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Complaint Investigation

Kabul Nursing Homes Inc

Inspection Date: August 14, 2025
Total Violations 1
Facility ID 265055
Location CABOOL, MO
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Inspection Findings

F-Tag F0744

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, and record review, the facility failed to ensure residents diagnosed with dementia (a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities) had a personalized plan of care to ensure appropriate services to promote the resident's highest level of functioning and psychosocial needs were provided for one resident (Resident #15) out of three sampled residents. The facility census was 39.The facility did not provide a policy regarding dementia care.1. Review of Resident #15's medical record showed:- admission date of 07/02/25;Diagnoses of vascular dementia (a type of cognitive decline caused by damage to the blood vessels in the brain), moderate, with other behavioral disturbance, and senile degeneration of the brain (progressive decline in cognitive functions associated with old age).Review of the resident's admission Minimum Data Set (MDS - part of a federally mandated process for clinical assessment of all residents in certified nursing homes), dated 07/12/25, showed:- Moderate difficulty hearing and required speaker to increase volume and speak distinctly;- Hearing aides used;- Usually understood with difficulty communicating some words or finishing thoughts but was able if prompted or given time;- Usually understood but missed some part/intent of message but comprehended most conversation;- Severe cognitive impairment.Review of the resident's Care Plan, dated 08/11/25, showed:- Did not address dementia;- Did not address specific problems, interventions, or goals for dementia care.Observations of the resident showed:- On 08/11/25 at 11:07 A.M.,

the resident lay in bed with his/her eyes closed;- On 08/11/25 at 12:30 P.M., the resident sat in his/her wheelchair at a table in the north side dining room and fed his/herself.- On 08/11/25 at 12:49 P.M., the resident sat in a wheelchair in his/her room and removed his/her sweatpants and a brief wet with urine; On 08/12/25 at 9:49 A.M., the resident sat in a wheelchair in his/her room, held the television remote in his/her hand, and the television was off. During an interview on 08/14/25 at 1:45 P.M., the Director of Nursing (DON) said a resident's care plan should address dementia. The care plan should show the resident's needs are being met. During an interview on 08/14/25 at 1:45 P.M., the Administrator said the care plan should address the resident's diagnosis and needs.

Residents Affected - Few

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

KABUL NURSING HOMES INC in CABOOL, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CABOOL, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from KABUL NURSING HOMES INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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