Hartville Care Center

In the surveyor’s words

From the most serious findings on record at Hartville Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 24, 2026

  Based on interview and record review, the facility failed to keep residents free accidents when staff failed to transfer one resident (Resident #1) per the resident's care plan and therapy assessment/direction resulting in a fall and bilateral tibia plateau fractures (break in the top of the shinbones). The facility census was 43.Review of the facility's policy titled Transfer Activities, undated, showed the following:-To transfer the resident from bed to chair, toilet, or tub safely with mechanical lift, or positioning devices, obtain assistance of another individual if necessary for safe transfer;-Obtain equipment from designated area and bring it to bedside. 1. […]

• No harm, potential for more than minimal, widespreadF812Jun 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was protected from potential contamination when staff failed to ensure the air gap for the ice machine had the required two inch gap between the drain in the floor and the tubing from the ice machine and when staff failed to ensure the stove top burners used to cook food for the residents were clean and free from grease. The facility census was 40. 1. Review of the 2013 Missouri Food Code showed an air gap between the water supply inlet and the flood level rim of the plumbing fixture, equipment, or nonfood equipment shall be at least twice the diameter of the water supply inlet and may not be less than one inch. Review showed the facility did not provide a policy related to the air gap. […]

• No harm, potential for more than minimal, widespreadF921Jun 19, 2025

  Based on observation, interview, and record review, the facility failed to provide a sanitary and functional environment when staff failed to keep the walk-in cooler floor maintained and cleanable. The facility census was 40. Review showed the facility did not provide a policy related to the floor of the walk-in cooler. Review of the 2013 Missouri Food Codes showed the following: -Nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue, and other debris; -Nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning shall be constructed of a corrosion-resistant, nonabsorbent, and smooth material; -Nonfood-contact surfaces of equipment shall be cleaned at a frequency… […]

• No harm, potential for more than minimal, widespreadF925Jun 19, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control system to control the flies when flies were present in two residents' rooms (Resident #2 and Resident #24) and in the facility kitchen. The facility census was 40. Review of the facility's policy titled, Pest Control, undated, showed the following: -Purpose was to provide an environment free of pests; -The facility will have a pest control contract which provides frequency treatment of the environment for pests. It will allow for additional visits when a problem is detected; -Monitoring the environment will be done by the facility's staff; -Pest control problems will be reported promptly. 1. […]

• No harm, potential for more than minimal, widespreadF812Nov 3, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards of practice when staff failed to keep the ice machine clean, failed to ensure the dishwasher chemicals tested at the recommended levels, and did not wear proper hair coverings. The facility census was 28. 1. Review of the 2013 Missouri Food Code showed food-contact surfaces of equipment and utensils shall be clean to sight and touch. Observations of the kitchen on 10/30/23, beginning at 9:47 A.M., and on 10/31/23, at 8:59 AM., showed the deflector shield on the inside of the ice machine had five black spots and a black substance along most of the bottom of the deflector shield. […]