MO

12-Bed Residential Care Facility

Date of Notice: June 2007

Owner: Bristol Care, Inc.

Operator: Same

Registered Agent: David C. Furnell

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: A licensure inspection was completed on 4/10/07. The facility was not in substantial compliance with participation requirements. A revisit was completed on 6/04/07. The facility staff failed to ensure a fire alarm device was available in one resident's room who could not hear the fire alarm when it activated in the main facility.

Facility: Columbia Healthcare Center

Columbia, MO

97-Bed Skilled Nursing Facility

Date of Notice: July 2007

Owner: Seniortrust of Columbia, LLC

Operator: Same

Registered Agent: National Registered Agents, Inc.

Legal Action: Class II Notice of Noncompliance

Description: A complaint investigation was completed on 7/23/07. The facility was not in compliance with participation requirements. The facility staff failed to maintain one dependent and quadriplegic resident's bed in a proper position to ensure safety and prevent the resident from falling. Staff checked on the resident on 7/17/07 at 2:45 p.m. and the resident was confused. Staff reoriented the resident and left the resident room. The resident was lying on his/her left side in the bed. At 3:30 p.m., staff returned to the resident room and found the resident on the floor on the right side of his/her bed, with his/her head resting on a bedside night stand. The resident's upper bedrails were raised to the one-quarter height and the resident's arm was tangled in the right upper bedrail. The certified nurse aide said he/she reported to staff the resident's bed was broken, it's up too high and will not come down to a normal position, but staff did not address it. Observation of the resident revealed the bed in the highest position, the mattress sat approximately three feet from the floor and was made of slick nylon type material.

Facility: Ridgeway Residential Care

Sullivan, MO

20-Bed Assisted Living Facility

Date of Notice: August 2007

Owner: Turner, Deborah J.

Operator: Deborah J. Turner

Registered Agent – Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: A licensure inspection was completed on 5/25/07. The facility was not in substantial compliance with participation requirements. A revisit was completed on 8/02/07. The facility staff failed to take corrective action in the following areas: Complete a premove-in screening for one newly admitted resident; develop and implement individualized service plans for three residents outlining the residents needs and preferences; provide activities for the residents or inform residents in advance of the activities to be held; to provide individualized service plans to ensure three residents received proper care according their needs; provide residents with a written statement of the current balance and all transactions in their resident trust account for eight residents.

Facility: Jefferson City Nursing and Rehab

Jefferson City, MO

120-Bed Skilled Nursing Facility

Date of Notice: August 2007

Owner: Not Listed

Operator: Jefferson City Nursing and Rehab Center, LLC

Registered Agent: CSC—Lawyers Incorporating Service Company

Legal Action: Class II Notice of Noncompliance

Description: A complaint investigation was completed on 7/26/07. The facility was not in substantial compliance with participation requirements. Facility staff failed to contact one resident's physician and communicate critical laboratory results, which delayed treatment. The resident experienced a serious health decline, which required hospitalization. In addition the facility staff failed to develop and implement a system for reporting residents abnormal laboratory results to their physicians in a timely manner. On 7/13/07 at 1:55 P.M., laboratory staff notified the facility with a printed report of the resident's potassium level of 7.1 identified by laboratory staff as critically high (normal range 3.5-5.0). Facility staff did not notify the resident's physician of the critically high results. Staff documented on 7/18/07 the resident's physician contacted the facility about the critical potassium level. The resident experienced a decline in condition including altered mental status and rapid irregular pulse rate. Staff documented the resident's heart rate of 166 then 27 then 190 in a matter of a minute.  

Facility: Bristol Manor of Eldon

Eldon, MO

12-Bed Residential Care Facility

Date of Notice: December 2007

Owner: Bristol Care, Inc.

Operator: Same

Registered Agent: David C. Furnell

Legal Action: Class I Notice of Noncompliance

Description: The facility failed to provide oversight to one resident who left the facility unsupervised through an alarmed side door, fell outside on an ice/snow covered ramp, and required hospitalization for hypothermia. The facility reported to corporate maintenance staff in July 2007 that the facility staff could not hear the door alarm from the kitchen. After corporate maintenance staff worked on the door alarm it still could not be heard from the kitchen.