OAK TREE VILLAS-A STONEBRIDGE COMMUNITY

Nursing Home Inspector

3108 WEST TRUMAN BOULEVARD
JEFFERSON CITY, MO 65109
Cole County
Phone: 573-893-3063
Provider Number: 265819
Last Inspection: 09/28/2017

About the Nursing Home

Number of Beds: 42
Number of Residents: 30
Beds Available: 12
Percent Occupancy: 71%
Insurance Accepted: Medicare
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

 

20

Facility
18

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

20

2017
14

2016
16

2015

Medicare Ratings

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

 

Details by Inspection Date

9/28/2017 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 11/6/2017
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Widespread : Minimal 5 11/6/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/6/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Widespread : Potential 4 11/6/2017
 
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 11/6/2017
 

11/22/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/6/2017
 
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. Isolated : Minimal 3 1/6/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 1/6/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 1/6/2017
 

11/5/2015 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 12/18/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/18/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/18/2015
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 12/18/2015
 

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 30 49.75 74.26
Registered Nurses 0.91 0.71 0.60
Licensed Practical / Vocational Nurses 0.77 0.73 0.72
Certified Nursing Assistants 4.43 2.86 2.43
Total Staff Hours 6.10 4.30 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 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 72 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 88 93
of long-stay residents experiencing one or more falls with major injury 14 5 4
of long-stay residents who have depressive symptoms 1 2 3
of long-stay residents who lose too much weight 7 8 7
of long-stay residents who received an antianxiety or hypnotic medication 17 27 26
of long-stay residents who received an antipsychotic medication 20 14 18
of long-stay residents who self-report moderate to severe pain 2 5 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 14 21 15
of long-stay residents whose need for help with daily activities has increased 19 20 14
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 11 4 4
of low risk long-stay residents who lose control of their bowels or bladder 56 38 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 92 67 74
of short-stay residents who had an outpatient emergency department visit 11 12 12
of short-stay residents who made improvements in function 80 73 68
of short-stay residents who newly received an antipsychotic medication 0 1 2
of short-stay residents who self-report moderate to severe pain 6 16 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 71 73
of short-stay residents who were rehospitalized after a nursing home admission 23 24 22
of short-stay residents who were successfully discharged to the community 54 49 50
of short-stay residents with pressure ulcers that are new or worsened 1 1 1