SONSHINE MANOR

Nursing Home Inspector

300 SOUTH COTTONWOOD AVENUE
REPUBLIC, MO 65738
Greene County
Phone: 417-732-2929
Provider Number: 265847
Last Inspection: 03/27/2017

About the Nursing Home

Number of Beds: 69
Number of Residents: 60
Beds Available: 9
Percent Occupancy: 87%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

3

Facility
9

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
23

2016
19

2015

Medicare Ratings

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

 

Details by Inspection Date

3/27/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 5/10/2017
 

5/20/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 6/19/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 6/19/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 6/19/2016
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 6/19/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/19/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 6/19/2016
 

6/12/2015 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. Isolated : Minimal 3 7/27/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/27/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/27/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/27/2015
 
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 7/27/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/27/2015
 

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 60 89.76 74.26
Registered Nurses 0.57 0.82 0.60
Licensed Practical / Vocational Nurses 0.40 0.61 0.72
Certified Nursing Assistants 2.58 2.45 2.43
Total Staff Hours 3.54 3.88 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 7 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 91 85 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92 94 93
of long-stay residents experiencing one or more falls with major injury 5 4 4
of long-stay residents who have depressive symptoms 5 3 3
of long-stay residents who lose too much weight 8 7 7
of long-stay residents who received an antianxiety or hypnotic medication 40 33 26
of long-stay residents who received an antipsychotic medication 8 16 18
of long-stay residents who self-report moderate to severe pain 2 6 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 17 15
of long-stay residents whose need for help with daily activities has increased 9 14 14
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 5 3 4
of low risk long-stay residents who lose control of their bowels or bladder 2 33 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 76 74
of short-stay residents who had an outpatient emergency department visit 10 10 12
of short-stay residents who made improvements in function 68 65 68
of short-stay residents who newly received an antipsychotic medication 5 2 2
of short-stay residents who self-report moderate to severe pain 8 15 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 75 72 73
of short-stay residents who were rehospitalized after a nursing home admission 28 20 22
of short-stay residents with pressure ulcers that are new or worsened 0 54 50