Eldon Nursing & Rehab
ELDON NURSING & REHAB in ELDON, MO — inspection on November 19, 2025.
Found 3 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 10/20/25 at 12:48 P.M., hospice RN G said RN A reported to him/her the wound to the resident's right inner knee must have appeared over the weekend, and there wasn't a treatment order for the left heel.
Hospice RN G said he/she received orders from RN A to treat the resident's right and left inner knees.
During an interview on 10/20/25 at 1:18 P.M., the Director of Nursing (DON) said he/she assessed the resident's wounds on 10/17/25, and there was redness to the resident's right inner knee.
The DON said he/she applied skin prep, placed a blanket between the resident's knees and directed the aides to float the resident's heels. He/She said he/she passed on the information in report to the oncoming nurse, but did not document an assessment of the resident's skin other than on the TAR.
During an interview on 10/20/25 at 4:21 P.M., RN A said a facility nurse in collaboration with the hospice nurse completes the treatments to the resident's wounds daily and documents on the TAR. RN A said if the nurse identifies a new wound/skin concern, the nurse is expected to document an assessment (measurement, color, drainage, odor), notify the DON, and obtain orders from the physician. RN A said he/she did not personally assess the resident's wounds earlier in the day, but he/she took the recommendations from hospice RN G and contacted the physician for orders.
During an interview on 10/20/25 at 3:55 P.M., the DON said he/she would expect the nurses to complete a skin assessment on the resident daily with scheduled wound care and document any new skin concerns.
The DON said he/she would expect to see a progress note dated 10/18 or 10/19 regarding any new skin concerns and what staff did about it.
During an interview on 10/22/25 at 12:32 P.M., the resident's physician said he/she considered the resident's wounds highly unavoidable but would expect if staff identified new skin concerns/wounds, staff would assess the resident and obtain a treatment.
The physician said he/she had deferred the resident's wound management to a mobile wound care provider, but if the wound care provider was not available to give an order for treatment, staff could have contacted him/her for an order.Complaint# 2634421
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Eldon Nursing & Rehab
1001 East North Street Eldon, MO 65026
SUMMARY STATEMENT OF DEFICIENCIES
Observation on 10/20/25 at 9:38 A.M., showed the resident went up and down the hallways in his/her wheelchair with greasy, unkempt hair, food debris on his/her shirt, and dark brown stains on his/her pants. 8.
During an interview on 10/20/25 at 4:04 P.M., Certified Nurse Aide (CNA) C said he/she is the shower aide and works 12-hour shifts. CNA C said he/she assists residents with showers from 7:00 A.M. to 3:00 P.M., and works the floor from 3:00 P.M. to 7:00 P.M.
CNA C said he/she tries to do as many showers as he/she can during the day but sometimes he/she can't get all the showers completed. CNA C said staff should document showers in the Electronic Medical Record (EMR) but if it gets too busy, he/she doesn't do it. He/She said if a resident refuses a shower, he/she should tell the charge nurse or Director of Nursing (DON) and that should also be documented in the EMR. He/She said the residents who require two staff to assist are hard to get done, because they take more time and there aren't always two staff available to assist.
During an interview 10/20/25 on at 4:28 P.M., Registered Nurse (RN) A said staff are expected to offer residents two showers per week, the CNAs are expected to tell the nurse if a resident refuses a shower, and the nurse would try to get the resident to shower.
During an interview on 10/20/25 at 1:50 P.M., the DON said staff are expected to offer residents a shower two times per week, and he/she expects each resident to be assisted with at least one shower per week.
The DON said if a resident refuses his/her shower, staff should first try to re-approach, have the resident sign refusal on paper, tell the nurse, document the refusal in the computer, and the nurse should complete a progress note. He/She said if staff did not document the resident refused his/her shower, it is likely staff did not offer or assist the resident with a shower/bath.
During an interview on 10/20/25 at 4:45 P.M., the Administrator said the residents get showers at least once a week, but the expectation is two times a week, and staff are expected to document showers in the residents' medical record.
The administrator said he/she has not reviewed the shower documentation in the EMR recently, but he/she visually monitors residents and directs staff to assist residents with hygiene needs.
Complaint # 2620436,
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Eldon Nursing & Rehab
1001 East North Street Eldon, MO 65026
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited ELDON NURSING & REHAB in ELDON, MO for a deficiency under regulatory tag F-F0791 during a complaint investigation conducted on 2025-11-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or obtain dental services for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of ELDON NURSING & REHAB.
Correction Status: Deficient, Provider has no plan of correction.