Osage Beach Rehabilitation and Health Care Center

In the surveyor’s words

From the most serious findings on record at Osage Beach Rehabilitation and Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Oct 3, 2023

  Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent the potential spread of Covid-19 (an acute respiratory illness in humans caused by the coronavirus, SARS-CoV-2) and other infections, when staff failed to follow acceptable infection control practices for Covid-19. The facility failed to separate three positive Covid-19 residents (Resident #1, #3 and #8) from residents who had tested negative for Covid-19 or had only been exposed to Covid-19 for five residents (Resident #2, #4, #5, #6 and #7) at an increased risk of contracting Covid-19 due to prolonged exposure. […]

• Immediate jeopardy, patternF689Sep 23, 2022

  Based on observation, interview, and record review, facility staff failed to ensure the resident environment remains as free of accident hazards as is possible, when staff failed to maintain the hot water temperature of plumbing fixtures accessible to residents on corridors A and B in a manner to prevent serious [CONDITION(S)] or scalding in a short amount of time. Additionally, facility staff failed to ensure razors and hazardous chemicals were stored in a safe manner, and failed to lock an unattended treatment cart. Facility staff also failed to propel four residents (Residents #14, #30, #57 and #59) in wheelchairs in a manner to prevent accidents. The facility census was 68. The administrator was notified on 09/20/22 at 12:45 P.M. of an Immediate Jeopardy (IJ) which began on 09/19/22. […]

• Actual harm, isolatedF600Jun 22, 2026

  Based on observation, interview, and record review, facility staff failed to ensure one resident (Resident #2) remained free from sexual abuse, when a resident (Resident #1) entered Resident #2's room and touched his/her chest. The facility census was 81.The administrator was notified on 06/22/26 of Past Non-Compliance which occurred on 06/17/26. The Administrator and Director investigated, notified the residents' responsible parties, and in-serviced staff regarding abuse, sent Resident #1 to the hospital for evaluation, and initiated one on one monitoring. Resident #2 had additional therapy services initiated as a result of this. Staff corrected the deficient practice on 06/18/26. […]

• Actual harm, isolatedF689Jun 17, 2025

  Based on interview and record review, facility staff failed to provide a proper mechanical lift transfer for one resident (Resident #1) in a manner to prevent accidents when the lift hit a television mounted on the wall and the television fell and struck the resident and he/she sustained an injury to his/her head and arm. The facility census was 77. 1. Review of the Electric Portable Patient Lift owner's operator and maintenance manual, undated, showed the guide recommends two persons transfer in circumstance of combativeness, obesity, contracture etc. It is the responsibility of each facility or medical professional to determine if a one or two person transfer is more appropriate. […]

• Actual harm, isolatedF760May 6, 2024

  Based on interview and record review, facility staff failed to ensure residents remained free of significant medication errors when staff administered Resident #2's medication to Resident #1 which resulted in Resident #1 being transported to the hospital after an adverse reaction. The facility census was 76. The administrator was notified on 5/6/24 of past Non-Compliance, which occurred on 4/21/24 when staff administered the wrong medication to the incorrect resident. Staff assessed the resident, notified the residents physician, sent the resident to the hospital, and in-serviced nursing staff on medication administration. Staff corrected the deficient practice on 4/23/2024. 1. […]