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Complaint Investigation

Belleview Care Center

November 12, 2025 · Saint Joseph, MO · 1616 Weisenborn Road
Citations 1
CMS Rating 1/5
Beds 90
Provider ID 265827
Healthcare Facility
Belleview Care Center
Saint Joseph, MO  ·  View full profile →
Inspection Summary

BELLEVIEW CARE CENTER in SAINT JOSEPH, 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview on 11/12/25 at 1:55 P.M., CNA (A) said:- He/she had been talking with Resident #1 while walking down the hall and Resident #2 was coming towards them. Resident #2 stepped in front of Resident #1 and Resident #1 pushed Resident #2 with both hands in the chest. Resident #2 fell backwards stiffly onto the floor.

Staff took Resident #2's vitals and checked to check for injury.

Both residents were separated. Resident #2 had no injuries and did not complain of pain. CNA A then reported the incident to the Charge Nurse, Director of Nursing (DON) and the Administrator.

During an interview on 11/12/25 at 3:40 P.M., the DON and Administrator said:- The investigation findings show that Resident #1 pushed Resident #2 to the ground. Resident #1 used both hands and pushed Resident #2 in the chest. Resident #1's actions are that of abuse.

Neurological checks and a complete assessment were completed for Resident #2 after the fall to make sure he/she was not hurt.

All residents have the right to be free from abuse and not to be pushed to the ground by another resident or staff. - Resident #2 does not have a history of aggression towards residents. - Resident #1 has a history of aggression towards others and at the time of the incident, was experiencing a urinary tract infection which he/she believes caused Resident #1 to act out. - Resident #1 is considerably larger than Resident #2 and it would not take much effort for him/her to push the resident to the ground. - Interventions that the facility had completed since the incident include staff training on abuse and neglect prevention, both residents were sent out for a psychological evaluation with the findings still pending to the facility, both residents were separated from each other right after the incident, Resident #2 had trauma informed care performed with no negative findings from the incident, and Resident #1 was screened for a urinary tract infection to make sure that was not the cause of the aggression.Intake 2664086

Facility ID:

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 SAINT JOSEPH, 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 BELLEVIEW CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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