TRUMAN LAKE MANOR INC

Nursing Home Inspector

600 EAST 7TH ST, PO BOX 415
LOWRY CITY, MO 64763
St Clair County
Phone: 417-644-2248
Provider Number: 265431
Last Inspection: 06/14/2017

About the Nursing Home

Number of Beds: 120
Number of Residents: 42
Beds Available: 78
Percent Occupancy: 35%
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

 

55

Facility
36

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

55

2017
32

2016
35

2015

Medicare Ratings

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

 

Details by Inspection Date

6/14/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 7/29/2017
 
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 : Potential 4 7/15/2017
 
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 7/29/2017
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 7/29/2017
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 7/29/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 7/29/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/29/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 7/29/2017
 
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 7/29/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/29/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/29/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 7/29/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/29/2017
 
Failed To: Ensure that all full-time nurse aids employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. Pattern : Minimal 4 7/29/2017
 
Failed To: Ensure that all nurse aids who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services. Pattern : Minimal 4 7/29/2017
 

6/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 7/8/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 7/14/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/21/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/14/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 7/21/2016
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Minimal 5 7/5/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 7/14/2016
 

5/8/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 7/2/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 6/22/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/22/2015
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 6/22/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 6/22/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 6/22/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/28/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/28/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 5/28/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 42 37.50 74.26
Registered Nurses 0.52 0.44 0.60
Licensed Practical / Vocational Nurses 0.47 0.67 0.72
Certified Nursing Assistants 2.89 2.64 2.43
Total Staff Hours 3.89 3.74 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 9 7 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 98 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 93
of long-stay residents experiencing one or more falls with major injury 2 2 4
of long-stay residents who have depressive symptoms 1 4 3
of long-stay residents who lose too much weight 4 9 7
of long-stay residents who received an antianxiety or hypnotic medication 19 20 26
of long-stay residents who received an antipsychotic medication 15 16 18
of long-stay residents who self-report moderate to severe pain 16 10 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 6 8 15
of long-stay residents whose need for help with daily activities has increased 9 10 14
of long-stay residents with a catheter inserted and left in their bladder 4 2 2
of long-stay residents with a urinary tract infection 3 1 4
of low risk long-stay residents who lose control of their bowels or bladder 27 24 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 75 78 74
of short-stay residents who had an outpatient emergency department visit 5 5 12
of short-stay residents who newly received an antipsychotic medication 0 Not Available   68
of short-stay residents who self-report moderate to severe pain 37 0 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80 29 16
of short-stay residents who were rehospitalized after a nursing home admission 14 45 73
of short-stay residents with pressure ulcers that are new or worsened 7 14 22