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Complaint Investigation

Aspire Senior Living Poplar Bluff

Inspection Date: September 9, 2025
Total Violations 1
Facility ID 265450
Location POPLAR BLUFF, MO
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Inspection Findings

F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

notified the charge nurse the medication wasn't given so the charge nurse could administer it and document on it. During an interview on 09/09/25 at 11:03 A.M., LPN B said he/she was the charge nurse on 08/17/25, and the CMT never reported the medication was not given. During an interview on 09/09/25 at 11:47 A.M., the Director of Nursing (DON) said there was only one resident on Invega. On 08/01/25, the order was put into the medical record, and was due on 08/17/25. When a new order was put in the medical record, there were choices as to where it populated on a CMT MAR, CMT TAR, or the Licensed MAR. The medication populated on the CMT MAR. When the medication came due, the CMT did not pass onto the nurse that the medication was not given. She was not aware the Invega wasn't given until 08/31/25, when

the resident's family called the facility regarding the injection. The facility worked with the corporate pharmacy to get the medication promptly. The psychiatric provider was notified immediately and gave an order to administer the medication on 09/01/25. During an interview on 09/09/25 at 12: 30 P.M., the Administrator said she expects staff to follow physician orders. Complaint #2609996

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📋 Inspection Summary

ASPIRE SENIOR LIVING POPLAR BLUFF in POPLAR BLUFF, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 POPLAR BLUFF, 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 ASPIRE SENIOR LIVING POPLAR BLUFF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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