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NIXA NURSING & REHAB Inspection Report, Violations & Safety Grade (NIXA, Missouri)

1104 NORTH MAIN STREET, NIXA, Missouri 65714

Phone: 4177251777

CMS Overall:5/5

Overview & Bed Count

Certified Beds
82
Avg Residents/Day
76.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Christian
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.330.46-0.13
Total Nurse Hours per Resident per Day3.143.40-0.26
CMS Staffing Rating3/52.2/5-
Nursing Staff Turnover45.8%56.9%-

Health Citation History

9 health citations on record

DateCategoryDescriptionSeverity
2024-07-23Quality 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
2024-07-23Freedom 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
2024-07-23Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-09-16Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2022-09-16Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2022-09-16Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2019-09-26Resident 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
2019-09-26Resident 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
2019-09-26Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2024-07-23Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2024-07-23Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2024-07-23Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-07-23Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2024-07-23Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-07-23Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-07-23Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2022-09-16Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-09-16Egress 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.E – Moderate Harm Potential
2022-09-16Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-09-16Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-09-16Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.E – Moderate Harm Potential
2022-09-16Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2019-09-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-09-26Construction DeficienciesUse approved construction type or materials.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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