Truman Senior Living

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 30, 2022

  Based on observation and interview, the facility failed to provide a sanitary environment in the kitchen and failed to ensure dishwashing sanitization was appropriately monitored. This had the potential to affect all 25 residents currently residing in the facility. Findings include: On 12/27/22, at 1:06 p.m., the following was observed in the kitchen: (ceiling tiles were 2 feet by 4 feet). 1) A pipe that ran the length of the rear of the kitchen above 2 food prep counters and hand washing station identified as clean by C-A was covered with dirt, dust and debris. 2) Three ceiling tiles in the same area over the mixer and clean food prep area at the rear of the kitchen had 3 tiles missing. 3) Two tiles over clean uncovered water glasses, cups, and tin food storage bins was missing. […]

• No harm, potential for more than minimal, widespreadF880Dec 30, 2022

  Based on observation, interview and document review, the facility failed to ensure personal protective equipment (PPE) was implemented to prevent the spread of Covid-19 per guidance by the Centers for Disease Control (CDC) when testing residents for Covid-19. During an observation, staff failed to wear eye protection and to change gloves and perform hand hygiene for 4 of 4 residents (R8, R4, R18, R12) tested for Covid-19, potentially affecting all 25 residents. Further, the facility failed to have a water management program consistent with nationally accepted standards (e.g., ASHRAE [American Society of Heating, Refrigerating and Air-Conditioning Engineers] or CDC). This had the potential to effect all 25 resident who resided in the facility. […]

• No harm, potential for more than minimal, patternF576Feb 27, 2024

  Based on interview and document review, the facility failed to ensure resident mail was delivered on Saturdays for 1 of 1 residents (R8) who voiced concerns with mail delivery. This deficient practice had the potential to affect all 22 residents residing in the facility. Findings include: During an interview on 2/27/24 at 12:41 p.m., with R8 who was the resident council president, and who according to a quarterly Minimum Data Set (MDS) assessment dated [DATE], was cognitively intact. The interview took place in R8's room due to the facility being in Covid-19 outbreak status. R8 stated mail was delivered to the facility on Saturdays, described as a small stack of mail wrapped up, and the nursing staff locked it away until Monday when the activities director delivered it. […]

• No harm, potential for more than minimal, isolatedF609Jul 24, 2026

  Based on interview and document review, the facility failed to ensure an alleged violation involving neglect were reported to the State Agency within the required timeframe after becoming aware that staff failed to follow a resident's transfer care plan by transferring the resident without the required gait belt for 1 of 1 resident (R1) reviewed for falls. Findings include:R1's face sheet dated 6/24/26, identified diagnoses of Alzheimer's disease (a progressive brain disorder that damages memory), chronic kidney disease (a long-term condition where the kidneys are damaged), osteoporosis (a medical condition where the bones become thin and weak), and diabetes (a condition where your body uses glucose as fuel). […]

• No harm, potential for more than minimal, isolatedF689Jul 24, 2026

  Based on observation, interview, and document review the facility failed to ensure use of the correct sling was used according to manufacture instructions for a total body mechanical lift 1 of 1 resident (R2) reviewed for safe transfers involving mechanical lifts. In addition the facility failed to complete a comprehensive fall investigation analysis to identify root cause/causal factors to prevent and/or reduce the risk of falls and/or falls with major injury for 1 of 3 residents (R4) reviewed for falls. Findings include R2's face sheet dated 7/24/26, identified diagnoses of dementia, heart failure, spinal stenosis (narrowing of the spaces within the spine). […]