Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 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 Community Manor during CMS and state inspections, most recent first.
The facility failed to keep resident personal funds in an account separate from its operating account and did not issue timely refunds after several residents died or were discharged. Review of financial records showed that multiple residents had personal funds, totaling over $16,000, retained in the operating account for extended periods, with delays in refunding ranging from several weeks to several months. An Accounts Receivable Regional Manager reported that these delays were due to posting errors, waiting on insurance payments, repeatedly carrying credit balances forward, sending balances to the home office multiple times for review, and failing to process at least one refund.
The facility failed to maintain sanitary conditions in food storage and distribution, risking cross-contamination and food-borne illness. Observations showed unlabeled and undated food items, debris in the kitchen, and unrecorded temperature logs. Interviews confirmed that expectations for food storage and cleanliness were not met, leading to deficiencies.
A facility failed to accurately document the MDS for a resident who was no longer receiving hospice care, despite having been discharged from such services. The resident, diagnosed with Alzheimer's, anxiety disorder, and hyperlipidemia, had their MDS inaccurately coded to reflect hospice care. Interviews with an LPN and the facility's Administrator and DON confirmed the resident's hospice discharge and acknowledged the expectation for the MDS to reflect the resident's current status.
A resident with multiple diagnoses, including Alzheimer's and major depressive disorder, did not receive a prescribed medication, Tramadol, for over a month due to non-delivery from the pharmacy. Interviews with a CMT, an LPN, and the facility's administration revealed an expectation that all medications should be available and administered as ordered.
The facility failed to provide and document restorative services for two residents with limited range of motion (ROM). One resident, with Alzheimer's and osteoarthritis, had no documented restorative therapy despite orders. Another resident, with multiple chronic conditions, received sporadic therapy sessions. The restorative aide admitted to initial documentation issues, and the facility's administration expected services to be completed and documented as ordered.
A resident with Alzheimer's, GERD, and anemia experienced significant weight loss, but the facility failed to implement the RD's dietary recommendations. The RD's advice for Assure kcal drinks and high-calorie snacks was not converted into physician orders, and meal intake was not documented. Observations showed inconsistent provision of supplements, and interviews revealed process lapses in handling weight loss cases.
A facility failed to document and monitor a resident's dialysis care, leading to a deficiency. The resident, with end-stage renal disease and other conditions, had no documented assessments or monitoring of their dialysis access site or condition before and after treatments. Interviews revealed a lack of communication sheets and inadequate recording of assessments. The care plan lacked specific interventions for dialysis, and staff acknowledged the absence of a dedicated dialysis care plan.
The facility failed to maintain proper infection control practices during perineal care for two residents, as CNAs did not change gloves between dirty and clean tasks. Additionally, the facility did not provide appropriate documentation for TB testing for five residents, with missing dates for test readings and lack of documentation for signs or symptoms. The DON acknowledged these deficiencies.
The facility did not hold quarterly QAPI meetings with the required members, as the Medical Director was absent from meetings from August 2023 to May 2024. The facility's policies lacked clarity on required attendees, contributing to this deficiency.
The facility failed to notify the family or next of kin of two residents after a change in their condition, as required by their policy. One resident with multiple diagnoses experienced new skin tears and bruises, while another developed new skin tears and abrasions. There was no documentation indicating that the family or next of kin had been informed of these injuries, and staff interviews revealed confusion and inconsistency regarding the notification process.
Failure to Maintain Separate Resident Funds and Issue Timely Refunds
Penalty
Summary
The facility failed to honor residents' rights to manage their financial affairs by not placing resident funds in an account separate from the facility operating account and by not issuing timely refunds of personal funds. Review of the facility’s Accounts Receivable Aging Report showed that six residents had personal funds, totaling $16,926.43, held in the facility’s operating account. Five of these residents had expired and one had been discharged, yet their personal funds remained in the operating account. The amounts held ranged from $18.00 to $6,902.43 for individual residents. Record review showed that the facility did not provide the Personal Fund Account Balance Report (TPL) to the Missouri HealthNet Division, Third Party Liability Unit or complete the refunds until weeks to months after the residents’ credits were generated, expirations, or discharge. The delays ranged from 49 to 136 days. During interview, the Accounts Receivable Regional Manager attributed the delays to a posting error that created a credit balance, waiting for insurance payment before refunding, repeatedly moving a credit balance forward each month, sending a credit balance to the home office multiple times for review, and simply not processing a refund, with one resident still not refunded at the time of the interview.
Sanitation and Food Storage Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to store and distribute food under sanitary conditions, which increased the risk of cross-contamination and food-borne illness for all residents served from the kitchen. Observations revealed numerous items in the walk-in refrigerator that were not labeled or dated, including opened plastic storage bags and an energy drink consumed by a staff member. The walk-in freezer had ice buildup, and a pie was found uncovered and unlabeled. In the dry food storage room, several opened and undated food items were found, including lemon juice that required refrigeration after opening, shake mix, muffin mix, pudding/pie filling, cheesecake mix, and pasta. Additionally, jars of French dressing were stored on the floor, and large bags of catfish breading and biscuit mix were opened and undated. The kitchen was observed to have debris on shelves, counters, and floors, with a buildup of brown substance in the fryer and carbon buildup on the convection oven and stove. Skillets, pots, and cooking sheets also had a black substance buildup. Temperature logs for food cooking, steam table, walk-in freezer, walk-in refrigerator, double door refrigerator, water, and dishwasher were not being maintained as required. The Dietary Manager indicated that the cook was responsible for completing temperature logs, but these were not being consistently recorded. Interviews with the Dietary Manager, Administrator, and Director of Nursing confirmed expectations for food storage and cleanliness, which were not met. They expected food to be stored off the floor, opened packages to be wrapped or stored appropriately, and all items to be labeled and dated. Kitchen equipment and cookware were expected to be free from grease, debris, and carbon buildup. Temperature logs were expected to be maintained for all relevant equipment, and personal drinks were not to be stored in the kitchen. These expectations were not adhered to, leading to the identified deficiencies.
Inaccurate MDS Documentation for a Resident
Penalty
Summary
The facility failed to document an accurate Minimum Data Set (MDS) for one resident out of a sample of 20, despite having a census of 96. The facility's policy on certifying the accuracy of resident assessments requires that any healthcare professional involved in the assessment process must be qualified to assess the relevant medical, functional, or psychosocial status of the resident. Additionally, anyone completing any part of the MDS assessment must sign it to certify its accuracy. The resident assessment coordinator, a registered nurse, is responsible for ensuring the completion and accuracy of each MDS assessment. However, the facility did not accurately code the MDS for a resident who had been discharged from hospice services, as the MDS still indicated hospice care. The resident in question had diagnoses of Alzheimer's disease, anxiety disorder, and hyperlipidemia. The resident was discharged from hospice services, but the annual and quarterly MDS assessments continued to inaccurately reflect hospice care. Interviews with an LPN and the facility's Administrator and DON confirmed that the resident was no longer receiving hospice services, and they acknowledged that the MDS should accurately reflect the resident's current status. This discrepancy indicates a failure to update the resident's MDS to reflect their actual care status, as required by the facility's policy.
Failure to Administer Prescribed Medication
Penalty
Summary
The facility failed to follow physician's orders for a resident, identified as Resident #48, by not administering a prescribed medication. The resident, who was admitted with diagnoses including Alzheimer's disease, traumatic subdural hemorrhage, dysphagia, hyperlipidemia, and major depressive disorder with psychotic symptoms, had an order for Tramadol HCI 50 mg to be given orally in the morning for back pain. However, the Medication Administration Record (MAR) indicated that the medication was not administered from May 14, 2024, through June 20, 2024. Interviews with facility staff revealed that the medication was not delivered from the pharmacy, and there was uncertainty about the reason for this. A Certified Medication Technician (CMT) and a Licensed Practical Nurse (LPN) both expressed expectations that all prescribed medications should be available and administered to residents. The Administrator and Director of Nursing also stated that they expected all prescribed medications to be ordered and delivered from the pharmacy as per physician orders.
Failure to Provide and Document Restorative Services for Residents with Limited ROM
Penalty
Summary
The facility staff failed to provide appropriate restorative services for residents with limited range of motion (ROM), as evidenced by the lack of documented restorative therapy for two residents. Resident #7, diagnosed with Alzheimer's disease, hyperlipidemia, and osteoarthritis, was dependent on staff for activities of daily living and had an order for restorative nursing services to be provided 1-5 days a week. However, there was no documentation indicating that these services were performed. Interviews revealed that the restorative aide was unaware of Resident #7 being on the list for restorative services and admitted to initially being inconsistent with documentation. Resident #30, with diagnoses including congestive heart failure, chronic respiratory failure, hyperlipidemia, and chronic kidney disease, also had an order for restorative services. The documentation showed sporadic occurrences of therapy, with significant gaps between sessions. The restorative aide mentioned a typical twelve-week service period followed by re-evaluation, but acknowledged past issues with timely documentation. The facility's Administrator and Director of Nursing expressed an expectation for restorative services to be completed as ordered, with appropriate documentation.
Failure to Implement Dietician's Recommendations for Weight Loss
Penalty
Summary
The facility failed to ensure that the Registered Dietician's (RD) recommendations for addressing weight loss were communicated to the physician for a resident diagnosed with Alzheimer's disease, GERD, and anemia. The resident experienced a significant weight loss of 14.51% over six months, which was not adequately addressed. The facility's policy required that significant weight changes be reported to the dietician and physician, but this was not done for the resident in question. The RD had recommended specific dietary interventions, including offering Assure kcal drinks with every meal and high-calorie snacks between meals, as well as monitoring meal intake for 30 days. However, these recommendations were not converted into physician orders, and there was no documentation of the resident's meal intake as advised by the RD. Observations showed that the resident was not consistently provided with the recommended nutritional supplements, and their meal intake was not adequately monitored or recorded. Interviews with the Director of Nursing (DON) revealed that there were inconsistencies in the facility's processes for handling weight loss cases. The RD's recommendations were not effectively communicated to the physician, and the task of recording the resident's intake was not activated in the medical record system. The DON acknowledged these oversights and indicated that the facility's procedures for managing weight loss and dietary recommendations were not being followed as expected.
Deficiency in Dialysis Care Documentation and Monitoring
Penalty
Summary
The facility failed to provide adequate documentation and monitoring for a resident receiving dialysis, leading to a deficiency in care. The facility's policy on hemodialysis catheter access and care requires regular assessments and documentation of the dialysis access site, including checking the color, temperature, and pulse of the access arm, as well as documenting the condition of the catheter and any post-dialysis observations. However, for the resident in question, there was no documentation of dialysis days, times, or transportation, nor were there orders to assess and monitor the dialysis access site or the resident's condition before and after dialysis treatments. The resident, who had a diagnosis of end-stage renal disease, congestive heart failure, diabetes mellitus type II, and chronic respiratory failure, was on a 2000 cc fluid restriction over 24 hours. Despite this, there was no documentation of the resident's condition being assessed and monitored before and after dialysis treatments, nor was there any record of the dialysis access site being assessed and monitored. Additionally, there was no communication documented between the facility and the dialysis staff, and the resident's care plan lacked interventions for the assessment and monitoring of the resident before and after dialysis. Interviews with facility staff revealed that there were no dialysis communication sheets, and the Licensed Practical Nurse (LPN) admitted to not usually recording the assessment of the dialysis access site. The Director of Nursing (DON) and the Minimum Data Set (MDS) Coordinator acknowledged that dialysis was mentioned in the fluid dehydration care plan, but there was no specific care plan for dialysis. The Administrator and DON stated that they would expect staff to assess a resident before and after dialysis and to have a care plan for dialysis, as well as monitoring for fluid intake for residents with fluid restrictions.
Infection Control and TB Testing Documentation Deficiencies
Penalty
Summary
The facility failed to maintain proper infection control practices during the provision of perineal care for two residents. In the first instance, a CNA did not change gloves after cleaning the resident's perineal area and proceeded to handle a brief, mechanical lift pad, controls, and hand bars without washing or sanitizing hands. Similarly, in the second instance, CNAs did not change gloves after cleaning a resident who had a bowel movement and touched clean items such as sheets, a call light, and a door knob before removing gloves and washing hands. Both instances were observed by surveyors, and the staff involved acknowledged the failure to follow proper infection control procedures. Additionally, the facility failed to provide appropriate documentation of tuberculosis (TB) testing for five residents. The medical records of these residents showed incomplete documentation, with missing dates for TB test readings and a lack of documentation for signs or symptoms of TB. The Director of Nursing acknowledged the expectation for complete documentation, including the read dates of TB tests, which were not present in the electronic medical records.
Failure to Maintain Required QAPI Meetings
Penalty
Summary
The facility failed to maintain quarterly Quality Assurance and Improvement Program (QAPI) committee meetings with the required members. Specifically, the Medical Director did not attend any QAPI meetings from August 2023 through May 2024, as evidenced by the review of the QAPI sign-in sheets provided by the Administrator. During an interview, the Administrator acknowledged that the Medical Director had not attended the meetings for some time, although it was expected that he would. Additionally, the facility's policies did not specify who is required to attend the QAPI meetings, contributing to the deficiency.
Failure to Notify Family of Changes in Condition
Penalty
Summary
The facility failed to notify the family or next of kin of two residents after a change in their condition, as required by their policy. Resident #1, who had multiple diagnoses including COPD, diabetes, dementia, and gout, experienced several new skin tears and bruises over a period of days. Despite the facility's policy mandating notification of the resident's representative in such cases, there was no documentation indicating that the family or next of kin had been informed of these new injuries. Interviews with staff revealed confusion and inconsistency regarding the notification process, with one RN admitting to a hectic day and another unsure of the policy requirements. Similarly, Resident #3, who had diagnoses including atherosclerosis, COPD, diabetes, and chronic kidney disease, also developed new skin tears and abrasions. The weekly skin assessments documented these injuries, but there was no corresponding documentation in the progress notes or evidence that the family or next of kin had been notified. Interviews with the nursing staff and the Director of Nursing confirmed that the facility's policy was to notify family members of any new injuries or changes in condition, but this was not done in these cases.
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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 Farmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Camelot Nursing And Rehabilitation Center | 0.3 mi | — | 7 | 0 |
| Southbrook Nursing Center | 0.8 mi | — | 0 | 0 |
| Farmington Presbyterian Manor | 1 mi | — | 0 | 0 |
| St Francois Manor | 2.7 mi | — | 4 | 0 |
| Country Meadows | 5.9 mi | — | 1 | 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.