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Complaint Investigation

Putnam County Care Center

August 28, 2025 · Unionville, MO · 1814 Oak Street
Citations 4
CMS Rating 2/5
Beds 60
Provider ID 265826
Healthcare Facility
Putnam County Care Center
Unionville, 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

PUTNAM COUNTY CARE CENTER in UNIONVILLE, MO — inspection on August 28, 2025.

Found 4 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

FF0580
Resident Rights Deficiencies

During an interview on 8/13/25 at 2:40 P.M. the resident's physician said the facility communicated with him through a secure text app, fax and phone calls.

Staff did not notify him the resident had a catheter until after the catheter was removed and did not notify him the resident was unable to void before inserting the straight catheter.

During an interview on 8/13/25 at 3:20 P.M. the Administrator said staff should notify the physician and family of changes in condition and treatment.

Staff should have determined why the resident had the catheter when he/she returned from the hospital and notified the physician before discontinuing the urinary catheter.

Intake 2565096

265826 08/28/2025

Putnam County Care Center 1814 Oak Street Unionville, MO 63565

family member yes if you want to see the resident you should go.

The administrator told the family

disclose any resident's personal medical information to anyone other than the resident's power of

265826 08/28/2025

Putnam County Care Center 1814 Oak Street Unionville, MO 63565

During an interview on 8/13/25 at 2:10 P.M., RN A said on 7/1/25 the resident returned from the hospital with a urinary catheter. RN A removed the catheter with no issues. RN A did not call the discharging hospital or physician to verify the need for the urinary catheter. He/She removed the resident's urinary catheter because the resident was pulling on the catheter and causing pain and there was no diagnosis on the resident's record that required a urinary catheter. RN A notified the physician by secure text app after he/she removed the urinary catheter.

The resident had no urine output for two days.

Another RN straight catheterized the resident for residual urine.

Staff should have notified the physician of the resident's change in condition and need for straight catheterization.

Staff should follow the facility policy.

During an interview on 8/13/25 at 1:40 P.M. the Director of Nursing said on 7/1/25 the resident returned to the facility with a urinary catheter, she was not sure why the resident had the catheter.

The resident tried to pull the catheter out on the day he/she readmitted to the facility. No staff called to clarify the reason for the urinary catheter with the discharging hospital or notified the resident's physician of the urinary catheter.

There was no physician's order for a urinary catheter on the resident's medical record.

Staff should obtain an order for the urinary catheter and obtain a physician's order prior to removing the urinary catheter.

Staff should notify the physician of the resident's condition prior to straight catheterization.

During an interview on 8/13/25 at 2:40 P.M. the resident's physician said the facility communicated with him through a secure text app, fax and phone calls.

Staff should have physician orders for catheter placement, removal and straight catheterization.

Staff should monitor and assess a resident if unable to void and required a straight catheterization.

Staff should notify the physician for changes in treatment and orders if the resident was unable to void and if the resident had pain.

During an interview on 8/13/25 at 3:20 P.M. the Administrator said staff should have determined why the resident had the catheter when he/she returned from the hospital and notified the physician before discontinuing the urinary catheter.

Intake 2565096

265826 08/28/2025

Putnam County Care Center 1814 Oak Street Unionville, MO 63565

During an

and protect the resident's affected arm.

All residents should have safe transfers without injury.

Intake

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 UNIONVILLE, 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 PUTNAM COUNTY CARE CENTER 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.