MCQC Nursing Home Violations 2006

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Missouri Long-term Care Facility

Notices of Non-Compliance

2006

2006 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

CENTRAL REGION
Facility: Ashley Manor Care Center Boonville, MO 52-Bed, Skilled Nursing Facility Date of Notice: January 2006		Owner: Ashley Manor, Inc. Operator: Ashley Manor, Inc. Registered Agent: Hal F. Juckette		Legal Action: Class I Notice of Noncompliance
Description: A survey was completed on 1/06/06. The facility was not in substantial compliance with participation requirements in the area of Life Safety. The facility staff failed to verify receipt of the fire alarm signal to the monitoring company, when conducting monthly tests of the fire alarm, in a building without a complete sprinkler system. Additional violations were cited during the course of the survey, which are listed on the Statement of Deficiencies.
Facility: Jefferson City Nursing & Rehab Center Jefferson City, MO 120-Bed Skilled Nursing Facility Date of Notice: May 2006	Owner: HCRI Missouri Properties LLC Operator: Jefferson City Nursing & Rehab Ctr., LLC Registered Agent: CSC – Lawyers Incorporating Service Company		Legal Action: Uncorrected Class II Notice of Noncompliance
Description: A survey was completed on 3/3/06. The facility was not in substantial compliance with participation requirements. A revisit was completed on 4/27/06. The facility staff failed to prevent and safeguard the commingling of residents' personal funds with facility operating funds, to credit and post all interest earned on resident funds held in the facility operating account, to maintain a full, complete and separate accounting of residents and to notify residents that the balance in the residents trust fund account had reached $200 less than the SSI resource limit. The facility staff failed to obtain adequate surety for the protection of resident funds held in trust and managed by the facility. Also, the facility staff failed to document and provide treatments, obtain laboratory tests and document administration of health shakes as ordered by the resident's physician.
Facility: Katy Manor Pilot Grove, MO 60-Bed Skilled Nursing Facility Date of Notice: May 2006	Owner: Cooper County Nursing Home District Operator: Same Registered Agent: Not Listed		Legal Action: Class I Notice of Noncompliance
Description: The facility staff failed to assess and monitor side rails to prevent one resident from climbing over the side rails. The resident fell to the floor hitting his/her head and expired. Facility staff failed to assess and monitor additional residents who used side rails that did not treat a medical symptom and prevented the residents from rising. Also, facility staff failed to provide adequate supervision and assistive devices to prevent falls.
Facility: Ashbury Heights of Jefferson City Jefferson City, MO 12-Bed Residential Care Facility Date of Notice: June 2006	Owner: Furnell Investments Inc. Operator: Bristol Care Inc. Registered Agent: David C. Furnell		Legal Action: Uncorrected Class II Notice of Noncompliance
Description: A licensure inspection was completed on 4/28/06. The facility was not in substantial compliance with participation requirements. A revisit was completed on 6/21/06. The facility staff failed to ensure every supply outlet or connection to a water fixture was protected against backflow. In addition, the facility staff failed to maintain freezer temperatures of zero degrees Fahrenheit or below.
Facility: Bristol Manor of Fulton Fulton, MO 12-Bed Residential Care Facility Date of Notice: July 2006	Owner: Not Listed Operator: Bristol Care, Inc. Registered Agent: David C. Furnell		Legal Action: Uncorrected Class II Notice of Noncompliance
Description: A licensure inspection was completed on 5/26/06. The facility was not in compliance with participation requirements. A revisit was completed on 7/12/06. The facility staff failed to keep different categories of poisonous or toxic materials stored in locked locations physically separate from each other.
Facility: Ashbury Heights of Laurie Laurie, MO 12-Bed Residential Care Facility Date of Notice: July 2006	Owner: Not Listed Operator: Bristol Care Inc. Registered Agent: David C. Furnell		Legal Action: Uncorrected Class II Notice of Noncompliance
Description: A licensure inspection was completed on 5/31/06. The facility was not in compliance with participation requirements. A revisit was completed on 7/20/06. The facility staff failed to ensure emergency lights were in proper working order, failed to ensure a safe and effective medication administration.
Facility: Autumn Meadows Linn, MO 132-Bed Skilled Nursing Facility Date of Notice: August 2006	Owner: Piedra, Enrique and Cheribeth Operator: Autumn Meadows, LLC Registered Agent: John H. Simmons		Legal Action: Class I Notice of Noncompliance
Description: The facility failed to provide adequate supervision and assistive devices for one dependent resident, utilizing a Geri-chair, resulting in injury to the resident. On 7/3/06 the resident sustained a skin tear and bruised nail to his/her left middle finger. The facility investigation did not identify the cause of the injury and staff failed to update the plan of care to prevent further injuries. On 7/18/06, staff assisted the resident from a reclined position in the Geri-chair to an upright position and caught the resident's left middle finger in the metal parts positioned below the Geri-chair seat. The resident sustained a traumatic partial amputation to the left middle finger.
Facility: Fulton Nursing & Rehab Fulton, MO 110-Bed Skilled Nursing Facility Date of Notice: October 2006	Owner: Heritage Lane Partnership Operator: Not Listed Registered Agent: Not Listed		Legal Action: Uncorrected Class II Notice of Noncompliance
Description: Facility staff failed to assess and implement appropriate care in a timely manner for one resident with pressure sores.
Facility: Villa Marie Skilled Nursing Facility Jefferson City, MO 120-Bed Skilled Nursing Facility Date of Notice: November 2006	Owner: SSM Regional Health Services Operator: Otke-Villa, LLC Registered Agent: Husch Registered Agent, Inc.		Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to re-order medication for one resident and failed to record vital signs prior to the administration of medication as ordered by the physician. The facility census was 99 residents.