SOUTHEAST REGION

Facility: Shady Oaks Retirement Home

Poplar Bluff, MO

11-Bed Residential Care Facility

Date of Notice: January 2009

Owner: Fears, Dennis & Brook

Operator: Brook Fears

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to assure compliance with all applicable laws and regulations by providing care to residents with mental illness diagnoses without a Department of Mental Health (DMH) license. The facility failed to request a criminal background check (CBC) prior to allowing an employee to have contact with the residents.  

Facility: Essex Residential Care

Essex, MO

50-Bed Assisted Living Facility

Date of Notice: January 2009

Owner: Theodore A. Elliott

Operator: Same

Registered Agent: Not Listed

Legal Action: Class I Notice of Noncompliance

In a letter from DHSS: On 2/02/2009, 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 necessary care and services for two residents who received dialysis treatments for renal disease. The facility did not coordinate services with dialysis centers, provide therapeutic diets as ordered, or consistently provide three meals per day for residents.

Facility: Holt Residential Care

Bunker, MO

12-Bed Residential Care Facility

Date of Notice: February 2009

Owner: Norden, Michael & Donna

Operator: Brenda Holt

Registered Agent: Not Listed

Legal Action: Class II Notice of Noncompliance

Description: The facility failed to prohibit the use of portable space heaters.

Facility: Oak Ridge Manor

Oak Ridge, MO

20-Bed Assisted Living Facility

Date of Notice: February 2009

Owner: Sample, Johnnie M. & Tomi

Operator: Oak Ridge Manor, Inc.

Registered Agent: Not Listed

Legal Action: Class II Notice of Noncompliance

Description: The facility failed to maintain a one (1)-hour separation of hazardous areas. The facility failed to maintain wall and ceiling surfaces of a material or so treated as not to have a flame-spread classification of more than seventy-five (75).

Facility: Partners Residential Care Center, Inc.

Poplar Bluff, MO

18-Bed Residential Care Facility

Date of Notice: March 2009

Owner: Randolph, Carroll & Karen

Operator: Partners Residential Care

Registered Agent: Not Listed

Legal Action: Class II Notice of Noncompliance

Description: The facility failed to maintain the fire alarm in accordance with NFPA 72. The facility failed to provide the proper size of fire extinguishers. The facility failed to properly separate hazardous areas. The facility failed to provide sufficient emergency lighting.

Facility: Maple Crest Residential Care Facility

Poplar Bluff, MO

20-Bed Residential Care Facility

Date of Notice: March 2009

Owner: Maple Crest Residential Care Facility

Operator: Douglas Kennedy

Registered Agent: Not Listed

Legal Action: Class II Notice of Noncompliance

Description: The facility failed to maintain smoke barrier separations between floors.

Facility: J&J Assisted Living

Marble Hill, MO

12-Bed Residential Care Facility

Date of Notice: March 2009

Owner: Mary E. Long Living Trust Agreement

Operator: J&J Assisted Living, LLC

Registered Agent: Barbara Grebing

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to obtain written authorization from the residents in order to hold, safeguard, manage, and account for the residents’ personal funds. The facility failed to exclusively use the personal funds for facility residents only. The facility failed to maintain a bond one and one-half times the average monthly balance for the two residents’ personal funds (account #1 and #2).

Facility: Hilltop Haven

Eminence, MO

7-Bed Residential Care Facility

Date of Notice: April 2009

Owner: Basham, Sherry

Operator: Same

Registered Agent: N/A

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: A licensure inspection was completed at the facility on 01/12/2009. The facility was not in compliance with participation requirements. A revisit was completed on 04/07/2009. The facility failed to meet statutory requirements in the area of fire safety when staff installed a new boiler and failed to have the boiler inspected and certified.

Facility: Shepherds View Residential Care Facility

Alton, MO

39-Bed Assisted Living Facility

Date of Notice: April 2009

Owner: Not Listed

Operator: Shepards View, Inc.

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to maintain one (1) hour rated smoke stop partitions.

Facility: The Manor

Poplar Bluff, MO

90-Bed Skilled Nursing Facility

Date of Notice: April 2009

Owner: Not Listed

Operator: Poplar Bluff No. 1, Inc.

Registered Agent: Clifton Shirrell

Legal Action: Class I Notice of Noncompliance

Description: The facility failed to ensure hot water temperatures in resident accessible areas (Rooms 4, 8, 9, 30 and 41) did not exceed 120 degrees Fahrenheit. This placed residents at risk of serious burn injury. This condition affects 16 residents with self ambulatory capabilities combined with mental illness/mental retardation diagnoses and/or impaired cognitive decision making skills.

Facility: Golden Livingcenter – New Madrid

New Madrid, MO

112-Bed Skilled Nursing Facility

Date of Notice: April 2009

Owner: GPH New Madrid

Operator: GGNSC New Madrid, LLC

Registered Agent: CSC-Lawyers Incorporating Service Company

Legal Action: Class I Notice of Noncompliance

Description: The facility failed to ensure hot water temperatures in resident accessible areas (100 Hall Bathing Room; 200 Hall Bathing Room; 300 Hall Bathing Room; 400 Hall Bathing Room; 400 Hall Dining Room; 400 Hall Barber Shop; and Resident Rooms: 106, 204, 208, and 304) did not exceed 120 degrees Fahrenheit. This placed residents at risk of serious burn injury. This condition affects 56 residents with self ambulatory capabilities combined with mental illness/mental retardation diagnoses and/or impaired cognitive decision making skills. The facility failed to use safe assisted transfer techniques for one resident outside the sample.

Facility: J & J Assisted Living

Marble Hill, MO

12-Bed Residential Care Facility

Date of Notice: May 2009

Owner: Mary E. Long Living Trust Agreement

Operator: J & J Assisted Living, LL

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to maintain smoke barrier separation. The facility was originally notified of the deficiency on 02/11/2009. A revisit was conducted on 04/28/2009.

Facility: J & J Assisted Living

Marble Hill, MO

12-Bed Residential Care Facility

Date of Notice: June 2009

Owner: Mary E. Long Living Trust Agreement

Operator: J & J Assisted Living, LLC

Registered Agent: Barbara Grebing

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to manage resident trust funds by allowing ten residents to overspend their accounts; therefore, spending other residents’ money without their authorization. The facility staff also failed to maintain written receipts, with a signature of the resident, to show authorization of the expenditures. The facility staff failed to prevent the commingling of resident funds with facility operating funds for seven residents identified on the facility’s customer balance summary report (accounts receivable aged analysis). The facility failed to provide current accounting and to return the remaining funds to the residents.

Facility: Green Meadows Retirement Home

Sikeston, MO

66-Bed Assisted Living Facility

Date of Notice: July 2009

Owner: Elliott Real Est. Inc.

Operator: Theodore Elliott

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to install components of the fire alarm system as required by NFPA 72, 1999 edition. The facility failed to ensure smoke and heat detectors as required by NFPA 72, 1999 edition. The facility failed to ensure heat detectors were installed as required by NFPA 72, 1999 edition. The facility failed to ensure the flow alarm for the sprinkler system activated the fire alarm as required.

Facility: Jefferson Manor

Cape Girardeau, MO

10-Bed Residential Care Facility

Date of Notice: August 2009

Owner: Betty McCulley Revok. Trust, Betty M.

Operator: Sharon Armour

Registered Agent: N/A

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to screen one employee, a level one medication aide, for tuberculosis (TB) within one month prior to starting employment in the facility. The facility failed to bring the resident fund account current each month.

Facility: Shady Oaks Retirement Home

Poplar Bluff, MO

11-Bed Residential Care Facility

Date of Notice: August 2009

Owner: Fears, Dennis & Brook L.

Operator: Brook Fears

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to properly install smoke detectors in accordance with NFPA 72. The facility failed to have a smoke separation barrier between resident use areas and any floor below the resident use areas. The facility failed to have all doors providing separation between floors having a self-closing device attached.

Facility: Green Meadows Retirement Home

Sikeston, MO

66-Bed Assisted Living Facility

Date of Notice: September 2009

Owner: Elliott Real Estate, Inc.

Operator: Theodore Elliott

Registered Agent: Not Listed

Legal Action: Uncorrected Class II Notice of Noncompliance

Description: The facility failed to install components of the fire alarm system as required by NFPA 72, 1999 edition. The facility failed to install smoke and heat detectors as required by NFPA 72, 1999 edition. The facility failed to ensure heat detectors were installed as required by NFPA 72, 1999 edition. The facility failed to ensure the flow alarm for the sprinkler system activated the fire alarm as required.