Transcendent Healthcare of Boonville - North

In the surveyor’s words

From the most serious findings on record at Transcendent Healthcare of Boonville - North, in the surveyor’s own words.

• Immediate jeopardy, patternF880Feb 17, 2026

  Based on interview and record review, the facility failed to establish a facility-wide system to prevent, identify, report, investigate, and control infections for 4 of 5 residents reviewed for hospitalizations (Resident 27, Resident 19, Resident 1, and Resident 48). Residents who experienced upper respiratory symptoms were not tested or treated for influenza. The facility did not investigate the cause of or track residents' signs and symptoms. This deficient practice resulted in Resident 27, Resident 1, and Resident 48 being hospitalized . Residents tested positive for influenza A upon arriving at the hospital. Resident 19 was ordered to be sent to the hospital, but expired before she could get there. […]

• Immediate jeopardy, isolatedF689Sep 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure adequate supervision was provided to prevent a resident with a history of exit-seeking/elopement behavior from exiting the facility and leaving the property for 1 of 3 residents reviewed for elopement. This deficient practice resulted in an elopement that occurred during the morning hours of September 1, 2025. The resident was located with the assistance of the local police department, approximately 1.2 miles from the nursing facility, near a previous residence. This Immediate Jeopardy began on September 1, 2025, when the facility failed to ensure Resident C did not exit the facility property through a doorway on the [NAME] Hall at approximately 5:30 A.M. […]

• Actual harm, isolatedF689Feb 17, 2026

  Based on interview, observation, and record review, the facility failed to ensure fall prevention measures were in place for 1 of 2 residents reviewed for falls resulting in major injury. This deficient practice resulted in a fall with a brain bleed. (Resident 5)Finding includes: On 2/11/26 at 9:19 A.M., Resident 5's clinical record was reviewed. Diagnoses included, but were not limited to, dementia.A care plan dated 7/23/24 indicated the resident was at risk for falls related to confusion, unaware of safety needs, vision/hearing problems with diagnosis of dementia. […]

• Actual harm, isolatedF686Nov 14, 2024

  Based on observation, interview, and record review, the facility failed to ensure a resident without pressure-related skin impairment did not develop a pressure injury for 1 of 2 residents reviewed for pressure injuries. Following the development of a pressure ulcer, no initial assessment was documented, and no documented treatment was given for 4 days and interventions were not routinely documented as completed by the plan of care. This deficient practice resulted in Resident 12 developing a facility acquired stage III pressure ulcer (Full-thickness skin loss with damage to subcutaneous tissue. The ulcer may extend into the subcutaneous tissue layer. Granulation tissue and epibole [rolled wound edges] are often present. No exposure of bone, tendon, or muscle. […]

• Actual harm, isolatedF689Sep 25, 2023

  Based on observation, interview, and record review, the facility failed to revise care plans and follow interventions to reduce the risk of falls for 2 of 4 residents reviewed for accidents. This deficient practice resulted in a fall with fractures requiring hospitalization and a fall with a closed head injury requiring hospitalization . (Resident M, Resident P). Findings include: 1. On 9/19/23 at 1:13 P.M., Resident M's clinical record was reviewed. Resident was admitted on [DATE]. […]