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Complaint Investigation

Willard Care Center

Inspection Date: October 31, 2025
Total Violations 1
Facility ID 265455
Location WILLARD, MO
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

orders in the POS, which automatically populates the eMAR. The physician then approves the POS, and

the pharmacy reviews the medication list. The DON reviewed the POS for the resident and verified the order was given as ferrous sulfate DR 324 mg; 1/2 tablet by mouth every Friday, give with vitamin C. The DON reviewed the hospital discharge orders and said the order was ferrous sulfate 142 mg, give every Friday with vitamin C. The DON reviewed the resident's eMAR and confirmed the ferrous sulfate was scheduled daily. Staff documented they gave the ferrous sulfate daily; there were no gaps. The eMAR shows the medication orders and each pop up when they are due. The DON said the screen does show the ordered frequency on the due screen seen by the CMTs and/or nurses, although the information is off to

the side and separate from the box showing the scheduled time for the dose. If the order had been input correctly, the CMTs/nurses would see a message on the non-scheduled dose days reading No Administration Available and showing the date and time of the last dose given. During an interview on 10/31/25, at 4:10 P.M., the Administrator said staff should follow the POS for medication administration. The charge nurse is responsible for inputting the orders, or the DON can enter the orders if the nurse does not have sufficient time to do so. The eMAR populates from the information in the POS; medications come up

on the screen when they are due to be given. The Administrator said the ordered frequency is not very prominent on the administration screen, and CMTs might not notice that information. They are looking at

the dosing time and at the information showing when the medication was last given, including any message stating it is not due or is to too soon for an as needed medication. Complaint 2651756

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📋 Inspection Summary

WILLARD CARE CENTER in WILLARD, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 WILLARD, 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 WILLARD CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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