Superior Manor of Festus, LLC

In the surveyor’s words

From the most serious findings on record at Superior Manor of Festus, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF584Apr 19, 2024

  Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 49. The facility did not provide a policy regarding the environment. Observation on 04/02/24 from 10:09 A.M. to 3:49 P.M., showed: - A musty and foul odor of urine and fecal material on the 100 and 200 Halls; - In room [ROOM NUMBER], the drywall behind both beds had scratches and holes. Two bottom drawers in the bathroom dresser were broken. […]

• No harm, potential for more than minimal, widespreadF730Apr 19, 2024

  Based on interview and record review, the facility failed to ensure two Certified Nurse Assistants (CNAs) (CNA K and CNA R) out of two sampled CNAs received 12 hours of training annually. The facility census was 49. The facility failed to provide a policy regarding annual training. Review of the facility assessment, dated [DATE], showed: - Facility assessment not reviewed since 2022 when the facility opened and had a census of two residents; - Staff competencies and annual training requirements per regulatory authority and/or facility policy to include: Abuse, Neglect, Exploitation and Misappropriation, Advance Directives, Behavioral Health, Communication, Compliance and Ethics, Cardiopulmonary Resuscitation (CPR), Dementia Care Management, Equipment and assistive device training,… […]

• No harm, potential for more than minimal, widespreadF812Apr 19, 2024

  Based on observation and interview, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. The facility failed to ensure that foods are maintained at a safe and appetizing temperature on the steam table according to current Food and Drug Administration (FDA) standards, food is kept covered while waiting to be served, and dietary staff sanitize their hands or change gloves during and after preparing food, wear the appropriate hair restraints while in the kitchen, and have policies and procedures in place for food brought in from outside the facility. These practices had the potential to affect all residents who are served food from the kitchen. […]

• No harm, potential for more than minimal, widespreadF838Apr 19, 2024

  Based on interview and record review, the facility failed to ensure the facility assessment (an assessment to determine what resources were necessary to care for residents competently during both day-to-day operations and emergencies) was complete and reviewed annually. The facility census was 49. The facility did not provide a facility assessment policy. Review of the facility assessment, dated 08/30/22, showed: - The census of two residents; - The facility assessment not updated to reflect the current resident census and needs; - The facility assessment not reviewed annually; - No documentation the Quality Assessment and Assurance (QAA) and Quality Assurance Performance Improvement (QAPI) committee reviewed the facility assessment. […]

• No harm, potential for more than minimal, widespreadF865Apr 19, 2024

  Based on interview and record review, the facility failed to develop a Quality Assurance and Performance Improvement Plan (QAPI - a written plan containing the process that will guide the facility's efforts in assuring care and services are maintained at acceptable levels of performance and continually improved.) The facility census was 49. Review showed the facility did not have a QAPI plan containing the necessary policies and protocols describing how they will identify and correct their quality deficiencies, track and measure performance, and establish goals and thresholds for performance measurement. During an interview on 04/17/24 at 4:30 P.M., the Regional Nurse said he/she was unable to find any documentation that the facility had a QAPI Plan. […]