Gasconade Manor Nursing Home

In the surveyor’s words

From the most serious findings on record at Gasconade Manor Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 31, 2025

  Based on observation, interview, and record review, facility staff failed to use Enhanced Barrier Precautions (EBP) (an infection control practice that requires staff to wear Personal Protective Equipment (PPE) (gowns, gloves and/or eye protection), and failed to use appropriate hand hygiene and glove use for five residents (Residents #5, #6, #8, #34, and #42) out of 18 sampled while performing catheter care, wound care, and mechanical lift transfers. The facility census was 61. 1. […]

• No harm, potential for more than minimal, widespreadF812May 31, 2024

  Based on observation and interview, the facility staff failed to maintain the mechanical dishwasher in good repair to ensure dishes were effectively washed and sanitized to prevent cross-contamination. This failure has the potential to affect all residents. The facility census was 61. 1. Observation on 05/28/24 at 10:35 A.M., showed the Certified Dietary Manager (CDM) washed a rack of soiled cups in the chemical sanitizing mechanical dishwasher.Observation showed the CDM did not check the temperature of the dishwasher during the cycle. Observation showed the gauge of the dishwasher registered the water temperature during the wash cycle as 110 degrees Fahrenheit (dF) and the water temperature of the rinse cycle registered 112 dF. […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2023

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and out-dated use. Facility staff failed to use food in a first in-first out method when facility staff opened multiple containers of the same food item for use. Facility staff also failed to wear hair restraints to protect food and food-contact surfaces from potential contamination. The facility census was 60. 1. Review of the facility's Food Storage policy, dated 11/01/17, showed the policy directed staff to store food obtained for use by the facility for consumption by the residents properly in the kitchens and the refrigerators and freezers are to be maintained by the dietary staff. […]

• No harm, potential for more than minimal, patternF607Jul 31, 2025

  Based on record review and interview, facility staff failed implement the facility's policy by not checking the Employee Disqualification List (EDL) quarterly for six staff (Certified Nurse Aide (CNA) T, Housekeeper U, Licensed Practical Nurse (LPN) N, Dietary Aide (DA) V, Registered Nurse (RN) W and Certified Medication Technician (CMT) P) of 10 sampled staff. The facility census was 61.1. Review of the facility's policy titled Employee Disqualification List Protocol, dated 06/17/24, instructed staff to complete quarterly re-checks, they must review new EDL listings to ensure no current employees are disqualified. 2. Review of CNA T's employee file showed a quarterly EDL check had not been completed since his/her hire date of 02/15/25. 3. […]

• No harm, potential for more than minimal, patternF909Jul 31, 2025

  Based on observation, interview, and record review, facility staff failed to conduct inspections of bedrails as a part of regular maintenance program for one resident (#57) and failed to remeasure and reassess all possible entrapment zones for three residents (Resident #2, #8, #9) out of 18 residents sampled. The facility census was 61. Based on observation, interview, and record review, facility staff failed to conduct inspections of bedrails as a part of regular maintenance program for one resident (#57) and failed to remeasure and reassess all possible entrapment zones for three residents (Resident #2, #8, #9) out of 18 residents sampled. The facility census was 61. 1. […]