Starfile / Missouri

ATHENE NURSING AND REHABILITATION

13995 CLAYTON ROAD, TOWN AND COUNTRY, MO 63017 · CCN 265001

SFF Candidate Abuse icon

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$268,447

Number of fines

11

Number of penalties

13

Payment denials

2

Chain

Chain

VERTICAL HEALTH SERVICES

Facilities in chain

18

Chain avg overall

1.60 / 5

Inspection citations (140)3 immediate jeopardy3 actual harm

1. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

2. EF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

3. EF0584Honor 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.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

4. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

5. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

6. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

7. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

8. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

9. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-13 · Health · corrected 2026-02-27

   Potential for more than minimal harm

10. GF0760Ensure that residents are free from significant medication errors.2026-01-13 · Health · corrected 2026-02-27

    Actual harm

11. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-18 · Health · corrected 2025-12-05

    Potential for more than minimal harm

12. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-18 · Health · corrected 2025-12-02

    Potential for more than minimal harm

13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-18 · Health · corrected 2025-12-05

    Potential for more than minimal harm

14. DF0692Provide enough food/fluids to maintain a resident's health.2025-11-18 · Health · corrected 2025-12-05

    Potential for more than minimal harm

15. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-11-18 · Health · corrected 2025-12-02

    Potential for more than minimal harm

16. EF0880Provide and implement an infection prevention and control program.2025-11-18 · Health · corrected 2025-12-05

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-31 · Health · corrected 2025-07-01

    Potential for more than minimal harm

18. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-12 · Health · corrected 2025-06-13

    Immediate jeopardy

19. DF0610Respond appropriately to all alleged violations.2025-06-12 · Health · corrected 2025-06-13

    Potential for more than minimal harm

20. DF0760Ensure that residents are free from significant medication errors.2025-06-12 · Health · corrected 2025-06-13

    Potential for more than minimal harm

21. DF0760Ensure that residents are free from significant medication errors.2025-04-16 · Health · corrected 2025-05-02

    Potential for more than minimal harm

22. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-14 · Health · corrected 2025-01-14

    Potential for more than minimal harm

23. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-14 · Health · corrected 2025-01-29

    Potential for more than minimal harm

24. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-14 · Health · corrected 2025-01-29

    Potential for more than minimal harm

25. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-29 · Health · corrected 2024-10-01

    Potential for more than minimal harm

26. DF0760Ensure that residents are free from significant medication errors.2024-08-02 · Health · corrected 2024-07-31

    Potential for more than minimal harm

27. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-01 · Health · corrected 2024-06-30

    Potential for more than minimal harm

28. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-07-01 · Health · corrected 2024-08-01

    Potential for more than minimal harm

29. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-07-01 · Health · corrected 2024-08-01

    Potential for more than minimal harm

30. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-06-04 · Health · corrected 2024-06-03

    Potential for more than minimal harm

31. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

32. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

33. EF0572Give residents a notice of rights, rules, services and charges.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

34. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

35. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

36. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

37. DF0625Notify 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.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

38. DF0641Ensure each resident receives an accurate assessment.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

39. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

41. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

42. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-15 · Health · corrected 2024-04-11

    Potential for more than minimal harm

43. EF0679Provide activities to meet all resident's needs.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

44. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

45. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

46. DF0692Provide enough food/fluids to maintain a resident's health.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

47. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

48. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

49. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

50. DF0758Implement 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.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

51. EF0761Ensure 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.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

52. DF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

53. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

54. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

55. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

56. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

57. FF0880Provide and implement an infection prevention and control program.2024-02-15 · Health · corrected 2024-04-30

    Potential for more than minimal harm

58. FF0881Implement a program that monitors antibiotic use.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

59. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

60. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-02-15 · Health · corrected 2024-03-19

    Potential for more than minimal harm

61. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-02 · Health · corrected 2024-01-12

    Immediate jeopardy

62. EF0567Honor the resident's right to manage his or her financial affairs.2023-11-16 · Health · corrected 2023-12-08

    Potential for more than minimal harm

63. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-11-16 · Health · corrected 2023-12-08

    Potential for more than minimal harm

64. EF0570Assure the security of all personal funds of residents deposited with the facility.2023-11-16 · Health · corrected 2023-12-08

    Potential for more than minimal harm

65. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-11-16 · Health · corrected 2023-12-08

    Potential for more than minimal harm

66. DF0572Give residents a notice of rights, rules, services and charges.2023-09-28 · Health · corrected 2023-11-08

    Potential for more than minimal harm

67. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-28 · Health · corrected 2023-11-08

    Immediate jeopardy

68. EF0584Honor 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.2023-07-25 · Health · corrected 2023-08-18

    Potential for more than minimal harm

69. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-25 · Health · corrected 2023-08-18

    Potential for more than minimal harm

70. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-25 · Health · corrected 2023-08-18

    Potential for more than minimal harm

71. EF0584Honor 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.2023-06-08 · Health · corrected 2023-08-18

    Potential for more than minimal harm

72. DF0610Respond appropriately to all alleged violations.2023-06-08 · Health · corrected 2023-08-18

    Potential for more than minimal harm

73. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-08 · Health · corrected 2023-08-18

    Potential for more than minimal harm

74. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-08 · Health · corrected 2023-08-18

    Potential for more than minimal harm

75. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-06-08 · Health · corrected 2023-06-10

    Potential for more than minimal harm

76. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-05-19 · Health · corrected 2023-06-04

    Potential for more than minimal harm

77. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-30 · Health · corrected 2023-05-12

    Actual harm

78. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-30 · Health · corrected 2023-05-12

    Potential for more than minimal harm

79. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-03-30 · Health · corrected 2023-06-04

    Potential for more than minimal harm

80. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-30 · Health · corrected 2023-05-12

    Potential for more than minimal harm

81. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-30 · Health · corrected 2023-05-12

    Potential for more than minimal harm

82. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-30 · Health · corrected 2023-05-12

    Potential for more than minimal harm

83. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-30 · Health · corrected 2023-05-12

    Potential for more than minimal harm

84. DF0760Ensure that residents are free from significant medication errors.2023-03-30 · Health · corrected 2023-05-12

    Potential for more than minimal harm

85. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-03-30 · Health · corrected 2023-05-12

    Potential for more than minimal harm

86. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

87. EF0570Assure the security of all personal funds of residents deposited with the facility.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

88. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2021-08-31 · Health · corrected 2021-10-15

    Potential for minimal harm

89. EF0578Honor 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.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

90. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

91. EF0584Honor 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.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

92. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

93. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

94. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

95. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

96. FF0679Provide activities to meet all resident's needs.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

97. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

98. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

99. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-08-31 · Health · corrected 2021-10-15

    Potential for more than minimal harm

100. DF0692Provide enough food/fluids to maintain a resident's health.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

101. DF0700Try 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.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

102. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

103. EF0761Ensure 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.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

104. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

105. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

106. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

107. CF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-08-31 · Health · corrected 2021-10-15

     Potential for minimal harm

108. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

109. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

110. EF0880Provide and implement an infection prevention and control program.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

111. EF0909Regularly 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.2021-08-31 · Health · corrected 2021-10-15

     Potential for more than minimal harm

112. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

113. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

114. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2019-04-29 · Health · corrected 2019-06-07

     Potential for minimal harm

115. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

116. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

117. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

118. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

119. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

120. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

121. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

122. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

123. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

124. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

125. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-04-29 · Health · corrected 2019-06-07

     Actual harm

126. DF0693Ensure 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.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

127. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

128. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

129. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

130. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

131. DF0759Ensure medication error rates are not 5 percent or greater.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

132. EF0761Ensure 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.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

133. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

134. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

135. EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

136. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

137. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

138. EF0880Provide and implement an infection prevention and control program.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

139. DF0917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

140. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2019-04-29 · Health · corrected 2019-06-07

     Potential for more than minimal harm

Ownership

Other facilities in TOWN AND COUNTRY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.