Sarcoxie Health Care Center

In the surveyor’s words

From the most serious findings on record at Sarcoxie Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF692Mar 28, 2025

  Based on observation, interview, and record review, the facility failed to develop and implement interventions to prevent weight loss and failed to notify the physician of weight loss for one resident (Resident #15) in a selected sample of 13 residents. The facility's census was 33. Review of the facility's weight monitoring policy, revised 05/07/24, showed the following information: -Based on the resident's comprehensive assessment, the facility will ensure that all residents maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise. -Weight can be a useful indicator of nutritional status. […]

• Actual harm, isolatedF697Mar 28, 2025

  Based on observation, interview, and record review, the facility failed to provide pain management to all residents when staff failed to implement an effective routine pain management program, failed to accurately assess pain and medication effectiveness according to standards of practice, and failed to identify, develop, and implement interventions related to pain management for for one resident (Resident #26) who expressed severe and constant pain in his/her hands and arms in a selected sample of 13 residents. […]

• No harm, potential for more than minimal, widespreadF919Nov 14, 2025

  Based on observation, interview, and record review, the facility failed to provide residents with an approved call light system when the facility failed to have process in place to notify staff of sounding call lights when call lights notifications could not be heard on the hall and the facility did not provide staff with pagers for notification of call lights. The facility census was 33. Review of the facility Call light Accessibility and Timely Response Policy, revised [DATE], showed the following:-The purpose of this policy is to assure the facility is adequately equipped with a call light at each resident's bedside, toilet, and bathing facility to allow residents to call for assistance. […]

• No harm, potential for more than minimal, widespreadF727Aug 27, 2025

  Based on interview and record review, the facility failed to provide the services of a registered nurse (RN) for at least eight consecutive hours per day seven days per week. The facility census was 39.Review of the facility's Registered Nurse Policy, dated 04/30/24, showed the following information:-The facility will utilize the services of a RN for at least eight consecutive hours per day, seven days per week;-The Director of Nursing (DON) may serve as a charge nurse only when the facility has average daily occupancy of 60 or fewer residents.1. […]

• No harm, potential for more than minimal, widespreadF868Mar 28, 2025

  Based on record review and interview, the facility failed to hold the required quarterly quality assessment committee (QAA) meetings when the facility failed to meet in the fourth quarter of 2024. The facility census was 33. Review of the facility's Quality Assurance Process Improvement (QAPI) policy, dated 05/14/21, showed the following: -A QAPI meeting with be held on a monthly basis; -All department heads, the Administrator, the Director of Nursing, Antibiotic Steward, the Infection Control and Prevention Officer, Medical Director, and Consulting Pharmacist will be on the QAPI committee; -Records of the actions taken at each meeting will be kept using the attached form; -Minutes should document what was reviewed, issues/problems addressed, plan of correction, the monitoring process,… […]