Ozark Nursing and Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Feb 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure clean linens and clothing were handled and transported in a manner to prevent contamination by failing to maintain covers on laundry carts during delivery to resident care areas. This deficient practice occurred during three separate observations and had the potential to affect all residents residing in facility.Based on observation, interview, and facility policy review, the facility failed to ensure clean linens and clothing were handled and transported in covered carts during delivery to resident care areas to prevent contamination or spread of infection during three of three observations, which had the potential to affect all residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF812Aug 15, 2024

  Based on observations, interviews, and facility policy review, it was determined the facility failed to ensure kitchen equipment used during meal preparation and service was kept clean and uncontaminated to prevent the spread of illness with the potential to effect 76 residents served from the 1 of 1 kitchen reviewed for food preparation and service. Findings include: A review of the facility's undated policy titled Handwashing and glove usage in food service, indicated Food handlers must wash hands after touching dirty equipment and work surfaces. […]

• No harm, potential for more than minimal, widespreadF812Jun 23, 2023

  Based on observation and interview, the facility failed to ensure kitchen food items stored in the dry storage area, were covered, and sealed; the dish washing machine room ' s air vents were cleaned to provide a sanitary environment for clean dishes, and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 79 residents who received meals from the kitchen (total census: 80), as documented on a list provided by the Dietary Supervisor on 06/22/23 at 1:37 PM. The findings are: 1. On 06/19/23 at 11:15 AM, on a rack in the Storage Room there were two cans of pasta sauce that had dents at their rims. […]

• No harm, potential for more than minimal, patternF550Jun 23, 2023

  Based on observation, record review, and interview, the facility failed to ensure a resident's urinary catheter drainage bag was kept in a privacy bag from view of other residents/visitors to promote dignity for 1 (Resident #39) of 1 sampled resident who had an indwelling catheter. This failed practice had the potential to affect 5 residents who had catheters according to a list provided by the Director of Nursing (DON) on 06/21/23 at 8:33 AM. The findings are: 1. Resident #39 had diagnoses of obstructive uropathy. The Admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/08/23 documented the resident scored 6 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and had an indwelling catheter. a. […]

• No harm, potential for more than minimal, patternF684Jun 23, 2023

  Based on observation, interview, and record review, the facility failed to follow a Physicians Order for placement of compression stockings for 1 (Resident #61) of 10 (Residents #15, #19, #20, #26, #27, #43, #46, #61, #62 and #63) sampled residents who had Physician Orders for compressions stockings. The findings are: 1. Resident #61 had diagnoses of Essential (Primary) Hypertension, Other Specified Symptoms and Signs Involving the Circulatory and Respiratory Systems and Chronic Kidney Disease, Unspecified. a. A Physicians Order dated 06/01/23 documented, Compression Stockings in place to BLE [bilateral lower extremities] during daytime; remove at HS [hour of sleep] . b. […]