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Missouri Long-term Care Facility

Notices of Non-Compliance

2008

2008 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: Holiday Residential Care

Perryville, MO

20-Bed Residential Care Facility

Date of Notice: January 2008

Owner: B & H Properties, LLC

Operator: Mkalma, LLC

Registered Agent: Dorothy S. Terbrak

Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to ensure the facility had the proper personnel to administer a supplemental feeding via the gastrostomy tube (g-tube), a tube placed through the abdominal wall into the stomach to provide feeding, for one resident.
Facility: Essex Residential Care

Essex, MO

50-Bed Assisted Living Facility

Date of Notice: January 2008

Owner: Theodore Elliott

Operator: Theodore Elliott

Registered Agent: Not Listed

Legal Action: Class I Notice of Noncompliance
Description: A complaint investigation and licensure inspection was completed at the facility on 1/11/08. The facility was not in compliance with participation requirements. Facility staff failed to ensure adequate oversight and supervision of three residents, who left the facility without staff knowledge and were picked up by law enforcement. In addition the facility failed to ensure a staff did not physically or mentally abuse one resident even after the resident reported the abuse to another staff. The facility staff did not have documentation or evidence to support the resident’s allegation was investigated until the police returned the resident to the facility and made contact with the administrator to inform him of the resident’s allegations of abuse, which were verified by an anonymous person and two witnesses. Based on the facility compliance history and the severity of the violations a recommendation to revoke the facility license has been made.
Facility: Heritage Hills

Patton, MO

24-Bed Assisted Living Facility

Date of Notice: March 2008

Owner: Reed & Reed Holdings LP

Operator: Reed & Reed Investments, Inc.

Registered Agent: Melissa Reed

Legal Action: Class I Notice of Noncompliance
Description: The facility failed to correct the trouble indicator lights on the fire alarm panel upon discovery. The fire alarm panel monitors a two-story building that consists of sheet-rocked walls, a shingled roof, and an exterior constructed of brick and siding. This citation has the potential to affect all residents in the facility. Facility census was 13.
Facility: Partners Residential Care Center

Poplar Bluff, MO

18-Bed Residential Care Facility

Date of Notice: May 2008

Owner: Randolph, Carroll & Karen

Operator: Partners Residential Care Center, Inc.

Registered Agent: Carroll L. Randolph

Legal Action: Class I Notice of Noncompliance

In a letter from DHSS: On 6/03/2008, SLCR staff completed a revisit at the facility and determined that the Class I deficiency could be lowered to a Class II.

 

Description: The facility failed to maintain the fire alarm system including the connection by telephone line to notify a monitoring company or fire department in the event of fire. The facility owner knowingly acted in a manner that would adversely affect the health, safety, welfare or property of residents by disabling part of the fire alarm system.
Facility: Country View Residential Care

Gideon, MO

12-Bed Residential Care Facility

Date of Notice: June 2008

Owner: Randolph, Carroll & Karen

Operator: Randolph Carroll L.

Registered Agent: Not Listed

Legal Action: Class I and Uncorrected Class II Notice of Noncompliance
Description: The facility failed to have the proper staff on duty at all times. The facility failed to follow physicians’ orders for seven of eight sampled residents.
Facility: Sunshine Villa

Scott City, MO

20-Bed Assisted Living Facility

Date of Notice: June 2008

Owner: McCulley, Ronald

Operator: Same

Registered Agent: Not Listed

Legal Action: Class I Notice of Noncompliance

In a letter from DHSS: On 6/06/2008, SLCR staff completed a revisit at the facility and determined that the Class I deficiency could be lowered to a Class II.

 

Description: The facility failed to maintain the fire alarm system in proper working condition by silencing and not resetting the system after it went to alarm.
Facility: Jefferson Manor

Cape Girardeau, MO

10-Bed Residential Care Facility

Date of Notice: July 2008

Owner: McCulley, Betty, Ronald and Atkinson

Operator: Sharon Armour

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

In a letter from DHSS: On 5/28/2008, SLCR staff completed a revisit at the facility and determined that the Class I deficiency could be lowered to a Class II.

 

Description: The facility failed to continue to act in a manner that would ensure the safety and welfare of all eight residents. The facility failed to continue to provide protective oversight for all eight residents by allowing Employee A to continually reside and work in the facility.
Facility: Country Gardens

Cape Girardeau

56-Bed Assisted Living Facility

Date of Notice: August 2008

Owner: Sample, Johnnie and Tomi

Operator: Country Gardens, Inc.

Registered Agent: Patricia J. Launius

Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to obtain a sufficient bond one and one-half times the average monthly balance of the residents’ personal funds. Record review revealed the average monthly balance of $20,783.29 for the resident fund account. Further review revealed the approved bond amount of $18,000 which is not at least one and one-half (1 ½) times the average monthly balance of the residents’ personal funds.
Facility: Hilda Fuwells Residential Care Facility

Dexter, MO

20-Bed Residential Care Facility

Date of Notice: August 2008

Owner: Not Listed

Operator: Hilda Fuwells Residential Care LLC

Registered Agent: Hilda Fuwell

Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to bring the residents’ fund accounts current each month.
Facility: Sells Rest Home

Matthews, MO

94-Bed Skilled Nursing Facility

Date of Notice: August 2008

Owner: Sells Rest Home, Inc.

Operator: Close to Home, Inc.

Registered Agent: John M. Sells

Legal Action: Class I Notice of Noncompliance

In a letter from DHSS: On 8/01/2008, SLCR staff completed a revisit at the facility and determined that the Class I deficiency could be lowered to a Class II.

 

Description: The facility failed to provide protective oversight and supervision for five residents.
Facility: Sells Rest Home

Matthews, MO

94-Bed Skilled Nursing Facility

Date of Notice: September 2008

Owner: Sells Rest Home, Inc.

Operator: Close to Home, Inc.

Registered Agent: John M. Sells

Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to ensure all resident funds in excess of $50 were placed in an interest bearing account, separate from the facility operating account. The facility failed to obtain authorizations from 49 sampled residents for cash withdrawals from the residents trust fund account. The facility failed to ensure five sampled residents had sufficient funds to cover withdrawals from the resident trust fund account. The facility failed to maintain all written accounts of resident’s funds and reconcile them monthly. The facility failed to notify residents who receive Medicaid benefits that they were within $200 of their Supplemental Security Income (SSI) resource limit. The facility failed to send residents and/or their responsible parties a quarterly accounting of each resident’s trust fund account.
Facility: Essex Residential Care

Essex, MO

50-Bed Assisted Living Facility

Date of Notice: October 2008

Owner: Theodore A. Elliott

Operator: Same

Registered Agent: Not Listed

Legal Action: Class I Notice of Noncompliance
Description: The facility failed to provide twenty-four hour protective oversight for two residents.
Facility: J & J Assisted Living

Marble Hill, MO

12-Bed Residential Care Facility

Date of Notice: December 2008

Owner: Mary E. Long Living Trust Agreement

Operator: Jon C. Pierce

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to obtain written authorization from residents in order to hold, safeguard, manage, and account for the residents’ personal funds. The facility failed to exclusively use the personal funds for residents only. The facility failed to maintain a bond one and one-half times the average monthly balance of the residents’ personal funds.
Facility: Baptist Home

Ironton, MO

135-Bed Intermediate Care Facility

Date of Notice: December 2008

Owner: The Baptist Home

Operator: Same

Registered Agent: Jim Shoemake

Legal Action: Uncorrected Class II Notice of Noncompliance
Description: The facility failed to screen one resident out of five sampled residents and six other residents for tuberculosis. The facility failed to follow physician’s orders during administration of medications for two of six sampled residents and five additional residents.