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Complaint Investigation

Bentleys Extended Care

April 30, 2026 · Overland, MO · 3060 Ashby Road
Citations 2
CMS Rating 1/5
Beds 72
Provider ID 265732
Healthcare Facility
Bentleys Extended Care
Overland, MO  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BENTLEYS EXTENDED CARE in OVERLAND, MO — inspection on April 30, 2026.

Found 2 citations. 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

FF0728
Nursing and Physician Services Deficiencies

Review of the

Student collectively referred to as Parties or individually as a Party;-Whereas, the Student desires to participate in a CNA Training Program Assistance, and whereas, the facility is willing to provide the necessary training and educational materials to the student for the purpose of obtaining a CNA certification;-Now, therefore, in consideration of the mutual covenants and promises contained herein, the parties agree as follows;-CNA Training Program Assistance Scope and Duration; --The facility shall offer assistance to a comprehensive CNA training program, through a provider, that covers the necessary theoretical knowledge and practical skills required to become a CNA;-Training program fees:--The Student shall pay the training program fees as outline by the Facility;---Tuition for the CNA Program is set at $720.00, payable in installments of $140.40 per pay period until the entire amount is fulfilled. It is important to note that in the event that the student does not complete the course, no refund will be issued, and the course completion will not be granted until cost to facility has been reimbursed;--The fees are non-refundable unless otherwise specified by the Facility. 1.

Review of the facility's list of active employees and personnel files, showed three NAs employed by the facility, one of whom was enrolled in a certification program outside of the facility.

Review of NA G's employee file, showed:-Active employee;-No documentation of enrollment in CNA certification course.

During an interview on 4/29/26 at 9:46 A.M., NA G said he/she had been working in laundry at the facility for about a year. At the beginning of April 2026, he/she moved into the NA position at the facility to see if he/she would like it.

The facility offered to pay the cost of the CNA program with a repayment plan of around $100 or so to come out of his/her check until the cost of the CNA program is paid off. At this time, he/she was not enrolled in the CNA program and had not received money to pay for the program.

Review of NA L's employee file showed:-Active employee, hire date of 3/6/26;-A CNA Training Program Assistance Agreement, signed 4/21/26. 2.

During an interview on 4/29/26 at 1:24 P.M., CNA M said he/she was hired as an NA in 2024.

The facility had him/her pay for his/her CNA certification program and he/she is a CNA now. 3.

During an interview on 4/29/26 at 8:04 A.M., the Administrator said the facility did not have a program to complete clinical hours for NAs who are in the process of becoming certified.

The facility assisted NAs with the cost of the CNA program to help them.

For NAs interested in becoming certified, the facility offered to pay for the certification program upfront, and then they had the NA sign an agreement to reimburse the facility for the cost of the program over a 12-week period. 2993082 Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

265732 04/30/2026

Bentleys Extended Care 3060 Ashby Road Overland, MO 63114

During an interview on 4/30/26 at 1:25 P.M., the Director of Nursing (DON) said on 4/6/26, she was made aware the resident missed doses of his/her lacosamide.

She found the lacosamide was not reordered in a timely manner.

The CMT is responsible for notifying the nurse if a medication was not available.

The nurse should call the pharmacy and check when the medication would be delivered, then notify the DON and/or the physician of missing medication for further instructions or orders. On 4/5/26, the resident left the facility and was sent out without receiving any of his/her medications for the day.

The DON did not know when the resident returned, but the sign out sheet showed the resident was expected to return at 5:00 P.M.

The DON did not know why the CMT did not administer the resident's 4/5/26 evening medication when he/she was back in the facility. It is possible the missed seizure medications could cause a seizure, but the hospital did not run labs to verify if this is what caused the resident's seizures. 2976795

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 OVERLAND, 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 BENTLEYS EXTENDED CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.