LA PLATA NURSING HOME Inspection Report, Violations & Safety Grade (LA PLATA, Missouri)

100 OLD STAGECOACH ROAD, LA PLATA, Missouri 63549

Phone: 6603324315

CMS Overall:3/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

43.4

Ownership

Government - County

Provider Type

Medicare and Medicaid

County

Macon

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall3/5

Health3/5

Staffing3/5

Quality2/5

Nurse Staffing Check

Metric	This Facility	Missouri Avg	Difference
RN Hours per Resident per Day	0.20	0.46	-0.26
Total Nurse Hours per Resident per Day	3.60	3.40	+0.20
CMS Staffing Rating	3/5	2.2/5	-
Nursing Staff Turnover	31.8%	56.9%	-

Health Citation History

30 health citations on record

Date	Category	Description	Severity
2024-11-08	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2024-11-08	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E – Moderate Harm Potential
2024-11-08	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2024-11-08	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D – Moderate Harm Potential
2024-08-15	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2024-08-15	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2024-08-15	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2023-11-02	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2023-04-24	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	J – Immediate Jeopardy
2023-04-24	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-04-24	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2023-04-24	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2023-04-24	Quality of Life and Care Deficiencies	Provide 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
2023-04-24	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2023-04-24	Quality of Life and Care Deficiencies	Try 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.	E – Moderate Harm Potential
2023-04-24	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	E – Moderate Harm Potential
2023-04-24	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E – Moderate Harm Potential
2023-04-24	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E – Moderate Harm Potential
2023-04-24	Environmental Deficiencies	Regularly 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.	E – Moderate Harm Potential
2023-04-24	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D – Moderate Harm Potential
2023-04-24	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D – Moderate Harm Potential
2023-04-24	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2023-04-24	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2023-04-24	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2023-04-24	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	B – Minimal Harm Potential
2023-04-24	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	B – Minimal Harm Potential
2023-04-24	Resident Rights Deficiencies	Notify 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.	B – Minimal Harm Potential
2019-08-01	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2019-08-01	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E – Moderate Harm Potential
2019-08-01	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E – Moderate Harm Potential

Fire Safety Citation History

32 fire safety citations on record

Date	Category	Description	Severity
2024-11-08	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	F – Moderate Harm Potential
2024-11-08	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2024-11-08	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	F – Moderate Harm Potential
2024-11-08	Miscellaneous Deficiencies	Provide a written emergency evacuation plan.	F – Moderate Harm Potential
2024-11-08	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	F – Moderate Harm Potential
2024-11-08	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2024-11-08	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2024-11-08	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2024-11-08	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential
2024-11-08	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2023-04-24	Emergency Preparedness Deficiencies	Develop and maintain an Emergency Preparedness Program (EP).	F – Moderate Harm Potential
2023-04-24	Emergency Preparedness Deficiencies	Develop Emergency Preparedness policies and procedures.	F – Moderate Harm Potential
2023-04-24	Emergency Preparedness Deficiencies	Create arrangements with other facilities to receive patients.	F – Moderate Harm Potential
2023-04-24	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	F – Moderate Harm Potential
2023-04-24	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2023-04-24	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2023-04-24	Emergency Preparedness Deficiencies	Establish policies and procedures including evacuation.	E – Moderate Harm Potential
2023-04-24	Construction Deficiencies	Meet other general requirements.	E – Moderate Harm Potential
2023-04-24	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2023-04-24	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2023-04-24	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2023-04-24	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-04-24	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2023-04-24	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2023-04-24	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2023-04-24	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	E – Moderate Harm Potential
2019-08-01	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2019-08-01	Construction Deficiencies	Use approved construction type or materials.	E – Moderate Harm Potential
2019-08-01	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2019-08-01	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2019-08-01	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	D – Moderate Harm Potential
2019-08-01	Smoke Deficiencies	Meet other general requirements.	D – Moderate Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the LA PLATA area at no cost.

Find Safe, Vetted Facilities Near LA PLATA
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the LA PLATA area at no cost.

Find Safe, Vetted Facilities Near LA PLATA
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.