Putnam County Care Center
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
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
More Reports
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.