KIRKSVILLE MANOR CARE CENTER

Nursing Home Inspector

1705 EAST LAHARPE
KIRKSVILLE, MO 63501
Adair County
Phone: 660-665-3774
Provider Number: 265247
Last Inspection: 03/23/2017

About the Nursing Home

Number of Beds: 119
Number of Residents: 79
Beds Available: 40
Percent Occupancy: 66%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

28

Facility
33

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

28

2017
20

2016
11

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

3/23/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/5/2017
 
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern : Minimal 4 5/5/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/5/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 5/5/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 5/5/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 5/5/2017
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 5/5/2017
 

2/1/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 3/14/2016
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Widespread : Minimal 5 3/14/2016
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Pattern : Minimal 4 3/14/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Widespread : Minimal 5 3/14/2016
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 3/14/2016
 

1/7/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Pattern : Minimal 4 2/20/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/20/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 2/20/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

3/26/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 5/4/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 79 76.50 74.26
Registered Nurses 0.73 0.65 0.60
Licensed Practical / Vocational Nurses 0.98 0.92 0.72
Certified Nursing Assistants 3.27 3.04 2.43
Total Staff Hours 4.98 4.60 3.75

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MO State Avg%
of high risk long-stay residents with pressure ulcers 3 7 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 93
of long-stay residents experiencing one or more falls with major injury 8 6 4
of long-stay residents who have depressive symptoms 0 0 3
of long-stay residents who lose too much weight 7 7 7
of long-stay residents who received an antianxiety or hypnotic medication 35 26 26
of long-stay residents who received an antipsychotic medication 23 18 18
of long-stay residents who self-report moderate to severe pain 2 3 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 12 9 15
of long-stay residents whose need for help with daily activities has increased 10 10 14
of long-stay residents with a catheter inserted and left in their bladder 2 3 2
of long-stay residents with a urinary tract infection 3 3 4
of low risk long-stay residents who lose control of their bowels or bladder 31 27 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 92 74
of short-stay residents who had an outpatient emergency department visit 27 24 12
of short-stay residents who made improvements in function 39 60 68
of short-stay residents who newly received an antipsychotic medication 2 2 2
of short-stay residents who self-report moderate to severe pain 9 11 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 87 73
of short-stay residents who were rehospitalized after a nursing home admission 22 17 22
of short-stay residents who were successfully discharged to the community 66 59 50
of short-stay residents with pressure ulcers that are new or worsened 1 1 1