Medicalodges Neosho

In the surveyor’s words

From the most serious findings on record at Medicalodges Neosho, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 24, 2022

  Based on observation, interview, and record review, the facility failed to provide protective oversight to all residents on the locked memory care unit (MCU) when one resident (Resident #1), with a history of exit seeking, left the unit through an unlocked door while the MCU staff provided a shower to another resident. The resident did not have a coat on in the subfreezing temperatures and was found two and a half miles from the facility. Staff also failed to update the care plan, timely, after prior wandering, exit seeking, and elopements. The facility census was 42. The administrator was notified on 1/22/2022, at 12:25 P.M., of an Immediate Jeopardy (IJ) which began on 1/21/2022. The IJ was removed on 1/22/2022, as confirmed by surveyor onsite verification. […]

• No harm, potential for more than minimal, patternF607Apr 24, 2026

  Based on interview and record review, the facility failed to implement a complete abuse and neglect program that completed all screenings when staff failed to complete a Nurse Aide (NA) Registry (a registry which shows if someone has a Federal Indicator (indicates individuals who had a previous incident involving abuse, neglect, or misappropriation of property that would prevent the employee from working in a certified long-term care facility) for one (Registered Nurse (RN) H) of four sampled employees . The facility census was 55. […]

• No harm, potential for more than minimal, patternF880Apr 24, 2026

  Based on observation, interview, and record review, the facility failed to establish and maintain a complete infection control program when staff failed to use Enhanced Barrier Precautions (EBP - an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs - microorganism that has developed resistance to one or more classes of antibiotics, making infections caused by it more difficult to treat) in nursing homes) during wound care for two residents (Residents #29 and #48). […]

• No harm, potential for more than minimal, patternF656Apr 18, 2024

  Based on observation, interview, and record review, the facility failed to develop and implement comprehensive person-centered care plans for four residents (Residents #5, Resident #12, Resident #26 and Resident #47) that addressed side rails usage. The facility census was 50. Review of the facility's policy titled, Electronic Care Plan, dated 12/2018, showed the following: -The facility is to develop a plan of care to attain and maintain the highest practical level of physical, psychological, emotional and social well-being for each resident in the facility. […]

• No harm, potential for more than minimal, patternF700May 20, 2022

  Based on observation, interview, and record review, the facility failed to document identification and use of possible alternatives prior to use of side rails; failed to document side rail assessments of risk versus benefits; failed to obtain written informed consents for the use of side rails prior to installation; and failed to complete ongoing assessments of appropriateness of side rails use for six residents (Resident #8, #33, #35, #40, #97, and #98). The facility's census was 49. […]