Ash Grove Healthcare Facility

In the surveyor’s words

From the most serious findings on record at Ash Grove Healthcare Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 2, 2023

  Based on observation, interview, facility policy review, and review of the dishwasher sanitation log, the facility failed to label, date, and cover food stored in refrigeration storage. The facility also failed to discard food in refrigeration storage with expired use by dates and ensure the kitchen's dish machine dispensed sufficient chlorine to sanitize items washed in the machine. This had the potential to affect 76 residents who consumed food prepared in the facility's kitchen. Findings include: Review of the facility's policy titled, Refrigerated Storage of Perishable Foods, revised on ,d+[DATE], specified, . Potentially hazardous foods should be stored for no more than 7 days between 35 (degrees) to 41 (degrees) Fahrenheit. […]

• No harm, potential for more than minimal, patternF568Oct 10, 2024

  1. Please refer to event ID 6ACP12, exit dated 10/10/24, for citation details. MO00241896

• No harm, potential for more than minimal, patternF568Aug 22, 2024

  Based on interview and record review, the facility failed to maintain a full accounting and record system of resident trust funds when the facility failed to provide a written statement of each resident's trust fund balance and activity to the the resident and/or his/her responsible party quarterly for three residents (Resident #1, Resident #2 and Resident #3). The facility census was 74. Review of the facility policy titled, Pre-Admissions, dated 2024, showed the following: -The business office will manage the resident trust account (RTA); -A quarterly RTA statement will be provided to the resident or responsible party. 1. […]

• No harm, potential for more than minimal, patternF568Aug 22, 2024

  Based on interview and record review, the facility failed to maintain a full accounting and record system of resident trust funds when the facility failed to provide a written statement of each resident's trust fund balance and activity to the the resident and/or his/her responsible party quarterly for three residents (Resident #1, Resident #2 and Resident #3). The facility census was 74. Review of the facility policy titled, Pre-Admissions, dated 2024, showed the following: -The business office will manage the resident trust account (RTA); -A quarterly RTA statement will be provided to the resident or responsible party. 1. […]

• No harm, potential for more than minimal, patternF755Aug 18, 2023

  Based on interview and record review, the facility failed to provide pharmaceutical services that included accurate administering of all medications when facility staff failed to administer all ordered medications for three residents (Resident #1, #2, and #3) on 07/22/23. The facility census was 75. Review of a facility policy titled, Medication Administration and Documentation, revised June 2023, showed the following information: -Time-critical scheduled medications must be administered within 30 minutes prior or 30 minutes after the scheduled time for a total window of one hour; -Time-critical scheduled medications include antibiotics, insulin, reversal agents, thromboytics (a group of medications used to manage and treat dissolving intravascular clots), titrateable medications, and… […]