Marshfield Care Center For Rehab And Healthcare
MARSHFIELD CARE CENTER FOR REHAB AND HEALTHCARE in MARSHFIELD, MO — inspection on September 10, 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.
Inspection Findings
During an interview on 09/10/25, at 12:00 P.M., the ADON said that when they get a new admit, they call the physician and review the medications and orders.
The physician must approve all orders.
The nurse then enters the orders into the electronic medical record (EHR) and fax the medication orders to the pharmacy. If it is a narcotic, staff must have a signed prescription.
The physician takes care of narcotics. If the medication is not in the e-kit, nursing staff will notify the physician that the medication is not available. If they don't have the medication, it usually takes 24 to 48 hours before they can get the medication.
During an interview on 09/10/25, at 03:30 P.M., the DON said that when they get a new admit, the nurse will enter the orders from the hospital discharge.
The nurse will call the physician and review the medications.
The nurse then enters the orders into the EHR and fax the medication list to pharmacy. If the medication is a narcotic, such as pregabalin, the pharmacy requires a signed prescription.
The physician will take care of that.
The CMT or nurse can pull medications from the e-kit. It the medication is not in the e-kit, staff notify the physician that the medication is not available, and he will either write an order to hold the medication or write an order to get the medication from the local pharmacy.
During an interview on 09/10/25, at 5:10 P.M., the Medical Director said there are some processes that need to be addressed and changed.
The facility is having difficulty with the pharmacy they are currently contracted with.
The facility is having difficulty receiving resident medications timely. He/she expected staff to notify him/her when a new resident arrived at the facility, and he/she would go over the medications and orders with the nursing staff.
The Medical Director expected staff to follow his/her orders. If the staff has any problems with medications, he/she expected staff to call him/her, and they would discuss other options
During an interview on 09/10/25, at 04:30 P.M., the Administrator said the facility knows they have a problem getting medications for new admits.
The Administrator said their pharmacy is located in Kansas City, and it takes days sometimes to get medications delivered.
The facility has a contract with the current pharmacy that ends in November.
The facility is hoping to use another pharmacy because this one is just not working out.
The Administrator said that he/she expected staff to notify the physician any time they don't have the medication that the physician has ordered. It is up to the physician whether he/she wants to hold the medication or write an order to the local pharmacy. He/she expected staff to follow the policy. He/she was not sure what the policy states regarding medication that is not available.Complaint #2610008
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