Country Meadows
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Nurses and CMTs who give medications can hit the resupply button on their computer to reorder a medication. The pharmacy is linked to the electronic health record (EHR), so it goes to the pharmacy and gets reordered. They aren't aware of any issues of running out of medication. They don't ever use one resident's medication for another resident who is out of a medication, and they aren't aware of any CMTs doing it either. 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
Event ID:
Facility ID:
If continuation sheet
COUNTRY MEADOWS in PARK HILLS, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 PARK HILLS, 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 COUNTRY MEADOWS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.