Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bertrand Nursing And Rehab Center during CMS and state inspections, most recent first.
The facility failed to maintain a safe, clean, and homelike environment, with issues such as peeled paint, exposed sheetrock, and unsecured cable covers in resident rooms. Additionally, self-closing doors in a newer wing posed accessibility challenges for residents with mobility aids, leading to difficulties in opening doors independently. Despite a repair log system, there was a lack of documentation and effective communication among staff to address these concerns.
A facility failed to implement a care plan with specific interventions for a resident diagnosed with dementia. The care plan did not address dementia-related needs, despite expectations from the MDS Coordinator and DON. This deficiency was identified during a review of the resident's medical record.
The facility failed to document and obtain physician orders for catheter care and changes for two residents. One resident, with multiple health issues including urinary retention, had no documented orders for catheter care or change frequency, and no care was recorded in the Treatment Administration Record. Another resident, with chronic conditions, also lacked documented catheter care orders, and the Medication Administration Record showed treatment for a UTI without corresponding catheter care documentation. Interviews with nursing staff confirmed the absence of expected orders and documentation.
A resident was prescribed olanzapine, an anti-psychotic medication, without a documented diagnosis or indication for its use. Despite attempts at gradual dose reduction and a psychiatric referral, the facility failed to provide appropriate documentation. The DON cited dementia as the reason for the medication, noting behaviors not typical for dementia, and relied on psychiatric and medical director documentation.
Deficiencies in Environmental Safety and Accessibility
Penalty
Summary
The facility failed to provide a safe, clean, and comfortable homelike environment, as evidenced by several observations of physical deficiencies in resident rooms. These included peeled paint, exposed sheetrock, unsecured cable plate covers, and nails sticking out of walls. Despite having a repair log system in place, there was no documentation of these issues being addressed, indicating a lapse in maintenance and communication among staff. Additionally, the facility's newer wing had self-closing devices on resident room doors, which were observed to close quickly, posing a challenge for residents, particularly those with mobility aids like walkers or wheelchairs. Several residents reported difficulty in opening these doors independently, leading to situations where doors closed on residents or required them to prop doors open with objects like trash cans. This issue was acknowledged by the Director of Nursing and the Administrator, who noted that only residents deemed capable were placed in these rooms, although this was not always effective. Interviews with staff, including housekeepers and the maintenance supervisor, revealed a reliance on verbal communication for reporting environmental concerns, which was not consistently followed by written documentation. The Administrator and Director of Nursing were aware of the door issues but believed the self-closing devices were required by the Life Safety Code, and they attempted to place only suitable residents in these rooms. However, the observations and resident feedback indicated that the measures in place were insufficient to ensure a safe and accessible environment for all residents.
Failure to Implement Dementia-Specific Care Plan
Penalty
Summary
The facility failed to implement a comprehensive, person-centered care plan with specific interventions to meet the needs of a resident diagnosed with dementia. The care plan, dated June 26, 2024, did not address specific interventions related to the resident's dementia diagnosis. Interviews with the Minimum Data Set (MDS) Coordinator and the Director of Nursing (DON) revealed that both expected the dementia diagnosis to be included in the resident's care plan, indicating a lapse in the care planning process. This deficiency was identified during a review of the medical record of a resident admitted on an unspecified date, who was part of a sample of 13 residents in a facility with a census of 51.
Deficiency in Catheter Care Documentation and Orders
Penalty
Summary
The facility failed to obtain and document physician orders for the management of indwelling catheters for two residents. Resident #31, who was admitted with diagnoses including intervertebral disc degeneration, incontinence, acute respiratory failure, COPD, and urinary retention, had a foley catheter placed via a telephone order. However, there were no documented orders for catheter care every shift, catheter change frequency, or catheter size in the resident's Physician's Order Sheet (POS) for June and July 2024. Additionally, the Treatment Administration Record (TAR) for the same period showed no documentation of catheter care being performed. Similarly, Resident #40, admitted with diagnoses of COPD, chronic respiratory failure, urinary retention, and chronic kidney disease, also lacked documented orders for catheter care. The resident's POS for July 2024 did not include orders for catheter care, and the TAR for May 2024 showed a blank space on the date the catheter was ordered to be changed. Furthermore, the Medication Administration Record (MAR) for June 2024 indicated an order for a urinalysis and an antibiotic for a urinary tract infection, but there was no documentation of catheter care. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) confirmed that orders for catheter care and changes were expected but not documented, indicating a lapse in the facility's adherence to its catheter care policy.
Inappropriate Use of Anti-Psychotic Medication Without Diagnosis
Penalty
Summary
The facility failed to ensure an appropriate diagnosis for the use of an anti-psychotic medication for a resident. The resident, who was part of a sample of five, was prescribed olanzapine, an anti-psychotic medication, without a documented diagnosis or indication for its use. The resident's physician order sheet listed diagnoses of dementia, anxiety disorder, and altered mental status, but did not specify a reason for the olanzapine prescription. The medication was started in October 2022, and a gradual dose reduction was attempted in April 2024 but was denied due to potential mood destabilization. A psychiatric referral was made, yet there was still no documentation of a diagnosis or indication for the medication. During an interview, the Director of Nursing (DON) stated that the diagnosis for the olanzapine was dementia, citing the resident's behaviors such as asking for money, asking to drive, and seeing things that are not there. The DON acknowledged that these behaviors are not typical for dementia and relied on the documentation from the psychiatric physician and medical directors. This lack of appropriate documentation and diagnosis for the anti-psychotic medication use constitutes a deficiency in the facility's medication management practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bertrand
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Delta South Nursing & Rehabilitation | 6.6 mi | — | 8 | 0 |
| Sikeston Convalescent Center | 6.9 mi | — | 9 | 0 |
| Daybreak Nursing Center | 7.9 mi | — | 8 | 0 |
| Clearview Nursing Center | 8 mi | — | 14 | 0 |
| Annie's Garden Skilled Nursing | 8 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.