Neighborhoods Rehabilitation And Skilled Nursing B
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
came to get him/her because the resident was on the floor. When he/she entered the room the resident was
on the left side of the bed, on his/her knees, with his/her head resting between the siderail and the mattress. He/She said he/she had to take the palm of his/her hand and forcefully remove the resident's head from between the rail and the mattress. He/She said the residents head was trapped and he/she was unsure if the resident suffocated, but the resident was face down. He/She called 911 on his/her personal phone on speaker and started chest compressions because the resident was unresponsive. He/She said all residents should be checked every two hours. During an interview on [DATE REDACTED] at 12:24 P.M., LPN C said he/she last laid eyes on the resident around 10:30 P.M. when he/she started the resident's Cefazolin Sodium (first generation cephalosporin antibiotic) two gram Intravenous ((IV fluids, medications, or nutrients directly into the body's bloodstream through a vein using a small tube called a catheter). He/She said CNA B was responsible for rounds and should perform rounds every two hours. LPN C said he/she forgot to return to the resident and disconnect his/her IV from his/her Peripherally Inserted Central Catheter (PICC) line. He/She said CNA B and LPN A told him/her the resident was found with his/her head between the bed rails. LPN C said he/she should have removed the resident's antibiotic at 11:00 P.M., but that he/she forgot.
During an interview on [DATE REDACTED] at 1:51 P.M., CNA B said he/she is responsible for rounds every two hours, but he/she last laid eyes on the resident around 10:00 P.M. or 11:00 P.M. He/She thought the nurse would go back in the room to unhook the resident's IV medication, but he/she never did. CNA B said he/she walked into the resident's room around 3:10 A.M. and saw the IV pole hanging across the bed, the resident sitting with his/her knees on the ground, his/her left check on the mattress, and his/her right cheek on the bed rail, the resident was not moving. He/She said the resident's nurse LPN C was gone so he/she ran to
the next unit and got LPN A who called 911, and initiated CPRDuring an interview at 2:44 P.M., the Director of Nursing (DON) said CNA B is responsible for rounds every two hours, but CNA B thought LPN C would lay eyes on the resident when he/she removed the resident's IV, and the nurse never removed the IV.
He/She said both CNA B and LPN C should have checked on the resident sooner. He/She said the standard is to check residents every two hours or as needed. Complaint #2599782
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Neighborhoods Rehabilitation and Skilled Nursing B
3003 Falling Leaf Court Columbia, MO 65201
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0700
F 0700 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
facility. He/She said the nursing assessment sheet they fill out says pass or fail after the questions are answered and if there are no fails that would suggest the resident is appropriate for the use of side rails.
NOTE: At the time of the survey, the violation was determined to be at the immediate jeopardy level J.
Based on observation, interview and record review completed during the onsite visit, it was determined the facility had implemented corrective action to remove the IJ violation at the time. A final revisit will be conducted to determine if the facility is in substantial compliance with participation requirements. At the time of exit, the severity of the deficiency was lowered to the D level. This statement does not denote that
the facility has complied with State law (Section 198.026.1 RSMo.) requiring that prompt remedial action to be taken to address Class I violation(s). Complaint #2599782
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NEIGHBORHOODS REHABILITATION AND SKILLED NURSING B in COLUMBIA, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 COLUMBIA, 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 NEIGHBORHOODS REHABILITATION AND SKILLED NURSING B or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.