Ozarks Methodist Manor, The

In the surveyor’s words

From the most serious findings on record at Ozarks Methodist Manor, The, in the surveyor’s own words.

• Actual harm, isolatedF692Jan 9, 2025

  Based on observation, interview, and record review, the facility failed to identify weight loss and poor intake and failed to implement interventions to aid in the prevention of weight loss for one resident (Resident #14) who had severe weight loss of 9.60% in one month and for one resident (Resident #228) who had weight loss of 19.38% in five months. Three residents were reviewed for weight loss in a facility with a census of 58. Review of the facility policy titled Nutrition (Impaired)/Unplanned Weight Loss-Clinical Protocol, revised 09/17, showed staff should report significant weight loss, abrupt change in appetite and food intake to the physician. […]

• No harm, potential for more than minimal, widespreadF727Jan 9, 2025

  Based on interviews and record review, the facility failed to consistently use the services of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week between 07/04/24 and 12/30/24. This deficient practice had the potential to affect all 58 residents residing in the facility. 1. Review of the facility's Staffing Sheets, provided by the Human Resources Director (HR Director), dated 07/04/24 through 12/30/24, showed there was no RN coverage on the following dates: -On 07/04/24; -On 07/06/24; -On 07/07/24; -On 07/31/24; -On 08/01/24; -On 09/02/24; -On 12/23/24; -On 12/30/24. […]

• No harm, potential for more than minimal, widespreadF801Jan 9, 2025

  Based on interview and record review, the facility failed to ensure the Dietary Manger met the required training, certification, and/or experience This deficient practice had the potential to affect all 58 residents who received meals in the facility. Review of the facility's Director of Food and Beverage Services, updated 07/14, showed the position required certification as required by state regulations. 1. During an interview on 01/06/24, at 2:37 P.M., the Dietary Manager (DM) said she had been employed at the facility for two years. She was not certified and did not have any Serv-Safe courses. […]

• No harm, potential for more than minimal, widespreadF880Jan 9, 2025

  Based on record review and interview, the facility failed to conduct an annual review of its Infection Prevention and Control Program (IPCP) and update their program, as necessary, including revision of the IPCP as national standards changed. The failure had the potential to increase the risk of adverse events, including the development of antibiotic-resistant organisms, from unnecessary or inappropriate antibiotic use for all 58 facility residents. Review of the facility policy titled Infectious Disease Threat Communications Plan, revised April 2019, showed The Infectious Disease Threat Communications Plan was reviewed and updated at least annually. 1. […]

• No harm, potential for more than minimal, widespreadF801May 18, 2023

  Based on interview and record review, the facility staff failed to employ a qualified dietary manager for food and nutrition services when the dietitian was not employed full-time by the facility. The facility census was 59. Review of the facility's policy titled Director of Food and Beverage Services, revised 07/2014, showed the following: -The Director of Food and Beverage Services is responsible for the overall effective dietary services; selecting, training and supervision all dietary services personnel; procuring supplies and equipment; assisting with budget preparation and operating within budgetary guidelines. […]