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ST LUKE'S NURSING AND REHABILITATION Inspection Report, Violations & Safety Grade (CARTHAGE, Missouri)

1220 EAST FAIRVIEW, CARTHAGE, Missouri 64836

Phone: 4173589084

CMS Overall:4/5

Overview & Bed Count

Certified Beds
95
Avg Residents/Day
83.9
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Jasper
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.370.46-0.09
Total Nurse Hours per Resident per Day3.473.40+0.07
CMS Staffing Rating3/52.2/5-
Nursing Staff Turnover27.5%56.9%-

Health Citation History

19 health citations on record

DateCategoryDescriptionSeverity
2025-05-09Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.F – Moderate Harm Potential
2025-05-09Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyF – Moderate Harm Potential
2025-05-09Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.E – Moderate Harm Potential
2025-05-09Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2025-05-09Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-05-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-07-17Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E – Moderate Harm Potential
2023-07-17Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-07-17Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2023-07-17Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2023-07-17Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-07-17Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2023-07-17Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2023-07-17Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D – Moderate Harm Potential
2020-02-11Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2020-02-11Environmental DeficienciesHave enough outside ventilation via a window or mechanical ventilation, or both.E – Moderate Harm Potential
2020-02-11Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2020-02-11Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2020-02-11Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential

Fire Safety Citation History

12 fire safety citations on record

DateCategoryDescriptionSeverity
2025-05-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2025-05-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-05-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-05-09Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2023-07-17Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.K – Immediate Jeopardy
2023-07-17Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-07-17Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2023-07-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-07-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2020-02-11Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2020-02-11Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2020-02-11Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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