MCQC Nursing Home Violations

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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

SOUTHEAST REGION
Facility: Country Meadows Park Hills, MO 66-Bed Skilled Nursing Facility Date of Notice: March 2006	Owner: Park Hills Nursing Center, Inc. Operator: Country Meadows Nursing Center, LLC Registered Agent: Sharo Shirshekan	Legal Action: Class I Notice of Noncompliance
Description: The facility staff failed to provide proper pressure sore care to promote healing and prevent further breakdown for residents with pressure sores. One resident with a Stage IV pressure sore was not adequately assessed, repositioned, care planned and kept clean and dry.
Facility: NHC Healthcare-Desloge Desloge, MO 120-Bed Skilled Nursing Facility Date of Notice: April 2006	Owner: Nat'l. Health Investors, Inc. Operator: NHC Healthcare/Desloge, LLC Registered Agent: Richard F. Laroche, Jr.	Legal Action: Uncorrected Class II Notice of Noncompliance
Description: A survey was completed on 1/26/06. The facility was not in substantial compliance with participation requirements. A revisit was completed on 3/23/06. The facility staff failed to administer tube feedings as directed by physician's orders for five residents.
Facility: L&J Residential Care Farmington, MO 10-Bed Residential Care Facility Date of Notice: June 2006	Owner: Nolting, David L. & Frances J. Operator: L&J Residential LLC Registered Agent: David L. Nolting	Legal Action: Class I Notice of Noncompliance
Description: A licensure inspection was completed on 6/07/06. The facility was not in substantial compliance with participation requirements. The facility staff failed to maintain water temperatures below 120 degrees Fahrenheit in one resident bathroom, which is used by residents in the RCF II. On 5/25/06, the water temperature in the North Hall bathroom measured 137.5 degrees. The maintenance staff drained the hot water heater and adjusted the water temperature. On 5/26/06, the same bathroom sink water measured 164 degrees.
Facility: Bertrand Retirement Home Bertrand, MO 60-Bed Skilled Nursing Facility Date of Notice: July 2006	Owner: Bertrand Retirement Home, Inc. Operator: N&R of Bertrand, Inc. Registered Agent: Charlotte Stutts	Legal Action: Class I Notice of Noncompliance
Description: The facility failed to assess, monitor, and provide interventions for two residents with choking incidents. The first resident choked on food on three separate occasions and required the Heimlich maneuver to clear his/her airway on two of those occasions. The facility failed to implement measures to address the resident's choking risk and the resident continued to eat unsupervised in his/her room. Facility staff identified the second resident at risk for choking and aspiration due to difficulty swallowing. Staff did not implement speech therapy interventions for the resident and the resident experienced choking episodes during meals. The facility census was 45.
Facility: Riverview at the Park Care & Rehab Center Ste. Genevieve, MO 120-Bed Skilled Nursing Facility Date of Notice: August 2006	Owner: Not Listed Operator: Ste. Genevieve County Memorial Hospital Registered Agent: Not Listed	Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to provide adequate supervision and assistive devices to prevent an accident for one resident. The facility failed to provide therapeutic diets for two residents at nutritional risk and/or at risk of aspiration. The facility failed to store, prepare and distribute foods under sanitary conditions increasing the risk of cross-contamination and food-borne illness.
Facility: Country Haven Boarding Home – Bldg. II Ste. Genevieve, MO 18-Bed Residential Care Facility Date of Notice: December 2006	Owner: Chaudhry LLC Operator: Osman, LLC Registered Agent: Bilkiss Chaudhry	Legal Action: Class I Notice of Noncompliance
Description: The facility failed to comply with Fire Safety requirements as: The facility failed to implement an approved fire watch when the facility's fire alarm system was out of service for more than four hours. The facility failed to notify the Department of Health and Senior Services when the facility lost power and the fire alarm system was out of service for more than four hours. The facility failed to comply with Administration and Resident Care requirements as the facility failed to provide proper care to meet the residents' needs after the facility lost electrical power for at least 48 hours. The facility census was 13 residents.
Facility: Country Haven Boarding Home – Bldg. I Ste. Genevieve, MO 18-Bed Residential Care Facility Date of Notice: December 2006	Owner: Chaudhry LLC Operator: Osman, LLC Registered Agent: Bilkiss Chaudhry	Legal Action: Class I Notice of Noncompliance
Description: The facility failed to comply with Fire Safety requirements as: The facility failed to implement an approved fire watch when the facility's fire alarm system was out of service for more than four hours. The facility failed to notify the Department of Health and Senior Services when the facility lost power and the fire alarm system was out of service for more than four hours. The facility failed to comply with Administration and Resident Care requirements as the facility failed to provide proper care to meet the residents' needs after the facility lost electrical power for at least 48 hours. The facility census was 17 residents.