CLARU DEVILLE NURSING CENTER

Nursing Home Inspector

105 SPRUCE STREET
FREDERICKTOWN, MO 63645
Madison County
Phone: 573-783-3993
Provider Number: 265514
Last Inspection: 08/17/2017

About the Nursing Home

Number of Beds: 90
Number of Residents: 77
Beds Available: 13
Percent Occupancy: 86%
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

 

6

Facility
8

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
60

2016
47

2015

Medicare Ratings

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

 

Details by Inspection Date

8/17/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 9/28/2017
 
Failed To: Provide residents with private access to a telephone. Isolated : Minimal 3 9/28/2017
 

10/21/2016 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 12/2/2016
 
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 12/2/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/2/2016
 
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 12/2/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/2/2016
 
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Isolated : Minimal 3 12/2/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/2/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/2/2016
 
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 12/2/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/2/2016
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Minimal 4 12/2/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/2/2016
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 12/2/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/2/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 12/2/2016
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Pattern : Minimal 4 12/2/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 12/2/2016
 

7/31/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Pattern : Minimal 4 9/12/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 9/12/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/12/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/12/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 9/12/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/12/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 9/12/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/12/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 9/12/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/12/2015
 
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. Isolated : Minimal 3 9/12/2015
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 9/12/2015
 
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 9/12/2015
 
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. Isolated : Minimal 3 9/12/2015
 

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 77 76.50 74.26
Registered Nurses 0.48 0.71 0.60
Licensed Practical / Vocational Nurses 0.45 0.48 0.72
Certified Nursing Assistants 2.23 2.43 2.43
Total Staff Hours 3.16 3.62 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 2 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 74 85 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 96 93
of long-stay residents experiencing one or more falls with major injury 3 2 4
of long-stay residents who have depressive symptoms 0 0 3
of long-stay residents who lose too much weight 10 10 7
of long-stay residents who received an antianxiety or hypnotic medication 31 26 26
of long-stay residents who received an antipsychotic medication 27 18 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 10 9 15
of long-stay residents whose need for help with daily activities has increased 7 9 14
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 2 3 4
of low risk long-stay residents who lose control of their bowels or bladder 18 24 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 53 49 74
of short-stay residents who had an outpatient emergency department visit 21 21 12
of short-stay residents who newly received an antipsychotic medication 4 Not Available   68
of short-stay residents who self-report moderate to severe pain 34 2 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 60 22 16
of short-stay residents who were rehospitalized after a nursing home admission 23 74 73
of short-stay residents who were successfully discharged to the community 10 23 22
of short-stay residents with pressure ulcers that are new or worsened 4 10 50