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🔎 St Peters Manor Care Center

Inspection Results


Inspection Overview

St Peters Manor Care Center has been cited for a total of 123 deficiencies since we began saving each survey.

In Missouri, the average facility has **43.77 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2025-02-27
Correction Date: 2025-03-13
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-11-27
Correction Date: 2024-12-27
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2024-11-27
Correction Date: 2024-11-27
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey Date: 2024-11-27
Correction Date: 2024-12-27
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey Date: 2024-06-18
Correction Date: 2024-07-18
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-06-18
Correction Date: 2024-07-18
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2024-06-18
Correction Date: 2024-07-18
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2024-06-18
Correction Date: 2024-07-18
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey Date: 2024-06-18
Correction Date: 2024-07-18
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2024-06-18
Correction Date: 2024-07-18
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: J

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Provide activities to meet all resident's needs.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Ensure the activities program is directed by a qualified professional.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: G

Provide safe, appropriate pain management for a resident who requires such services.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: F

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Give the resident's representative the ability to exercise the resident's rights.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2024-04-12
Correction Date: 2024-07-18
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2023-11-15
Correction Date: 2024-02-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: G

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Survey Date: 2023-11-15
Correction Date: 2023-12-18
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2023-10-19
Correction Date: 2023-11-28
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-10-19
Correction Date: 2023-11-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2023-10-19
Correction Date: 2023-11-28
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey Date: 2023-10-19
Correction Date: 2024-02-07
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2023-10-19
Correction Date: 2023-11-28
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: F

Provide and implement an infection prevention and control program.

Survey Date: 2023-10-19
Correction Date: 2023-11-28
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: E

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2023-09-12
Correction Date: 2023-11-28
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-09-12
Correction Date: 2023-11-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2023-09-12
Correction Date: 2024-02-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey Date: 2023-09-12
Correction Date: 2023-10-13
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2023-09-12
Correction Date: 2023-11-28
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey Date: 2023-09-12
Correction Date: 2024-02-07
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey Date: 2023-09-12
Correction Date: 2023-10-13
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2023-09-12
Correction Date: 2023-11-28
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: F

Provide and implement an infection prevention and control program.

Survey Date: 2023-09-12
Correction Date: 2023-11-28
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey Date: 2023-06-01
Correction Date: 2023-06-28
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2023-06-01
Correction Date: 2023-06-28
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2023-06-01
Correction Date: 2023-06-28
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: G

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Respond appropriately to all alleged violations.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: G

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey Date: 2023-05-16
Correction Date: 2023-06-28
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2023-04-05
Correction Date: 2023-05-01
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Assist a resident in gaining access to vision and hearing services.

Survey Date: 2023-04-05
Correction Date: 2023-05-01
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2023-04-05
Correction Date: 2023-05-01
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2022-11-17
Correction Date: 2022-12-06
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2022-06-17
Correction Date: 2022-07-18
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: C

Ensure staff are vaccinated for COVID-19

Survey Date: 2022-06-17
Correction Date: 2022-07-18
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: E

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey Date: 2022-06-17
Correction Date: 2022-07-18
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: E

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: B

Honor the resident's right to manage his or her financial affairs.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: B

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey Date: 2022-04-13
Correction Date: 2022-07-18
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: C

Ensure staff are vaccinated for COVID-19

Survey Date: 2022-04-13
Correction Date: 2022-07-18
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2022-04-13
Correction Date: 2022-07-18
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2022-04-13
Correction Date: 2022-07-18
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2022-04-13
Correction Date: 2022-06-17
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: E

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey Date: 2022-04-13
Correction Date: 2022-07-18
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

Protect each resident from the wrongful use of the resident's belongings or money.

Survey Date: 2021-10-22
Correction Date: 2021-11-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: B

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Keep residents' personal and medical records private and confidential.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Dispose of garbage and refuse properly.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2019-09-06
Correction Date: 2019-10-18
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2018-09-28
Correction Date: 2018-11-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: C

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey Date: 2018-09-28
Correction Date: 2018-11-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Assess the resident when there is a significant change in condition

Survey Date: 2018-09-28
Correction Date: 2018-11-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2018-09-28
Correction Date: 2018-11-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2018-09-28
Correction Date: 2018-11-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2018-09-28
Correction Date: 2018-11-12
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2018-09-28
Correction Date: 2018-11-12
Category: Infection Control Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**