Rolla Presbyterian Manor

In the surveyor’s words

From the most serious findings on record at Rolla Presbyterian Manor, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 6, 2025

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and out-dated use. Facility staff also failed to use food in a first in-first out method when facility staff opened multiple containers of the same food item for use. These failures have the potential to affect all residents. The facility census was 19. 1. Review of the facility's Food Storage policy, revised [DATE], showed: -Food is stored immediately after receipt and maintained in a manner that prevents damage, spoilage, infestation and bacterial contamination; -All products are labeled and dated with the receiving date. […]

• No harm, potential for more than minimal, widespreadF814Mar 6, 2025

  Based on observation, interview and record review, the facility staff failed to properly contain waste and refuge to prevent the harboring and/or feeding of rodents and pests when the facility failed ensure indoor waste containers remained covered when not in actual use. This failure has the potential to affect all facility occupants. The facility census was 19. 1. Review of the facility's Garbage policy, undated, showed: -Team members must handle garbage in a manner that will minimize contamination and prevent pests; -This procedure applies to all units and the manger/person in charge is responsible to ensure that the removal and disposal of garbage is handled properly to minimize contamination and prevent pests; -Ensure garbage containers have bags and the containers must be covered when… […]

• No harm, potential for more than minimal, widespreadF812Dec 21, 2022

  Based on observation, interview and record review, the facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. The facility census was 28. 1. Review of the facility's Hand Hygiene policy, dated 05/2018, showed Staff will perform hand hygiene when indicated, using proper technique consistent with accepted standards of practice. Review showed the policy directed staff to wash their hands before and after handling contaminated items and after they remove gloves. Review showed the policy directed staff to not reuse or wash disposable gloves. […]

• No harm, potential for more than minimal, patternF641Jan 26, 2024

  Based on record review and interview, facility staff failed to document a complete and accurate Minimum Data Set (MDS) assessment (a federally mandated assessment instrument) when staff did not complete a discharge summary for resident (Resident #5), did not document a weight loss or injections received for one resident (Resident #6), failed to accurately document medication use for one resident (Resident #9), did not document a pressure injury for one resident (Resident #11), and failed to complete a significant change of status assessment (SCSA) for one resident (Resident #17) for hospice services. The facility census was 21. 1. […]

• No harm, potential for more than minimal, patternF758Dec 21, 2022

  Based on interview and record review, facility staff failed to perform Gradual Dose Reductions (GDRs) on psychotropic medications for one resident (Resident #2) and failed to ensure that as needed (PRN) psychotropic medication orders were limited to 14 days unless specific duration and clinical rationale were provided for two residents (Resident #3, and #18). The facility census was 28. 1. Review of the facility's Psychoactive Psychopharmacological Medications policy showed the following: For the purposes of this policy, psychoactive medications includes antidepressants, anxiolytics, hypnotics, sedatives and antipsychotics. […]