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Missouri Long-term Care Facility

Notices of Non-Compliance

2004

2004 Nursing Home Non-Compliance by Region:

1. Southwest Region
2. Southeast Region
3. Kansas City Region
4. Northwest Region
5. Northeast Region
6. Central Region
7. St. Louis Region

SOUTHEAST REGION

Facility: The Cedargate

Poplar Bluff, MO

108-Bed Skilled Nursing Facility

 

Date of Notice:  April 2004

Owner: Butler Co. Conv. Ctr., Inc.

Operator:.Pro Am, Inc.

Registered Agent:  Shirley Davenport

Legal Action: Uncorrected Class II Notice of Noncompliance

 

Description: The annual inspection was completed on 2/6/04 with deficiencies cited. A revisit was completed on 4/7/04 with the following uncorrected deficiencies: Facility failed to maintain resident use equipment, doors and walls. Facility failed to follow care plans developed to meet resident needs. Facility failed to provide adequate incontinence care to residents. Facility failed to provide restorative nursing services to prevent a decline in range of motion, to increase range of motion and/or prevent further decrease in range of motion. Facility failed to monitor the use of antipsychotropic medication. Nursing staff failed to wash their hands between resident contacts.

Facility: Monticello House

Jackson, MO                 

75-Bed Skilled Nursing Facility

Date of Notice: April 2004

Owner: Jackson Care Center, LLC

Operator: N&R of Monticello, Inc.

Registered Agent: Charlotte Stutts

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The annual survey was completed on 2/6/04 with deficiencies cited. A revisit was completed on 4/5/04. Facility failed to follow physician orders and failed to implement the care plan for three residents.

Facility: Riverview Manor Nursing Home

Ste. Genevieve, MO

120-Bed Skilled Nursing Facility

Date of Notice: May 2004

Owner: County of Ste. Genevieve

Operator: Riverview Manor Nursing Home, Inc.

Registered Agent: Jeanette R. Wood

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: Revisit was completed on 4/29/04 and deficiencies were not corrected. Between 12/16/03 and 4/23/04, 1 resident fell 14 times. As a result of one fall, facility staff sent resident to the emergency room for stitches to close a laceration to the forehead. Facility failed to assess the circumstances of the falls, revise the plan of care and failed to implement interventions to prevent further falls.

Facility: River Oaks Care Center

Steele, MO

90-Bed Skilled Nursing Facility

Date of Notice: October 2004

Owner: DCB Real Estate Partnership, LP

Operator: Steel #1 Inc.

Registered Agent: Lonnie G. Hasty

Legal Action: Class I and Uncorrected Class II Notice of Noncompliance

Description: A survey was completed on 8/4/04. A revisit and complaint investigation was completed on 10/1/04. The facility was issued a Class I violation for failure to provide protective oversight for one resident (Resident #41). Resident #41 had a diagnosis of catatonic schizophrenia characterized by extreme withdrawal. A certified nurse aide locked Resident # in the resident’s bathroom after Resident #41 had been incontinent and refused to take his/her clothes off to be changed. The facility also failed to: Cause a report to be made to DHSS of an allegation of resident abuse. Administer tube feedings according to physician orders. Provide therapeutic diets to residents at nutritional risk, failed to follow recipes when preparing resident meals and failed to store, prepare and distribute foods under sanitary condition to prevent cross-contamination and food-borne illness. Maintain the floor in the kitchen. Maintain an effective pest control system as flies were observed throughout the facility including in the kitchen food preparation/service area and in the resident dining room.

Facility: Country Haven Boarding Home

Ste. Genevieve, MO

18-Bed Residential Care Facility

Date of Notice: December 2004

Owner: Chaudhry, LLC

Operator: Osman, LLC

Registered Agent: Bilkiss Chaudhry

Legal Action: Uncorrected Class II Notice of Noncompliance

Description:  At the time of the inspection on 9/21/04 and the revisit on 11/29/04, the facility did not have a licensed nursing home administrator. In addition, the facility failed to maintain doors and flooring in the kitchen in good repair.

Facility: Camelot Nursing & Rehabilitation Center

Farmington, MO

90-Bed Skilled Nursing Facility

Date of Notice: December 2004

Owner: BHM Medical Facilities

Operator: SCH-Camelot, LLC

Registered Agent: Michael Bridges

Legal Action: REVOCATION OF LICENSURE EFFECTIVE DECEMBER 20, 2004

Description: This decision is based on the following grounds: The operator has demonstrated financial incapacity to operate and conduct the facility in accordance with the provisions of Sections 198.003 to 198.096, RSMo. See Section 198.036.1(4), RSMo Supp. 2003.