APPLE RIDGE CARE CENTER

Nursing Home Inspector

100 WEST THOMAS AVENUE, PO BOX 188
WAVERLY, MO 64096
Lafayette County
Phone: 660-493-2232
Provider Number: 265420
Last Inspection: 08/16/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 37
Beds Available: 23
Percent Occupancy: 62%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Individual
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

 

4

Facility
20

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

4

2017
31

2016
23

2015

Medicare Ratings

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

 

Details by Inspection Date

8/16/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide adequate and comfortable lighting levels in all areas. Pattern : Minimal 4 9/27/2017
 

9/8/2016 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 : Minimal 4 10/22/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 10/22/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 10/22/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/22/2016
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 10/22/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 10/22/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 10/22/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/22/2016
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 10/22/2016
 

7/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Isolated : Minimal 3 9/11/2015
 
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. Pattern : Potential 3 9/11/2015
 
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. Isolated : Minimal 3 9/11/2015
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 9/11/2015
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 9/11/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 9/11/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/11/2015
 

Complaint Investigation Deficiencies

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

6/7/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/21/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 37 53.20 74.26
Registered Nurses 0.58 0.48 0.60
Licensed Practical / Vocational Nurses 1.04 0.98 0.72
Certified Nursing Assistants 3.10 2.64 2.43
Total Staff Hours 4.72 4.10 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 5 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 100 97 93
of long-stay residents experiencing one or more falls with major injury 10 4 4
of long-stay residents who have depressive symptoms 0 1 3
of long-stay residents who lose too much weight 13 6 7
of long-stay residents who received an antianxiety or hypnotic medication 43 30 26
of long-stay residents who received an antipsychotic medication 24 17 18
of long-stay residents who self-report moderate to severe pain 1 9 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 8 16 15
of long-stay residents whose need for help with daily activities has increased 8 17 14
of long-stay residents with a catheter inserted and left in their bladder 0 4 2
of long-stay residents with a urinary tract infection 1 4 4
of low risk long-stay residents who lose control of their bowels or bladder 42 35 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 86 74
of short-stay residents who had an outpatient emergency department visit 4 5 12
of short-stay residents who self-report moderate to severe pain 24 76 68
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 1 2
of short-stay residents who were rehospitalized after a nursing home admission 29 22 16
of short-stay residents with pressure ulcers that are new or worsened 4 80 73