Medicalodges Neosho
MEDICALODGES NEOSHO in NEOSHO, MO — inspection on April 29, 2026.
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 04/29/26, at 2:37 P.M., the MDS Coordinator said
offering the resident activities;-On 04/25/26, Resident #1 stood by Resident #2 and CNA A saw Resident #1 grab Resident #2's breast;-CNA A reported the incident to him/her;-Resident #1 was on one-on-one supervision at the time;-CNA A was assigned to be the one-on-one staff member with the resident;-He/she knew the resident was one-on-one because the Administrator informed him/her;-On 04/25/26, two staff were assigned during the day to the locked unit;-The resident was placed one-on-one on 04/24/26;-The night of 04/24/26, only one staff was assigned to the locked unit and that overnight CNA was to call for assistance if they needed a break or to assist another resident;-The Administrator said the resident was one-on-one during waking hours;-During the overnight hours from 04/24/26 to 04/25/26 no staff member was assigned one-on-one with the resident;-If a CNA or CMT witnessed resident to resident abuse, they should separate the residents and report to their charge nurse immediately;-If a resident was one-on-one, a specific staff member was assigned to that resident and that staff member always kept eyes on the resident within close vicinity of the resident;-He/she did not know who was responsible for assigning a staff member to one-on-one duties;-The staff member assigned to the resident filled out a form every 15 minutes related to where the resident was and what the resident was doing.
During an interview on 04/29/26, at 4:13 P.M., the ADON said the following:-Interventions for Resident #1's behaviors included education, increased monitoring and medication;-The Administrator placed the Resident #1 one-on-one on 04/24/26 during waking hours;-He/she understood CNA A knew Resident #1 was one-on-one and that the CNA was assigned to the resident;-The Administrator said CNA A sat outside the resident's door and CMT B witnessed the incident between Resident #1 and Resident #2;-He/she did not know if Resident #1 had a specific staff member assigned to the resident on 04/25/26;He/she considered Resident #1 grabbing Resident #2's breast sexual abuse that was preventable;-If a resident was one-on-one, the charge nurse assigned a specific staff member to that resident;-The charge nurses knew who was one-on-one through report from the administrative staff;-The administrative team was responsible for ensuring the charge nurses knew to assign a specific staff member to a resident that was one-on-one and the charge nurse was responsible for ensuring staff followed through with their one-on-one duties.
During an interview on 04/29/26, at 4:49 P.M., the Administrator said the following:-Interventions for the resident's behaviors included redirection, increased monitoring and medication;-The physician increased the resident's medication dose on 04/24/26 with the residents first increased dose given on 04/25/26;-He/she placed the resident one-on-one on 04/24/26 for the waking hours because the resident typically slept through the night;-He/she informed night staff to request assistance to sit with the resident if they needed a break or to assist with another resident as could not guarantee the resident would sleep all night;-On 04/25/26, CNA A was assigned one-on-one with the resident;-CNA A should have followed the resident into the dining room;-If a resident was one-on-one, the nursing administration team assigned a specific staff member to always stay with them;-The staff knew what residents were one-on-one by an alert that was placed in the electronic documentation system for CNAs to see and staff were notified by the nursing administration team.
Complaint #2994354
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.