BIG RIVER NURSING & REHAB

πŸ“ 6400 THE CEDARS COURT, cedar-hill, MO 63016 πŸ“ž 6362741777 πŸ›οΈ 150 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

83
Total Violations
8 years of data
$57,031
Total Fines
2 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 16 violations

Tag 0550 C Apr 2, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 23, 2025
Tag 0561 D Apr 2, 2025

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: May 21, 2025
Tag 0569 D Apr 2, 2025

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

βœ“ Corrected: May 21, 2025
Tag 0584 D Apr 2, 2025

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.

βœ“ Corrected: May 21, 2025
Tag 0679 C Apr 2, 2025

Provide activities to meet all resident's needs.

βœ“ Corrected: May 21, 2025
Tag 0699 D Apr 2, 2025

Provide care or services that was trauma informed and/or culturally competent.

βœ“ Corrected: May 21, 2025
Tag 0727 E Apr 2, 2025

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: May 21, 2025
Tag 0730 D Apr 2, 2025

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: May 21, 2025
Tag 0801 F Apr 2, 2025

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: May 21, 2025
Tag 0809 D Apr 2, 2025

Ensure 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.

βœ“ Corrected: May 21, 2025
Tag 0812 D Apr 2, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 21, 2025
Tag 0813 D Apr 2, 2025

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: May 21, 2025
Tag 0908 D Apr 2, 2025

Keep all essential equipment working safely.

βœ“ Corrected: May 21, 2025
Tag 0921 D Apr 2, 2025

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: May 21, 2025
Tag 0947 D Apr 2, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

βœ“ Corrected: May 21, 2025
Tag 0677 D Feb 6, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Mar 7, 2025

2024 6 violations

Tag 0689 E Jun 7, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 8, 2024
Tag 0698 D Jun 7, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jul 8, 2024
Tag 0812 E Jun 7, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jul 8, 2024
Tag 0814 D Jun 7, 2024

Dispose of garbage and refuse properly.

βœ“ Corrected: Jul 8, 2024
Tag 0880 D Jun 7, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 8, 2024
Tag 0925 D Jun 7, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Jul 8, 2024

2023 2 violations

Tag 0880 K Oct 13, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 24, 2023
Tag 0585 D Aug 15, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Sep 5, 2023

2022 23 violations

Tag 0550 D Dec 6, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 20, 2023
Tag 0578 D Dec 6, 2022

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.

βœ“ Corrected: Jan 20, 2023
Tag 0584 E Dec 6, 2022

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.

βœ“ Corrected: Jan 20, 2023
Tag 0623 E Dec 6, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Jan 20, 2023
Tag 0625 D Dec 6, 2022

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.

βœ“ Corrected: Jan 20, 2023
Tag 0641 D Dec 6, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jan 20, 2023
Tag 0655 D Dec 6, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jan 20, 2023
Tag 0656 D Dec 6, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 20, 2023
Tag 0658 D Dec 6, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 20, 2023
Tag 0677 D Dec 6, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 20, 2023
Tag 0684 D Dec 6, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jan 20, 2023
Tag 0686 D Dec 6, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 20, 2023
Tag 0688 D Dec 6, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Jan 20, 2023
Tag 0690 D Dec 6, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jan 20, 2023
Tag 0692 D Dec 6, 2022

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jan 20, 2023
Tag 0698 D Dec 6, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jan 20, 2023
Tag 0732 D Dec 6, 2022

Post nurse staffing information every day.

βœ“ Corrected: Jan 20, 2023
Tag 0761 D Dec 6, 2022

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.

βœ“ Corrected: Jan 20, 2023
Tag 0812 F Dec 6, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jan 20, 2023
Tag 0880 E Dec 6, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 20, 2023

2020 5 violations

Tag 0656 D Feb 25, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 8, 2020
Tag 0658 D Feb 25, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Mar 8, 2020
Tag 0693 D Feb 25, 2020

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.

βœ“ Corrected: Mar 8, 2020
Tag 0730 C Feb 25, 2020

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Mar 8, 2020
Tag 0880 E Feb 25, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 8, 2020

2019 8 violations

Tag 0655 D Dec 17, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jan 9, 2020
Tag 0690 D Apr 19, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 6, 2019
Tag 0693 D Apr 19, 2019

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.

βœ“ Corrected: May 6, 2019
Tag 0698 D Apr 19, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: May 6, 2019
Tag 0730 C Apr 19, 2019

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: May 6, 2019
Tag 0761 D Apr 19, 2019

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.

βœ“ Corrected: May 6, 2019
Tag 0880 C Apr 19, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 6, 2019
Tag 0761 E Jan 16, 2019

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.

βœ“ Corrected: Jan 24, 2019

2018 20 violations

Tag 0600 J Dec 6, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Dec 27, 2018
Tag 0656 D Aug 3, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 22, 2018
Tag 0677 D Aug 3, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 21, 2018
Tag 0812 E Aug 3, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 20, 2018
Tag 0908 D Aug 3, 2018

Keep all essential equipment working safely.

βœ“ Corrected: Aug 22, 2018
Tag 0925 F Aug 3, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Aug 23, 2018
Tag 0550 D Apr 27, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 21, 2018
Tag 0584 C Apr 27, 2018

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.

βœ“ Corrected: Jun 11, 2018
Tag 0656 D Apr 27, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 21, 2018
Tag 0657 D Apr 27, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 21, 2018
Tag 0661 D Apr 27, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: May 21, 2018
Tag 0688 D Apr 27, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: May 21, 2018
Tag 0730 C Apr 27, 2018

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: May 25, 2018
Tag 0732 C Apr 27, 2018

Post nurse staffing information every day.

βœ“ Corrected: May 21, 2018
Tag 0755 D Apr 27, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: May 21, 2018
Tag 0759 D Apr 27, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: May 21, 2018
Tag 0865 C Apr 27, 2018

Have a plan that describes the process for conducting QAPI and QAA activities.

βœ“ Corrected: May 21, 2018
Tag 0880 F Apr 27, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 21, 2018
Tag 0881 F Apr 27, 2018

Implement a program that monitors antibiotic use.

βœ“ Corrected: May 21, 2018
Tag 0883 E Apr 27, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: May 21, 2018

2017 3 violations

Tag 0250 D May 24, 2017

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Jun 19, 2017
Tag 0309 D May 24, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 19, 2017
Tag 0353 E May 24, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

βœ“ Corrected: Jun 19, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $9,750

$9,750
Fine
December 6, 2022
Average: $9,750 | Range: $9,750 - $9,750

2018 1 penalties totaling $47,281

$47,281
Fine
December 6, 2018
Average: $47,281 | Range: $47,281 - $47,281

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 7, 2024
0.00

Health

October 13, 2023
0.00

Health

August 15, 2023
0.00

Health

December 6, 2022
0.00

Health

March 15, 2022
0.00

Health

February 25, 2020
0.00

Health

April 19, 2019
0.00

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Ownership Information

For profit - Individual
Independent (Not part of a chain)
265430
265430
6362741777
Jefferson

Historical Ownership Records

August 25, 2025