Oakridge Of Plattsburg
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
normally stir the food before starting to assist the resident to eat. Since the resident was burned, CMTs and
a CNA are now required to be in the dining room before the passing of any meal trays. During an interview
on 10/14/25 at 12:16 P.M., the dietary host said, on the day the resident received the burns, nursing staff were still bringing residents into the dining room while the resident's tray was in front of him/her. The Resident had biscuits and gravy, scrambled eggs, cream of wheat and juice. The dietary host said, she saw
the resident's eggs had been touched and there was food on the resident's right hand. The resident's spouse was not there that day to feed the resident. There was no one feeding the resident breakfast. She does not feed residents but observed the resident this day with food on his/her hands. During an interview
on 10/11/25 at 12:28 P.M., LPN B said, on 10/7/25 he/she was working in the dining room and was called over to the residents table by CMT A, to assess burns on the resident's right hand. CMT A observed the resident's fingers to be blistered. CMT A then notified RN A to come and look at the resident's hand and fingers, then the physician was also notified. During an interview and observation on 10/14/25 at 12:59 P.M., LPN A provided wound care to the resident's right hand and fingers. He/she observed a blister on the resident's little finger on the right hand and the blister measured at 2cm (centimeter) x 2.5cm and was yellow fluid filled with no drainage. He/she observed a blister measuring 3cm x 4cm with yellow fluid filled blister with no drainage to the ring finger. He/she observed a blister measuring, 1cm x 1cm with intact with fluid and no drainage on the resident's middle finger. Treatment to areas included application of skin prep applied to each finger, let dry, apply gauze and Coban (self- adherent elastic wrap) to each finger. The resident was unaware of treatment being provided. LPN A said since the incident, there now had to be a CNA, CMT or a nurse in the dining room before residents are served food and that any residents who required assistance to eat are to be served last so that staff can sit with the residents and assist them.
Resident #1 required supervision due to tremors and needed extensive help with feeding. During an
interview on 10/14/25 at 2:43 P.M., CNA A said He/she was in the dining room that day and went to assist
the resident and noticed the burns on residents' fingers and notified LPN A. During an interview on 10/14/25 at 3:18 P.M., RN A said she did not notice blisters on the resident's right hand that morning during
a skin assessment. Since the resident sustained a burn in the dining room, residents who require assistance with eating will now be fed last and only when staff are in the dining room to assist. Residents who need assistance should not be left alone with their meal tray. Resident #2's MDS (Minimum Data Set)
a federally mandated assessment completed by facility staff dated 10/06/25 showed the resident to be cognitively intact and had a diagnosis of Parkinson's and respiratory problems. During an interview and
observation on 10/14/25 at 3:05 P.M., Resident #2 said: He/she was sitting at table with resident #1 on 10/07/25, during breakfast and observed Resident #1 pick up the scrambled eggs off the plated with his/her fingers to eat and no staff were assisting the resident. Then, Resident #1 had blisters appear on fingers to right hand. Resident #2, who normally only eats in the dining room for breakfast and lunch, said Resident #1's spouse is usually there to feed the resident but not that morning. During an interview on 10/14/25 at 4:22 P.M. the DON said she was notified of the incident immediately contacted the facility NP regarding the burns to the residents' fingers on the right hand. It was reported by the DON that the resident did have eggs and food particles visibly present on his/her fingers on the right hand. During an interview on 10/14/25 at 4:22 P.M., the Administrator said he was aware of the residents burns to right hand fingers and that the resident should not have been left alone with hot food and no one there to monitor. An in-service had been provided to all staff and corrective measures put in place. Intake 2637826Intake 2637323
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OAKRIDGE OF PLATTSBURG in PLATTSBURG, 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 PLATTSBURG, 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 OAKRIDGE OF PLATTSBURG or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.