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Complaint Investigation

Golden Years Center For Rehab And Healthcare

Inspection Date: January 30, 2026
Total Violations 2
Facility ID 265349
Location HARRISONVILLE, MO
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

they started walking down the hall with the resident.During an interview on 1/29/26 at 12:24 P.M. LPN A said:-He/She was unfamiliar with the resident and was not aware that the resident had been originally moved to the memory care unit.-All residents were to be informed in writing when a room move occurred.-The resident should have received a written notice of the room move.-The facility needed to follow all policies and regulations related to resident's rights.During an interview on 1/29/26 at 1:34 P.M. the Director of Nursing said:-The resident had not been notified in writing about the room move.-He/She was not sure why the resident had not received a written notification.-He/She was unaware of the regulation.-The resident should have been notified in writing related to his/her room move.2713401

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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

01/30/2026

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Golden Years Center for Rehab and Healthcare

2001 Jefferson Parkway Harrisonville, MO 64701

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)

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

staff collect the urine for the UA to be completed.-He/She expected staff to document a progress note if the UA had been attempted/refused and that staff were unable to collect a sample.During an interview on 1/29/26 at 11:49 A.M. Certified Nursing Assistant (CNA) A and CNA B said:-All physician orders should be followed.-All physician orders should be followed as written.-CNAs and nurses could collect UAs depending

on the order.-If they were unable to collect a sample for a UA to be completed, then they would let the nurse know.During an interview on 1/29/26 at 12:07 P.M. Agency Licensed Practical Nurse (LPN) A said:-All physician orders should be followed.-All physician orders should be followed as written.-If a licensed staff member could not collect a UA, then a note needed to be documented somewhere in the resident's EMR.-Sometimes the UA orders could be seen on the Treatment Administration Record (TAR) and nurses could document on the TAR whether the sample had been collected.-When he/she received an order for a CT scan, he/she would call the location that the CT scan was to be completed and document who he/she spoke to.-He/She would also inform the resident about when the procedure was scheduled for.-If the CT order needed to be faxed, then he/she would wait for a fax confirmation number and put a note in the resident's EMR.-He/She was unsure of when the CT scan had been ordered and when the order was sent to the local hospital.-If the order was placed on 1/23/26, then the facility should have the CT scan scheduled by that point in time.During an interview on 1/29/26 at 12:30 P.M. LPN A said:-All physician orders should be followed.-All physician orders should be followed as written.-Staff should follow all facility policies related to following physician orders and sample collection.-If staff were unable to collect a UA, then a note should have been documented in Resident #44's EMR.-If he/she needed to send an order for a CT scan, then he/she would confirm the location that the order needed to be sent to.-He/She would then send the order and wait for confirmation that the order had been received.-He/She would then document a progress note with the order confirmation number.-Resident #75's CT scan order should have been sent on

the day it was ordered.During an interview on 1/29/26 at 1:41 P.M. the Director of Nursing (DON) said:-All physician orders should be followed.-All physician orders should be followed as written.-When a UA was ordered, the order would show on the nurse Medication Administration Record (MAR).-He/She expected

the nurses to document in the MAR or in a progress note if a UA could not be collected.-He/She was unsure why staff did not document a note that indicated that a UA could not be completed as ordered.-There should have been a note documented in Resident #44's EMR to indicate that a UA could not be collected.-He/She was unsure when Resident #75's CT scan order was sent.-He/She did not have any documentation to confirm that Resident #75's order had been sent prior to 1/27/26.-He/She would have expected staff to get confirmation that the order was received and document a progress note.2713401

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📋 Inspection Summary

GOLDEN YEARS CENTER FOR REHAB AND HEALTHCARE in HARRISONVILLE, 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 HARRISONVILLE, 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 GOLDEN YEARS CENTER FOR REHAB AND HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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