Meramec Nursing
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
said he/she should have notified the family and documented the change in condition with the resident that was reported to occur on 09/05/25 with the resident and a peer but was busy and didn't. 3. Review of Resident #8's admission MDS, dated [DATE REDACTED], showed staff assessed the resident as follows:-Cognitively intact;-Had limited range of motion in one upper and one lower extremity;-Required partial to moderate assistance with transfers to a wheelchair;-Fell one to six months prior to admission;-Diagnosis of stroke and dementia.Review of the resident's Face Sheet showed it contained two emergency contacts and one power of attorney (legal document allowing a designated person to make decisions and act on the granters behalf).Review of facility's list of falls, dated 09/08/25, showed the resident had a fall on 08/18/25.Review of
the resident's nurse notes, dated 06/01/25 through 09/08/25, showed staff documented:-On 08/18/25 did not contain documentation staff notified the family and/or representative of a fall; -On 08/19/25 at 12:26 P.M., resident on fall follow up charting. The nurses note did not contain documentation staff notified the family and/or representative of the fall;-On 08/26/25 at 11:00 P.M., resident on the floor next to his/her bed with legs crossed. The nurses note did not contain documentation staff notified the family and/or representative of the fall.4. During an interview on 09/08/25 at 2:30 P.M., Licensed Practical Nurse LPN B said nurses are responsible to notify the physician of any changes in condition to the resident that include falls, resident to resident altercations and anything else that would be considered a change in condition.
He/She said the nurse should document the notification in the nurse notes. He/She said he/she was busy and did not get to it.During an interview on 09/08/25 at 3:00 P.M., the administrator said the nurses are responsible to notify the families any time there is a fall, incident involving the resident or changes in treatments and should be documented in the resident record. He/She was not aware the families and/or responsible parties were not informed.Complaint #2609897
Event ID:
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If continuation sheet
MERAMEC NURSING in SULLIVAN, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 SULLIVAN, 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 MERAMEC NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.