Marshfield Care Center For Rehab And Healthcare

F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

During an interview on 11/06/25, at 1:25 P.M., the Assistant Director of Nursing (ADON) said the shower schedule was done by the DON each day. The aides were to initial on the shower sheet when the shower was done and put it in the DON's mailbox each day. The staff should complete a shower sheet and skin check with each resident's shower. She was not aware of showers not being completed until she was looking for shower sheets this day. She did not find as many as she would expect or like to see.During an

interview on 11/06/25, at 12:30 P.M., the DON said she made the shower scheduled for staff every day.

There was not one aide assigned to showers. When the new corporation took over, they took away an assigned shower person. The aides working on the floor have to do the baths. The bath schedule was on

the desk with the staff schedules. A lot of improvements need to be made related to showers. There have been a lot of staff call in and left only three aides on the floor with 48 residents. Staff were to complete a shower sheet with skin check for each bath, then give to the charge nurse, the charge nurse should sign off and evaluate the resident for any areas of concern noted. Then the sheet went into a scan pile to get scanned in eventually.During an interview on 11/06/25, at 3:10 P.M., the Interim Administrator said residents should be provided with showers twice per week, as resident requested, or as care planned per resident preference. He/she did not like to see that residents went weeks without showers. There was not a dedicated shower aide. All the floor aides should be providing showers according to the schedule.Complaint Event ID:

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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

11/24/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Marshfield Care Center for Rehab and Healthcare

800 South White Oak Marshfield, MO 65706

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)

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

antibiotic to treat bacterial infections), 16 tabs remaining, dispensed on 09/21/25, for Resident #17;-One card of topiramate 50 mg (used to treat seizures and prevent migraine headaches), 10 tabs remaining, dispensed on 09/23/25, for Resident #18;-One card of ciprofloxacine 500 mg, 2 tabs remaining, dispensed

on 09/24/25 and one card of metronidazole 500 mg (antibiotic medication used to treat a wide variety of infections), 4 tabs remaining, dispensed on 09/24/25, for Resident #19;-Bydureon BCise 2 mg injection (used to improve blood sugar control), 2 syringes remaining, dispensed on 10/01/25, for Resident #20;-One card of Cephalexin 500 mg (used to treat bacterial infections), 20 tabs remaining, dispensed on 10/03/25, for Resident #21;-Ipratropium/Albuterol solution (used to relax muscles in the airways to make breathing easier), 5 packages of 5 vials, dispensed on 10/15/25, for Resident #21;-One card of trazadone 150 mg (used to treat depressive disorder, anxiety, and as a sleep aid), 30 tabs remaining, dispensed on 10/16/25, for Resident #22;-One card of Cefdinir 300 mg (used to treat bacterial infections), 2 tabs remaining, dispensed on 10/17/25, for Resident #23;-One card of venlafaxine 150 mg ER, 30 tabs remaining, dispensed on 10/17/25, for Resident #24;-One vial of insulin lispro injection 100 /ml (helps control high blood sugar in people with diabetes), dispensed on 10/18/25, for Resident #25;-Amlodipine 5 mg (used to treat high blood pressure), 2 tabs in individual packets remaining, dispensed on 10/26/25 and meloxicam 15 mg (used to relieve pain and swelling), 1 tab in individual packet remaining, dispensed on 10/26/2, for Resident #26.During an interview on 11/06/25, at 1:15 P.M., Certified Medication Tech (CMT) E said that

the medication room included extra over-the-counter medications, refrigerated medications, and supplies.

The room also had non-narcotic medications that were no longer in use. The room was a mess at the time.

The nursing managers needed to destroy expired medications.During an interview on 11/06/25, at 12:00 P.M., Licensed Practical Nurse (LPN) A said the medication room was currently a mess pending medications to be destroyed. The Assistant Director of Nursing (ADON) and Director of Nursing (DON) generally take care of the medications that no longer have active orders.During an interview on 11/06/25, at 2:00 P.M., the MDS Coordinator said the medication room has lots of unused medications and the room was a disaster. It has been that way for at least a couple of months.During an interview on 11/06/25, at 1:30 P.M., the ADON said that two people, including at least one nurse, can destroy non-narcotics. The medication room was a mess. The counter was full of medications that needed to be destroyed. There was

an RN that worked for a few months in the past and had the room in order. It has been several months since it was clean and orderly.During an interview on 11/06/25, at 12:30 P.M., DON said the medication room was a mess at the time. She said there was a ton of medications, that are non-narcotics, that needed to be destroyed. It would take days to complete this and get that room cleaned up. It has been a major problem. She has not had the time to take care of that process and paperwork. The narcotics remain locked

in the medications carts until they were destroyed.During an interview on 11/06/25, at 3:10 P.M., the Interim Administrator said the medication room should be kept clean and organized and all medications not in use should be destroyed timely.Complaint 2660953

Event ID:

Facility ID:

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