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Complaint Investigation

Jefferson City Manor Care Center

November 17, 2025 · Jefferson City, MO · 1720 Vieth Dr
Citations 1
CMS Rating 2/5
Beds 102
Provider ID 265285
Healthcare Facility
Jefferson City Manor Care Center
Jefferson City, MO  ·  View full profile →
Inspection Summary

JEFFERSON CITY MANOR CARE CENTER in JEFFERSON CITY, MO — inspection on November 17, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0658
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During an interview on 11/17/25 at 1:15 P.M., the resident said staff have not been doing his/her treatments every shift (twice daily) like his/her physician has ordered.

During an interview on 11/17/25 at 2:56 P.M., the DON said he/she was not aware of the resident refusing his/her treatments and he/she expects the nurses to administer the treatments twice daily as directed by the physician to reduce the risk of infection. 4.

During an interview on 11/17/25 at 2:20 P.M., Licensed Practical Nurse (LPN) B said the charge nurse is responsible to provide treatments as directed by the POS and document on the TAR once completed. LPN B said if there are missing documentation/signatures on a resident's TAR it is uncertain if the treatments were completed.

The LPN said he/she thinks the DON audits for missing documentation on residents' TAR.

During an interview on 11/17/25 at2:38 P.M., the administrator said the nurses are expected to administer treatments as ordered by the physician and document on the TAR when completed. He/She said if there are missing documentation/signatures on the TAR, then the treatment probably wasn't administered. He/She said the DON is responsible to conduct weekly audits for missing treatments and address any concerns with the nurses.

Complaint #2649088

Facility ID:

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 JEFFERSON CITY, 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 JEFFERSON CITY MANOR CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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