CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Blue Springs Wellness and Rehabilitation
View the most recent health deficiencies and inspection results for Blue Springs Wellness and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Blue Springs Wellness and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-28 | 2025-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-28 | 2025-05-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-03-28 | 2025-05-12 | N |
| 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. | Health | 2025-03-28 | 2025-05-12 | N |
| 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. | Health | 2025-03-28 | 2025-05-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-03-28 | 2025-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-28 | 2025-05-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-03-28 | 2025-05-12 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-03-28 | 2025-05-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-28 | 2025-05-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-03-28 | 2025-05-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-28 | 2025-05-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-03-28 | 2025-05-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-28 | 2025-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-28 | 2025-05-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-28 | 2025-05-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-28 | 2025-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-02 | 2025-01-15 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-12-02 | 2025-01-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-17 | 2024-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-03 | 2024-10-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-22 | 2024-06-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-24 | 2023-09-20 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-24 | 2023-09-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-24 | 2023-09-20 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-07-21 | 2023-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-07-21 | 2023-09-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-21 | 2023-09-01 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-07-21 | 2023-09-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-21 | 2023-09-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-21 | 2023-09-01 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-21 | 2023-09-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-21 | 2023-09-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-21 | 2023-09-01 | N |
| 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. | Health | 2023-07-21 | 2023-09-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-21 | 2023-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-21 | 2023-09-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-21 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-09-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-21 | 2023-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-09-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-21 | 2023-09-01 | N |
| 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. | Health | 2023-07-21 | 2023-09-01 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-21 | 2023-09-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-21 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-09-01 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-21 | 2023-09-01 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-04-07 | 2022-05-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-07 | 2022-05-11 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-04-07 | 2022-05-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-07 | 2022-05-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-07 | 2022-05-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-04-07 | 2022-05-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-07 | 2022-05-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-04-07 | 2022-05-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-07 | 2022-05-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-07 | 2022-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-07 | 2022-05-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-07 | 2022-05-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-04-07 | 2022-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-05-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-07 | 2022-05-11 | N |
| Post nurse staffing information every day. | Health | 2022-04-07 | 2022-05-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-07 | 2022-05-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-07 | 2022-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-05-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-04-07 | 2022-05-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-07 | 2022-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-05-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-07 | 2022-05-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-04-07 | 2022-05-11 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-04-07 | 2022-05-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-18 | Not Fixed | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-18 | Not Fixed | Y |