Ozark Health Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Ozark Health Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Aug 6, 2026

  Number of residents sampled:Number of residents cited: Based on record review, document review and interview, the facility failed to supervise, monitor and put interventions in place for residents with known exit seeking behaviors to prevent access to potentially hazardous areas without assistance for and prevent an elopement for two (Resident #100, and Resident #107) residents of four residents reviewed. It was determined the facilities non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, isolatedF689Jul 2, 2021

  Based on record review and interview, the facility failed to ensure a tamper resistant band was provided on a Secure Care Alarm System bracelet for 1 (Resident #262) of 2 (Residents #262 and #24) sampled residents who had broken their Secure Care Alarm System bracelet and staff were trained to stop a resident from leaving the building for 1 of (Resident #262) sampled resident who exited the people unaccompanied. These failed practices resulted in Immediate Jeopardy for Resident #262 who exited the building on 2 occasions without being accompanied by staff. The Immediate Jeopardy was removed on June 19, 2021 when the resident was placed on one-on-one and a wander guard bracelet was placed on the resident's wheelchair, but other deficient practices remained. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2024

  Based on record review, observations, interview, the facility failed to ensure that hands were washed between clean and dirty task to prevent food borne illness. The failed practice had the ability to affect 35 residents who receive their meals from 1 of 1 kitchen. The findings are: A. On 01/08/24 at 12:20 PM, Dietary Aide #1 was observed to be wearing black gloves while serving trays from the steam table in the main dining room. Dietary Aide #1 was observed touching utensils, trays, plates, the counter, and a large clear trash bag of refuse during lunch service. Dietary Aide #1 continued to use contaminated gloves while using a scoop to serve homestyle French Fries. Dietary Aide #1 scooped up the french fries to serve and touched them with their right thumb to hold them into the scoop. […]

• No harm, potential for more than minimal, widespreadF812Jul 2, 2021

  Based on observation, interview, and record review, the facility failed to ensure food was dated, tightly resealed after opening, stored properly, promptly discarded before expiration date, and maintain kitchen equipment and ice machines in a sanitary manner to prevent the potential of food borne illness. These failed practices had the potential to affect 60 residents, (total census 61) who received meals from the kitchen and 55 residents who received ice from the kitchen and the 700 hall ice machine based on a list provided by Dietary Employee #1 on 7/2/2021 at 10:00 A.M. The findings are: 1. On 06/28/21 at 11:30 A.M., during initial rounds with Dietary Employee #1, the following observations were made: a. […]

• No harm, potential for more than minimal, patternF609Aug 6, 2026

  Number of residents sampled: Number of residents cited: Based on interviews, record review, and facility policy review, the facility failed to ensure elopements were reported to the Administrator and the State Agency (SA) within the required timeframe for two (Resident #100 and Resident #107) of four residents reviewed. The findings include: Resident #100 Review of an admission Record revealed the facility admitted Resident #100 with diagnoses that included atherosclerotic heart disease, hypertension, type 2 diabetes, anxiety disorder, post-traumatic stress disorder, absence of left toes, absence of right leg below the knee, psychoactive substance abuse, and stimulant dependence. […]