Neighborhoods Rehabilitation And Skilled Nursing B
NEIGHBORHOODS REHABILITATION AND SKILLED NURSING B in COLUMBIA, MO — inspection on September 5, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on [DATE] 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] 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 CPR
During 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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Neighborhoods Rehabilitation and Skilled Nursing B
3003 Falling Leaf Court Columbia, MO 65201
SUMMARY STATEMENT OF DEFICIENCIES
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
Facility ID: