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MARSHFIELD CARE CENTER FOR REHAB AND HEALTHCARE Inspection Report, Violations & Safety Grade (MARSHFIELD, Missouri)

800 SOUTH WHITE OAK, MARSHFIELD, Missouri 65706

Phone: 4178593701

CMS Overall:1/5

Overview & Bed Count

Certified Beds
74
Avg Residents/Day
50.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Webster
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.470.46+0.01
Total Nurse Hours per Resident per Day3.213.40-0.19
CMS Staffing Rating1/52.2/5-
Nursing Staff Turnover70.0%56.9%-

Health Citation History

40 health citations on record

DateCategoryDescriptionSeverity
2026-05-07Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2026-05-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-05-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2026-05-07Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2026-05-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-05-07Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2026-05-07Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-05-07Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2025-12-18Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.E – Moderate Harm Potential
2025-11-24Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E – Moderate Harm Potential
2025-11-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-11-21Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.E – Moderate Harm Potential
2025-11-21Quality 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.D – Moderate Harm Potential
2025-11-21Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-09-10Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-07-09Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2025-05-16Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2025-05-16Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-05-16Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2025-03-17Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-01-17Freedom 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
2025-01-17Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-08-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-08-01Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E – Moderate Harm Potential
2024-08-01Resident 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.E – Moderate Harm Potential
2024-08-01Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2024-08-01Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2024-08-01Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2024-08-01Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.D – Moderate Harm Potential
2022-10-24Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2022-10-24Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2022-10-24Quality 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.E – Moderate Harm Potential
2022-10-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2022-10-24Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-10-24Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2022-10-24Quality of Life and Care DeficienciesProvide 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
2022-10-24Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2022-10-24Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.D – Moderate Harm Potential
2022-10-24Administration DeficienciesProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D – Moderate Harm Potential
2022-10-24Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential

Fire Safety Citation History

22 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-07Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2026-05-07Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2026-05-07Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2026-05-07Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2026-05-07Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2026-05-07Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2026-05-07Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2026-05-07Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-05-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-05-07Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2024-08-01Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2024-08-01Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-08-01Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2024-08-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-08-01Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-08-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2024-08-01Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-08-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2022-10-24Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2022-10-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-10-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-10-24Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-05-16Payment Denial-6 days starting 2025-07-05
2024-08-01Payment Denial-7 days starting 2024-10-24

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