Independence Manor Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678May 28, 2021

  Based on interview and record review, the facility failed to provide basic life support, including cardiopulmonary resuscitation (CPR- an emergency procedure that is performed when a person's heartbeat or breathing has stopped), and failed to call emergency medical services (EMS) in a timely manner, for one sampled resident (Resident #4) with a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility census was 65 residents. The Administrator was notified on [DATE] at 12:46 P.M. of an Immediate Jeopardy (IJ) which began on [DATE]. […]

• No harm, potential for more than minimal, widespreadF880Dec 16, 2025

  Based on observation, interview, and record review, the facility failed to establish and maintain a comprehensive, facility-specific infection prevention and control program designed to help prevent the development and transmission of Legionella (A [NAME] of pathogenic Gram-negative bacteria that includes the species L. pneumophila, causing legionellosis, all illnesses caused by Legionella, including a pneumonia-type illness called Legionnaires' disease and a mild flu-like illness called Pontiac fever) and/or other water-borne pathogens (a bacterium, virus, or other microorganism that can cause disease) that included specific assessments and contents, in accordance with State of Missouri rules and Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS)… […]

• No harm, potential for more than minimal, widespreadF727Dec 11, 2023

  Based on interview and record review, the facility failed to ensure a Registered Nurse (RN) worked for eight consecutive hours per day, seven days a week for four or more days for the previous four quarters of the last fiscal year July 2022 through June 2023 and from November 16, 2023, through December 4, 2023, for this survey look back. The facility census was 54 residents. Review of the facility's Nursing Services-RN policy dated 11/23/2022 showed: -It was the intent of the facility to comply with RN staffing requirements. -The facility would utilize the services of a RN for at least eight consecutive hours per day seven days per week. -The facility would designate a RN to serve as the Director of Nursing (DON) on a full-time basis. […]

• No harm, potential for more than minimal, widespreadF802Dec 11, 2023

  Based on observation, interview, and record review, the facility failed to employ sufficient dietary staff and support personnel with the appropriate competencies and skill sets to safely and effectively carry out the functions of the food and nutrition service, taking into consideration residents' dietary assessments, individual plans of care and the number, acuity and diagnoses of the facility's resident population in accordance with professional standards for food service safety. This deficient practice had the potential to affect all residents, visitors, volunteers, and staff who ate food from the kitchen. The facility's census was 54 residents with a licensed capacity for 99 residents at the time of the survey. 1. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2023

  Based on observation, interview, and record review, the facility failed to retain operable thermometers in all refrigerators/freezers to confirm adequate temperature ranges; to maintain sanitary utensils, beverage dispensers, and food preparation equipment; to maintain plastic cutting boards and utensils in good condition to avoid food safety hazards (cross-contamination); and to record the testing of the dishwasher machine's chemical solution balance for the sanitizing of eating/serving utensils, plates, and cups/mugs, in accordance with professional standards for food service safety. These deficient practices had the potential to affect all residents, visitors, volunteers, and staff who ate food from the kitchen. […]