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Highway 63 North, Route 1, Box 212
Queen City, MO 63561
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| Type of Ownership | Government - County |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 60 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
| Date of last standard health inspection: | 04/13/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in MO: | 2 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in MO: | 0 - 9 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/07/2008 | 02/09/2009 | 4 | Few |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure the activities program is directed by a qualified professional. | 01/08/2006 | 01/06/2008 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 01/08/2006 | 01/06/2008 | 2 | Some |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 01/08/2006 | 01/06/2008 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | 01/08/2006 | 01/06/2008 | 2 | Some |
| Store, cook, and serve food in a safe and clean way. | 01/08/2006 | 01/06/2008 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 01/08/2006 | 01/06/2008 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/08/2006 | 01/06/2008 | 2 | Few |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | 01/08/2006 | 01/06/2008 | 2 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/08/2006 | 01/06/2008 | 3 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/08/2006 | 01/06/2008 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give the resident's representative the ability to exercise the resident's rights. | 01/08/2006 | 01/06/2008 | 1 | Many |
| Give residents a notice of rights, rules, services and charges. | 01/08/2006 | 01/06/2008 | 2 | Some |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 01/08/2006 | 01/06/2008 | 2 | Few |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | 01/08/2006 | 00/02/2010 | 2 | Some |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | 01/08/2006 | 00/02/2010 | 2 | Some |
| 1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. | 01/08/2006 | 01/06/2008 | 1 | Many |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/08/2006 | 01/06/2008 | 2 | Some |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Post nurse staffing information/data on a daily basis. | 01/03/2004 | 02/00/2005 | 1 | Many |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/03/2004 | 02/00/2005 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 01/03/2004 | 02/00/2005 | 2 | Few |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/03/2004 | 02/00/2005 | 2 | Some |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 01/03/2004 | 02/00/2005 | 1 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | 01/03/2004 | 02/00/2005 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 01/03/2004 | 02/00/2005 | 2 | Few |
| Ensure that residents are safe from serious medication errors. | 01/03/2004 | 02/00/2005 | 2 | Few |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 01/03/2004 | 02/00/2005 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 01/03/2004 | 02/00/2005 | 2 | Some |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 01/03/2004 | 02/00/2005 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/03/2004 | 02/00/2005 | 2 | Few |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 01/03/2004 | 02/00/2005 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | 01/03/2004 | 02/00/2005 | 2 | Few |
| Give residents a notice of rights, rules, services and charges. | 01/03/2004 | 02/00/2005 | 1 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | 02/03/2002 | 00/05/2004 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/03/2002 | 02/04/2003 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/03/2002 | 03/01/2003 | 2 | Few |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/03/2002 | 03/01/2003 | 2 | Some |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 02/03/2002 | 02/04/2003 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 02/03/2002 | 00/01/2004 | 2 | Some |
| Store, cook, and serve food in a safe and clean way. | 02/03/2002 | 03/01/2003 | 2 | Many |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 02/03/2002 | 02/04/2003 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 02/03/2002 | 01/09/2003 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/03/2002 | 03/01/2003 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/05/2002 | 01/05/2003 | 3 | Few |
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in MO | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 85 | 73 | 49 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 5 hours 15 minutes | 1 hour 1 minute |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 4 hours 30 minutes | 35 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 4 hours 44 minutes | 25 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 6 hours 32 minutes | 2 hours 27 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 04/13/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in MO: | 3 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in MO: | 0 - 5 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/08/2006 | 01/06/2008 | 2 | Few |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 01/08/2006 | 01/06/2008 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 01/08/2006 | 01/06/2008 | 2 | Many |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 01/08/2006 | 01/06/2008 | 2 | Many |
| Properly maintained smoke detectors. | 01/08/2006 | 01/06/2008 | 2 | Many |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/08/2006 | 01/06/2008 | 2 | Some |
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/03/2004 | 02/00/2005 | 2 | Many |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/03/2004 | 02/00/2005 | 2 | Few |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 01/03/2004 | 02/00/2005 | 2 | Many |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 01/03/2004 | 02/00/2005 | 2 | Many |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 01/03/2004 | 02/00/2005 | 2 | Many |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 01/03/2004 | 02/00/2005 | 2 | Some |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 01/03/2004 | 02/00/2005 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/03/2004 | 02/00/2005 | 2 | Some |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 02/03/2002 | 02/04/2002 | 2 | Some |
| Automatic sprinkler systems that have been maintained in working order. | 02/03/2002 | 03/01/2003 | 2 | Many |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/03/2002 | 03/01/2003 | 2 | Many |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 02/03/2002 | 02/04/2002 | 2 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 02/03/2002 | 00/05/2004 | 2 | Some |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 02/03/2002 | 02/04/2003 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/03/2002 | 00/05/2004 | 2 | Many |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 02/03/2002 | 00/05/2004 | 2 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 02/03/2002 | 00/05/2004 | 2 | Many |