Union Nursing
UNION NURSING in UNION, MO — inspection on November 19, 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 10/24/25 at 3:02 P.M., Licensed Practical Nurse (LPN) D said he/she was the charge nurse on the night of 10/21/25, the DON contacted him/her the morning of 10/22/25 with questions about CNA A's interactions with the resident during the night shift on 10/21/25, but he/she was not asked to complete a questionnaire or written statement.
During an interview on 10/28/25 at 11:54 A.M., Certified Medication Technician (CMT) C said he/she worked on 10/21/25 from 6:15 A.M. until 12:21 A.M., but he/she was not interviewed or asked to complete a questionnaire or written statement regarding the resident's allegations.
During an interview on 10/28/25 at 3:33 P.M., the resident's physician said he/she was at the facility on 10/23/25, but facility staff did not notify him/her of the resident's allegation of sexual abuse until 10/24/25 and he/she would expect staff to notify him/her when the incident occurred if the policy directed staff to do so.
During an interview on 10/28/25 at 12:53 P.M., the administrator said in his/her absence from the facility, the DON was in charge and should have placed CNA A on suspension until he/she completed the investigation, the physician should have been notified shortly after the allegation was made, and all staff who worked the night shift on 10/21/25 should have been interviewed or asked to provide a statement.
Complaint #2651547
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Union Nursing
1080 Marie Lane Union, MO 63084
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and interview, facility staff failed to contact local law enforcement and failed to report an allegation of sexual abuse for one resident (Resident #1) out of one sampled resident to the
census was 58.1.
Review of the facility's Abuse, Prevention and Prohibition policy, revised 2021, showed staff are directed as follows: -Abuse includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled using technology;-The person made aware of allegations of abuse or neglect OR the administrator will report the allegations of abuse and neglect to the mandated state agency and law enforcement;-The allegation will be reported no later than two hours after the allegation is made if the events that cause the allegation involve abuse or result in serious bodily injury. 2.
Review of Resident #1's admission Minimum Data Set (MDS), a federally mandated assessment tool, dated 10/03/25, showed staff assessed the resident as cognitively intact, and diagnoses to include urinary tract infection (UTI), fractures and other multiple trauma.
Review of the facility's initial investigation report, dated 10/22/25, showed the Director of Nursing (DON) documented the resident reported to staff and his/her family that he/she had been sexually abused the night before by the male aide.
The report did not contain documentation facility staff reported the allegation to DHSS within the two-hour timeframe after the resident and his/her family member reported the allegation of sexual abuse, and did not notify the local law enforcement.
Review of the DHSS complaint/facility self-report database did not contain documentation of a facility report in regard to resident's allegation of sexual abuse to DHSS.
During an interview on 10/24/25 at 10:20 A.M., the DON said the administrator was out, and he/she was responsible to report any abuse allegations to DHSS within two hours after the allegation is made.
The DON said he/she did not report to DHSS or local law enforcement because after he/she spoke with the resident and family, he/she determined it was not a true allegation.
During an interview on 10/28/25 at 12:53 P.M., the administrator said in his/her absence, the DON was responsible to report any allegations of abuse to DHSS within two hours after the allegation is made, and to local law enforcement. He/She said he/she was not sure why the DON did not report the allegation to DHSS.
Complaint# 2651547
Facility ID: