2014-04-19
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Inspection Results
Recertification/Complaint Investigation/State Licensure - (16-OCT-09)
Facility failed to meet the following Requirement(s):Date CorrectedLevel of HarmResidents Affected
The resident has the right to privacy in written communications, including the right to send and promptly receive mail that is unopened. 30-NOV-09No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
The resident has the right to have reasonable access to the use of a telephone where calls can be made without being overheard. 30-NOV-09No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
The services provided or arranged by the facility must meet professional standards of quality. 30-NOV-09No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
Therapeutic diets must be prescribed by the attending physician. 30-NOV-09No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
The facility must - (1) Procure food from sources approved or considered satisfactory by Federal, State or local authorities; and (2) Store, prepare, distribute and serve food under sanitary conditions 30-NOV-09No actual Harm with potential for More than minimal harm that is not immediate jeopardyMany
The facility must establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to prevent the development and transmission of disease and infection. The facility must establish an infection control program under which it investigates, controls, and prevents infections in the facility; decides what procedures, such as isolation should be applied to an individual resident; and maintains a record of incidents and corrective actions related to infections. 30-NOV-09No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
No medication, treatment or diet shall be given without a written order from a person lawfully authorized to prescribe such and the order shall be followed. No restraint shall be applied except as provided in 19CSR30-88.010, Resident Rights. I/II 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
Residents shall be cared for by using acceptable infection control procedures to prevent the spread of infection. The facility shall make a report to the division within seven (7) days if a resident is diagnosed as having a communicable disease, as determined by the Missouri Department of Health and listed in the Code of State Regulations pertaining to communicable diseases, specifically 19 CSR 20-20.020, as amended. I/II 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
Special attention shall be given to the texture of food given to residents who have chewing difficulty. II/III 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(2) Employees shall thoroughly wash their hands and the exposed portions of their arms with soap and warm water before starting work, during work as often as is necessary to keep them clean and after smoking, eating, drinking or using the toilet. Employees shall keep their fingernails clean and trimmed. II/III 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(11) Food shall be in sound condition, free from spoilage, filth or other contamination and shall be safe for human consumption. Food shall be obtained from sources that comply with all laws relating to food and food labeling. The use of food in hermetically sealed containers that was not prepared in a food processing establishment is prohibited. Nothing in this section shall prohibit facilities from using fresh vegetables or fruits purchased from farmers' markets or obtained from the facility garden or residents' family gardens. I/II 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(17) Unless its identity is unmistakable, bulk food, such as cooking oil, syrup, salt, sugar or flour not stored in the product container or package in which it was obtained, shall be stored in a container identifying the food by common name. III 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(62) Kitchenware and food-contact surfaces of equipment shall be washed, rinsed and sanitized after each use and following any interruption of operations during which time contamination may have occurred. Water pitchers which are for individual resident use shall be sanitized daily. II/III 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(33) Telephones appropriate to the residents ' needs shall be accessible at all times. Telephones available for residents ' use shall enable all residents to make and receive calls privately. II/III 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies
(34) If the resident cannot open mail, written consent by the resident or his or her legally authorized representative shall be obtained to have all mail opened and read to the resident. II/III 30-NOV-09Refer to definitions of Class I, I/II, II, II/III, III deficiencies