Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Lacoba Homes Inc during CMS and state inspections, most recent first.
A resident with a known sulfa drug allergy was administered Bactrim DS for a UTI, resulting in a severe allergic reaction and hospitalization. Despite electronic warnings and pharmacy inquiries, staff failed to verify the allergy with the physician or the resident, leading to the medication error.
The facility failed to date bread products, lettuce, and cheese stored in the kitchen, affecting all 59 residents consuming food prepared there. Undated bread products, some with mold, and undated cheese and browning lettuce were found during an inspection. The Dietary Manager confirmed staff were expected to date these items.
A resident with dysphagia and severe cognitive impairment was repeatedly observed with unthickened water within reach, despite orders for nectar thick liquids. Staff interviews confirmed the liquids should have been thickened, indicating a failure to adhere to the resident's care plan and physician's orders.
Failure to Prevent Significant Medication Error Due to Allergy
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, as evidenced by the administration of an antibiotic to a resident who was allergic to it. The resident, who had a history of allergies to sulfa drugs, was given Bactrim DS for a urinary tract infection. Despite the electronic medical record system providing pop-up warnings about the resident's allergies, the order was entered and the medication was administered without verifying the allergy status with the resident or the physician. The resident experienced a negative reaction, including a head-to-toe rash, diarrhea, and swollen legs, which led to hospitalization. Interviews revealed that the RN who entered the order did not check the allergy list, and the pharmacist's inquiry about the allergy was dismissed by another RN, who assumed the physician's order was sufficient. The Director of Nursing, who was not present at the facility, had communicated the physician's order to the RN without reviewing the resident's allergy information. The facility's policy on antibiotic stewardship emphasizes the importance of assessing and monitoring residents for drug allergies and interactions. However, the staff failed to adhere to these protocols, resulting in the resident's adverse reaction. The electronic system's warnings were ignored, and the pharmacy's concerns were not adequately addressed, leading to the administration of a contraindicated medication.
Failure to Date Food Items in Kitchen
Penalty
Summary
The facility failed to date bread products, lettuce, and cheese stored in the kitchen, which had the potential to affect all 59 residents consuming food prepared there. During an initial kitchen inspection, it was observed that packages of hamburger buns, hot dog buns, and bread were undated, with some hot dog buns showing mold growth. The Dietary Manager (DM) confirmed that staff were expected to date bread products when they removed them from the freezer to thaw, and the bread vendor recommended using bread products within seven days after thawing. Additionally, an opened and undated five-pound bag of shredded cheese and a large bag of shredded lettuce, which had started to turn brown, were found in the walk-in refrigerator. The DM confirmed that these items were not dated and that staff were expected to date food when opened. The facility's policy titled 'Food Storage and Supply' indicated that food should be properly stored to preserve flavor, nutritive value, and appearance. However, the undated storage instructions from the facility's bread vendor showed that bread should be stored in the freezer or thawed and stored at room temperature for immediate use, with a best-used-by date of seven days after thawing. The DM acknowledged the failure to date the food items and the presence of mold on the hot dog buns, as well as the browning of the lettuce, indicating a lapse in adherence to the facility's food storage policies.
Failure to Provide Prescribed Thickened Liquids
Penalty
Summary
The facility failed to provide thickened liquids in the prescribed consistency for a resident diagnosed with dysphagia. The resident was observed multiple times with a pitcher of unthickened water and ice within reach, despite having orders for nectar thick liquids. The resident's care plan and physician's orders specified the need for nectar thickened liquids due to the risk of aspiration, but these orders were not followed. Observations on different days confirmed the presence of unthickened water within the resident's reach, and interviews with staff, including a CNA, the Administrator, the Dietary Manager, the SLP, and the Medical Director, corroborated that the resident should have received nectar thickened liquids as per the current diet order. The resident's medical history included severe cognitive impairment, dysphagia, and dementia, necessitating a mechanically altered diet. Despite these requirements, the facility's staff failed to ensure that the resident's liquids were thickened to the prescribed consistency. The Dietary Manager explained that the nursing staff was responsible for thickening fluids provided to residents in their rooms, but this was not done correctly. The SLP and Medical Director both confirmed that the resident should not have had access to unthickened fluids, highlighting a significant lapse in adherence to the resident's care plan and physician's orders.
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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 Monett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ascend At Aurora | 13.4 mi | — | 4 | 0 |
| Mt Vernon Nursing | 13.9 mi | — | 0 | 0 |
| Lawrence County Manor | 14.1 mi | — | 4 | 0 |
| Sarcoxie Health Care Center | 14.6 mi | — | 4 | 0 |
| Cassville Health Care Center | 16.5 mi | — | 31 | 2 |
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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.