Steelville Senior Living

In the surveyor’s words

From the most serious findings on record at Steelville Senior Living, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 14, 2024

  45564 Based on observation, interview and record review, the facility staff failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD- a serious type of pneumonia (lung infection) caused by Legionella bacteria). On 02/20/24, one resident (Resident #1) tested positive for Legionella. Failure to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems has the potential for the failure of staff to identify and mitigate the presence of waterborne pathogens, which places all residents of the facility at risk of exposure which could… […]

• No harm, potential for more than minimal, widespreadF801Apr 23, 2026

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. This failure has the potential to affect all residents. The facility census was 50 with a capacity of 72.1. Review of the facility provided policies showed they did not contain a policy related to the qualifications for the Director of Food and Nutrition Services. Review of the Dietary Manager's (DM) personnel records showed a new hire start date of 01/26/26 and the file did not contain documentation of food service management education, certification or experience. […]

• No harm, potential for more than minimal, widespreadF804Apr 23, 2026

  Based on observation and interview, the facility staff failed to ensure the internal temperature of foods placed in hot holding for service to residents remained at least 140 degrees Fahrenheit (F). Facility staff also failed to ensure the internal temperature of hot foods remained at least 120 degrees F upon service to residents who at in their rooms. These failures have the potential to affect all residents. The facility census was 501. Review of the facility's policy titled Food Code Temperatures, dated 02/26, showed staff directed to hold hot foods at 140 degrees F or above. Observation on 04/21/26 at 12:26 P.M., showed hot food items for service at the lunch meal held in the kitchen steam table and an adjacent warming cabinet. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2026

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and outdated use. This failure has the potential to affect all residents. The facility census was 50.1. Review of the facility provided policies showed they did not contain a policy related to food labeling, dating or storage. Observation on 04/20/26 at 10:54 A.M., showed the kitchen dry storage area contained: -A half full, undated 22 quart bin of sugar;-An undated 22 quart bin of flour;-An opened and undated bag of cheese snacks;-An opened and undated 12 ounce (oz) bag of heart marshmallows;-An undated 16 oz bag of white marshmallows open to the air;-An undated five pound bag of pancake mix open to the air;-An undated five pound bag of flour open to… […]

• No harm, potential for more than minimal, widespreadF727Aug 16, 2024

  Based on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN), for at least eight (8) consecutive hours per day, seven days a week. The facility census was 41. 1. Review of the facility's policies showed staff did not provide a policy for RN coverage. 2. Review of the facility's RN staff schedule, and payroll detail, dated June 2024, showed the facility did not have an RN in the building the following dates: -Sunday 06/02/24; -Saturday 06/08/24; -Sunday 06/09/24. 3. Review of the facility's RN staff schedule, and payroll detail, dated July 2024, showed the facility did not have an RN in the building the following dates: -Thursday 07/04/24; -Friday 07/05/24. 4. […]