Jefferson Health Care: Transport Fall Immediate Jeopardy - MO
The fall happened around 6:30 a.m. Transportation Driver A, who was described as rushing to load the resident into the van, later told the facility's director of nursing that there had been no abrupt stop, that the fall happened where the road curved. After the resident was injured, the driver pulled into a 7-Eleven and got napkins for the resident to wipe the blood from his or her lip. The resident kept saying he or she was okay and not to worry about it.
The driver took the resident to a hospital appointment anyway. Nobody there recognized anything wrong. Then the driver took the resident to a nearby dialysis appointment. The dialysis nurse, not the driver, was the one who finally called the facility's director of nursing to report what had happened.
The director of nursing called the dialysis nurse back, was told the resident seemed stable, and instructed staff to send the resident to the hospital emergency department. The resident arrived there at approximately 2:00 p.m. The facility's director of nursing and administrator said they were surprised to hear about the injuries when the dialysis nurse first reported them.
The hospital kept the resident overnight for observation and testing. He or she returned to Jefferson Health Care at around 5:00 a.m. the following day, brought back by hospital transportation. Neuro checks began when the resident arrived.
The administrator told inspectors it was his or her expectation that transportation staff would follow facility policy and keep residents safe during transport. The physician said the same.
The inspection was classified as immediate jeopardy, the most serious level of harm designation used by federal regulators, affecting a small number of residents. The resident had initially not wanted to talk about what happened at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Jefferson Health Care from 2025-09-18 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 23, 2026 · Our methodology
JEFFERSON HEALTH CARE in LEES SUMMIT, MO was cited for immediate jeopardy violations during a health inspection on September 18, 2025.
The fall happened around 6:30 a.m.
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.