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Complaint Investigation

Sylvia G Thompson Residence Center, Inc

August 26, 2025 · Sedalia, MO · 3333 W Tenth Street
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 26A378
Healthcare Facility
Sylvia G Thompson Residence Center, Inc
Sedalia, MO  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

FF0657
Resident Assessment and Care Planning Deficiencies

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

26A378 08/26/2025

Sylvia G Thompson Residence Center, Inc 3333 W Tenth Street Sedalia, MO 65301

During an interview on 08/26/25 at

The NA said CNA G placed a washcloth with warm water in a plastic bag and heated the bag in the

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

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 SEDALIA, 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 SYLVIA G THOMPSON RESIDENCE CENTER, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.