Country Meadows
COUNTRY MEADOWS in PARK HILLS, MO — inspection on November 12, 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 11/12/25 at 12:40 P.M., the Director of Nursing (DON) said she runs a report daily that tells her what meds are not available, and she will find out why the meds aren't there or didn't come from pharmacy.
For narcotics, sometimes they're waiting on a script from a physician.
Some physicians take longer than others to sign a script. We have a stat safe that she will do an inventory of, and the stat safe communicates with pharmacy. We recently had a resident that missed a couple doses. We don't borrow medications from another resident when one resident is out.
Meds can be ordered from the MAR.
Controlled medications have to be ordered from the pharmacy website, and all nurses have access to do that. If they order a medication and it's too soon, pharmacy will fax them to let them know it's too soon.
Pharmacy comes daily around 8:00 to 8:30 in the evening every day except Sunday. CMTs and nurses get training about reordering medications. We just had an in service about this.
During an interview on 11/12/25 at 2:34 P.M., the Administrator said five days before residents are out of medications, med techs or nurses can scan and reorder. If they don't have a med in the cart, they should check overflow first and the e-kit. If it's too soon to order, the pharmacy will send a note.
There are no issues that she's aware of and she hasn't heard of any in a long time. If a resident is out of an over-the-counter medication, they can run to the local pharmacy and get that.
There shouldn't be any reason a resident would run out of medications.
She isn't sure where the breakdown is, but she will figure it out.
During an interview on 11/12/25 at 4:12 P.M., the Consultant Pharmacist said no one has talked to him about an issue, and he would be included on any kind of communication regarding medication issues.
The administrator usually runs a report or has done so in the past to show which meds are unavailable.Complaint #2659480
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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.