Sylvia G Thompson Residence Center, Inc
SYLVIA G THOMPSON RESIDENCE CENTER, INC in SEDALIA, MO — inspection on August 26, 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 08/26/25 at 11:37 A.M., the resident said he/she has issues with constipation and takes medications to help provide relief.
The resident said he/she recently started increasing fruits in his/her diet to help provide added relief from constipation.
During an interview on 08/26/25 at 2:33 P.M., the Care Plan Coordinator said he/she uses information from the resident's POS, nurses' notes, and the Interdisciplinary Team meetings to add interventions to the resident's care plan, but would have only included interventions for constipation if the resident had triggered or expressed constipation in the seven-day review period of the MDS assessment dated [DATE] 5.
During an interview on 08/26/25 at 2:09 P.M., Licensed Practical Nurse (LPN) D said nurses use care plans to help guide each resident's care, and the Care Plan Coordinator is responsible to update the residents' care plans per schedule and with changes regarding specific care needs for the residents.
The LPN said interventions to address pain, treatment for injuries, bowel and bladder incontinence and constipation should be included on the residents' care plans if applicable.
During an interview on 08/26/25 at 2:33 P.M., the Care Plan Coordinator said he/she is responsible to update the residents care plans quarterly, after an injury/fall, and with significant changes. He/She said he/she usually updates the care plans within a week, usually on Fridays after an injury or change in condition. He/She said he/she was not sure if anyone double checks that the care plans are updated.
During an interview on 08/26/25 at 3:39 P.M., the administrator said the Care Plan Coordinator is responsible to update residents' care plans quarterly, and within seven days after a fall or other injury.
The administrator said the residents' medical chart is a part of the residents' care plan.
Complaint #2596159 and 2599788
Facility ID:
26A378
IDENTIFICATION NUMBER:
26A378
A.
Building
COMPLETED
08/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Sylvia G Thompson Residence Center, Inc
3333 W Tenth Street Sedalia, MO 65301
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 08/26/25 at 3:57 P.M., Nursing Assistant (NA) F said he/she was training with CNA G when the incident occurred.
The NA said CNA G placed a washcloth with warm water in a plastic bag and heated the bag in the microwave for about 15 seconds.
The NA said he/she mentioned to CNA G that the bag was probably too hot, and CNA G wrapped the bag into a towel and placed it on the resident's shoulder.
The NA said he/she found out the next day the resident had sustained burns to his/her shoulder, and he/she has not received any in-services regarding how to use a warm pack since the incident.
During an interview on 08/26/25 at 5:32 P.M., Licensed Practical nurse (LPN) C said he/she reported to work at 10:30 P.M., and the evening shift staff did not report to him/her that staff had placed a warm pack on the resident's shoulder.
The LPN said when he/she went to assess the resident shortly after midnight, he/she found the resident laying on a plastic bag with a wet washcloth under his/her left arm between his/her upper back/side.
The LPN said he/she removed the towel and plastic bag, assessed the resident's skin with redness and blisters, measured the areas, applied an initial treatment, administered pain meds to the resident, notified the resident's family and Primary Care Physician (PCP).
The LPN said the CNAs can apply warm packs if they have been educated and directed by the nurse to do so, and the nurse is responsible to monitor the resident's skin.
The LPN said he/she would prefer to apply a warm pack to the resident him/herself, particularly since the resident has decreased sensation due to his/her diagnosis and would need to be monitored more closely.
During an interview on 08/27/25 at 1:07 P.M., the resident's physician said he/she would expect facility staff to be educated on the proper application of warm packs if they should use it on a resident in the future.
Complaint #2596159
Facility ID:
26A378