Sarcoxie Health Care Center
SARCOXIE HEALTH CARE CENTER in SARCOXIE, MO — inspection on August 27, 2025.
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.
Inspection Findings
During an interview on 08/27/25, at 1:27, LPN D said the following:-On 08/22/25, at 6:00 P.M., a CNA reported there was an altercation between Resident #1 and Resident #2;-LPN D found Resident #1 lying on the floor at the end of the hall.
He/she immediately assessed Resident #1;-At 6:03 P.M., LPN D contacted the Administrator-At 6:06 P.M., LPN D contacted 911;-At 6:12 P.M., LPN D contacted Resident #1's physician;-At 6:14 P.M., LPN D contacted Resident #1;s family;-The Administrator arrived at the facility shortly after the incident-Physical altercations are reported to the State, by the Administrator, within two hours.
During an interview on 08/27/25, at 1:03 P.M., Certified Nurse Aide (CNA) A said the following:-If there was an altercation between residents, he/she would report the incident to the nurse;-The nurse would have to report the incident to the State within two hours.
During an interview on 08/27/25, at 1:11 P.M., Certified Medication Tech (CMT) B said the following:-Physical altercations between residents are reported to the nurse;-Administration would report the altercation to the State within two hours.
During an interview on 08/27/25, at 1:30 P.M., CNA C said the following:-He/she would notify the nurse if residents got into a physical altercation;-The nurse would report the incident to the Administrator;-The Administrator reports the altercation to the State within two hours.
During an interview on 08/27/25, at 1:51, Housekeeper (HK) G said the following:-Physical altercations between residents are reported to the charge nurse;-The Administrator would report the incident to the State within two hours.
During an interview on 08/27/25, at 2:36 P.M., CNA E said the following:-On 08/22/25, around 6:00 P.M, CNA E was charting and heard a thump and hollering;-CNA E observed Resident #1 on the ground;-The nurse was alerted and assessed Resident #1;-The nurse would report the incident to the State immediately.
During an interview on 8/27/25, at 2:56, LPN F said physical altercations are reported to the State within two hours by the Administrator.
During an interview on 08/27/25, at 3:02, the Director of Nursing (DON) said the following:-Resident to resident altercations are reported to charge nurse;-The nurse will assess the resident and will report to the DON and Administrator;-The altercation is reported to the State within two hours by either the DON or the Administrator.
During an interview on 08/27/25, at 3:02, the Administrator said the following:-Staff should report resident to resident alterations to the supervisor/nurse;-The nurse assesses the resident, calls the physician, next of kin, the DON, and the Administrator;-Resident contact suspected to be physical abuse has to reported to the State within two hours by the Administrator or DON;-The Administrator did not immediately report the incident as he/she did not believe the incident between Resident #1 and Resident #2 to be intentional, as Resident #1 is confused due to dementia.Complaint #2598159
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Sarcoxie Health Care Center
1505 Miner Sarcoxie, MO 64862
SUMMARY STATEMENT OF DEFICIENCIES
Based on interview and record review, the facility failed to provide the services of a registered nurse (RN) for at least eight consecutive hours per day seven days per week.
The facility census was 39.
Review of the facility's Registered Nurse Policy, dated 04/30/24, showed the following information:-The facility will utilize the services of a RN for at least eight consecutive hours per day, seven days per week;-The Director of Nursing (DON) may serve as a charge nurse only when the facility has average daily occupancy of 60 or fewer residents.1.
Review of the facility's provided nurse schedules, dated 08/07/25 through 08/26/25, showed no RN coverage on any shift for the following dates:-08/07/25;-08/08/25;-08/09/25;-08/10/25;-08/16/25;-08/17/25;-08/25/25;-08/26/25.
During an interview on 08/27/25, at 1:03 P.M., Certified Nursing Assistant (CNA) A said he/she was unsure if a RN was on duty every day.
During an interview on 08/27/25, at 1:11P.M., Certified Medication Technician (CMT) B said the following:-He/she believed the facility had daily RN coverage;-CMT B believed a RN was at the facility on the weekends.
During an interview on 08/27/25, at 1:20 P.M., CNA C said there was a RN at the facility almost every day.
During an interview on 08/27/25, at 1:27 P.M., Licensed Practical Nurse (LPN) D said the following:-There was not a RN at the facility every day;-An RN was needed at the facility daily as the acuity of the residents was increasing, especially in regard to wounds and behaviors.
During an interview on 08/27/25, at 2:36 P.M., the CNA E said he/she believed there was a RN at the facility every day.During an interview on 08/27/25, at 2:56 P.M., LPN F said the following:-Typically, a RN was on duty every day;-Some days the facility has been without a RN coverage due to the change of DON;-Staff are not informed if a RN is not on duty.
During an interview on 08/27/25, at 3:02 P.M., the DON said the following:-There was not 8 hours of RN coverage on 08/25/25 and 08/26/25;-Staff are made aware if there is not a RN on duty;-The DON is the only RN;-If the DON cannot work, he/she does not know who will provide RN coverage.
During an interview on 08/27/25, at 3:11 P.M., the Administrator said the following:-The DON is the only RN;-Several days the facility has been without RN coverage;-If an RN is not available, the Administrator will contact the company's nurse consultant and regional director of operations, who could assist with pulling a RN from a sister facility.Complaint #2595323
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