lewis and clark gardens skilled nursing home

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

	Residents Affected
Severity of the Deficiency	Few	Some	Many
Immediate jeopardy to resident health or safety	J	K	L
Actual harm that is not immediate jeopardy	G	H	I
No actual harm with potential for more than minimal harm that is not immediate jeopardy	D	E	F
No actual harm with potential for minimal harm	A	B	C

October 27, 2020 - 13 months ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Health Inspection	Infection Control Deficiencies: Provide and implement an infection prevention and control program.

September 30, 2020 - 14 months ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Health Inspection	Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.
D	Few	Potential for Harm	Health Inspection	Infection Control Deficiencies: Provide and implement an infection prevention and control program.
D	Few	Potential for Harm	Health Inspection	Environmental Deficiencies: Make sure that a working call system is available in each resident's bathroom and bathing area.

February 24, 2020 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Freedom from Abuse, Neglect, and Exploitation Deficiencies: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

December 23, 2019 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Freedom from Abuse, Neglect, and Exploitation Deficiencies: Protect each resident from the wrongful use of the resident's belongings or money.

November 8, 2019 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.

August 23, 2019 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.

June 18, 2019 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
F	Many	Potential for Harm	Health Inspection	Infection Control Deficiencies: Provide and implement an infection prevention and control program.
F	Many	Potential for Harm	Health Inspection	Nutrition and Dietary Deficiencies: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E	Some	Potential for Harm	Health Inspection	Resident Rights Deficiencies: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
E	Some	Potential for Harm	Health Inspection	Quality of Life and Care Deficiencies: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E	Some	Potential for Harm	Complaint+Inspection	Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.
E	Some	Potential for Harm	Health Inspection	Pharmacy Service Deficiencies: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E	Some	Potential for Harm	Health Inspection	Resident Rights Deficiencies: Honor the resident's right to manage his or her financial affairs.
E	Some	Potential for Harm	Complaint+Inspection	Nutrition and Dietary Deficiencies: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
C	Many	Potential for Minimal Harm	Health Inspection	Resident Rights Deficiencies: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D	Few	Potential for Harm	Health Inspection	Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D	Few	Potential for Harm	Health Inspection	Resident Assessment and Care Planning Deficiencies: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D	Few	Potential for Harm	Health Inspection	Quality of Life and Care Deficiencies: Provide safe, appropriate pain management for a resident who requires such services.
D	Few	Potential for Harm	Health Inspection	Pharmacy Service Deficiencies: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D	Few	Potential for Harm	Health Inspection	Resident Assessment and Care Planning Deficiencies: Assess the resident when there is a significant change in condition
D	Few	Potential for Harm	Health Inspection	Freedom from Abuse, Neglect, and Exploitation Deficiencies: Respond appropriately to all alleged violations.
D	Few	Potential for Harm	Complaint+Inspection	Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
D	Few	Potential for Harm	Health Inspection	Resident Rights Deficiencies: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D	Few	Potential for Harm	Complaint+Inspection	Quality of Life and Care Deficiencies: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D	Few	Potential for Harm	Health Inspection	Quality of Life and Care Deficiencies: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

November 19, 2018 - 3 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
E	Some	Potential for Harm	Complaint	Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Assure that each resident's assessment is updated at least once every 3 months.
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.

January 19, 2018 - 4 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
-	-	-	Fine	$19,500 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lewis & Clark Gardens require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 35min	1hr 35min
Reported	Expected
CNA

40min	35min
Reported	Expected
LPN

25min	15min
Reported	Expected
RN

2hr 40min	2hr 25min
Reported	Expected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.1%
97.1%
98.1%
98.1%
94.8%
96.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine

88.8%
100.0%
91.7%
81.9%
90.4%
94.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine

30.4%
22.2%
22.2%
21.3%
31.9%
48.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of low risk long-stay residents who lose control of their bowels or bladder

16.1%
16.9%
16.3%
20.9%
24.4%
19.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents who received an antianxiety or hypnotic medication

24.2%
24.0%
16.3%
29.6%
15.1%
18.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents whose ability to move independently worsened

31.5%
35.3%
29.2%
21.8%
14.7%
15.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents whose need for help with daily activities has increased

21.5%
23.0%
18.7%
15.6%
18.2%
14.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents who received an antipsychotic medication

4.7%
7.5%
5.3%
6.5%
8.5%
7.4%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of high risk long-stay residents with pressure ulcers

4.7%
10.0%
2.6%
6.4%
3.9%
6.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents who have depressive symptoms

1.1%
2.4%
4.9%
5.7%
5.4%
5.9%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents who lose too much weight

4.1%
2.2%
2.1%
1.1%
4.0%
3.4%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents experiencing one or more falls with major injury

7.2%
1.2%
2.3%
3.3%
3.5%
2.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents with a urinary tract infection

5.4%
2.8%
4.1%
1.0%
1.8%
1.6%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents with a catheter inserted and left in their bladder

0.0%
0.0%
0.0%
0.0%
0.1%
0.2%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

60.5%
82.1%
76.2%
80.6%
76.6%
83.7%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine

65.6%
65.6%
73.3%
73.3%
74.8%
82.6%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine

-
-
-
-
70.0%
69.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

* The data for this facility for some quarters is unavailable.

Percentage of short-stay residents who made improvements in function

14.3%
15.4%
12.0%
-
2.2%
1.8%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 MO U.S.

* The data for this facility for some quarters is unavailable.

Percentage of short-stay residents who newly received an antipsychotic medication

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