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Complaint Investigation

Seville Care Center

March 30, 2026 · Salem, MO · 35625 Highway 72
Citations 2
CMS Rating 1/5
Beds 90
Provider ID 265521
Healthcare Facility
Seville Care Center
Salem, MO  ·  View full profile →
Inspection Summary

SEVILLE CARE CENTER in SALEM, MO — inspection on March 30, 2026.

Found 2 citations. 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

FF0627
Resident Rights Deficiencies

Review of Resident #1's face sheet, dated 3/16/26, showed the resident admitted to the facility on [DATE], and facility staff discharged him/her to the hospital 3/3/26.

Review of the resident's progress notes, dated 3/4/26, at 4:04 P.M., showed staff documented an emergency discharge effective immediately to the local hospital for safety reasons.

Review of the resident's Immediate Discharge Notice, dated 3/3/26, showed staff documented the location of discharge to the local hospital for resident and staff safety.During an interview on 3/16/26 at 9:05 A.M., the administrator said the resident was not in the building 24 hours and started to refuse care and to make threats and scare staff. He/She said the facility did an emergency discharge to the local hospital that day. He/She understands the hospital is not a discharge location, but he/she needs to protect his/her residents and staff. He/She said they are unable to take the resident back for the safety of staff and other residents.

Complaint 2795777 Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

265521 03/30/2026

Seville Care Center 35625 Highway 72 Salem, MO 65560

During an interview on 03/27/26 at 12:26 P.M., the Regional Administrator said the facility should have annual Legionella testing but he/she did not know who conducted the testing.

During an interview on 03/27/26 at 2:07 P.M., facility owner said corporate level staff maintain one copy of a Water Management Policy template, but it is the facility administrator's responsibility to develop and implement a facility specific plan.

During an interview on 03/30/26 at 12:34 P.M., the administrator said the water management plan should include how the water is tested monthly.

The administrator said he/she thought Legionella testing was performed only if there was suspicion or a positive case of Legionella.

The administrator said he/she reviewed the water management plan in early 2025 and did not make any changes.

The administrator said the water management team included him/herself and the maintenance director and he/she did not know that needed to be documented.

The administrator said he/she never discussed the water management plan with the maintenance director and was not familiar with the specific risk areas, control measures or corrective actions since the maintenance director took care of the water.

Complaint #2965680

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


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