Warrenton Manor: Care Quality Standards Failure - MO
The problem centered on the facility's Narcotic Count Sheet, a form used to track controlled substances across each shift. Staff were supposed to verify that the number of pills remaining in medication cards matched what the records showed, and sign off on the count. That wasn't happening consistently, and it wasn't happening at all when residents were discharged to the hospital, inspectors found.
The charge nurse was responsible for ensuring narcotics were counted at every shift change. The Assistant Director of Nursing and the Director of Nursing were responsible for auditing those counts to make sure the process held. It hadn't.
The person who spoke with inspectors about the failures had only been employed at the facility since November 16, 2025, nine days before the inspection. He or she described a staff in-service held on October 25 — three weeks before their own hire date — in which employees were trained on how to count medications and document the results on the Narcotic Count Sheet. Going forward, he or she said, auditing those forms would be their responsibility, twice a week.
The violation was cited at the minimal harm level, meaning inspectors determined no resident had been seriously hurt. But untracked narcotics in a nursing facility carry risks that go beyond paperwork. When pill counts aren't verified at discharge, there is no reliable record of what happened to the remaining medication.
The new employee now auditing the sheets twice a week inherited a system that, by the facility's own account, had already failed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Warrenton Manor from 2025-11-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
WARRENTON MANOR in WRIGHT CITY, MO was cited for violations during a health inspection on November 25, 2025.
The problem centered on the facility's Narcotic Count Sheet, a form used to track controlled substances across each shift.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.