Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arrowhead Senior Living Community during CMS and state inspections, most recent first.
Staff failed to obtain and document physician orders for oxygen therapy for three residents who were observed receiving oxygen, despite facility policy requiring such orders. Interviews revealed staff were unaware of the need for individualized orders and relied on a general standing order, resulting in a lack of proper documentation and oversight.
The facility failed to reconcile narcotics at shift changes, as narcotic count sheets often lacked signatures from two licensed staff, violating policy. Interviews confirmed the expectation for dual staff counts, but records showed repeated documentation failures, raising concerns about medication security.
Failure to Obtain Physician Orders for Oxygen Administration
Penalty
Summary
Facility staff failed to obtain physician orders for oxygen use for three residents who were observed receiving oxygen therapy. Review of the facility's Oxygen Safety and Management policy indicated that oxygen should only be provided based on physician orders specifying the rate, route, and frequency of administration. However, for all three residents sampled, there was no documentation of physician orders for oxygen in their care plans or physician order sheets, despite observations confirming that each resident was receiving oxygen via nasal cannula at varying flow rates. The facility had a standing order for oxygen, but it was not individualized or documented in the residents' records as required. Interviews with staff, including the DON, CMT, RN, and administrator, revealed a lack of awareness and clarity regarding the process for obtaining and documenting oxygen orders. Staff relied on verbal handoffs and a general standing order, rather than ensuring each resident had a specific physician order for oxygen therapy. The nurse practitioner clarified that while emergency oxygen could be administered, ongoing use required communication with the physician for proper orders, which had not occurred for the residents in question.
Failure to Reconcile Narcotics at Shift Changes
Penalty
Summary
The facility failed to properly reconcile narcotics at the change of shift, as evidenced by numerous instances where narcotic count sheets lacked the required two licensed staff signatures. This deficiency was observed across multiple halls and dates, indicating a systemic issue with the facility's adherence to its own policy on controlled medication storage. The policy mandates that two licensed staff members conduct and document a physical inventory of all controlled medications at each change of shift, but this was not consistently followed. Interviews with various staff members, including LPNs, RNs, the MDS Coordinator, the DON, and the Administrator, confirmed that the expectation was for two licensed staff to count narcotics at each shift change. Despite this, the documentation did not reflect compliance with this procedure. Staff members acknowledged the importance of this practice to ensure accurate narcotic counts and prevent discrepancies, yet the records showed repeated failures to document the counts properly. The facility's Director of Nursing and other staff members admitted that they could not verify that narcotic counts had been completed on the dates where the narcotic logs were not signed by two licensed staff members. This lack of documentation raises concerns about the facility's ability to ensure the security and proper handling of controlled medications, as required by their policy and regulatory standards.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 20 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Osage Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake Regional Health Systems | 1.3 mi | ★★★★★ | 3 | 0 |
| Ozark Rehabilitation & Health Care Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Osage Beach Rehabilitation And Health Care Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Stonebridge Lake Ozark | 4.2 mi | ★★★★★ | 1 | 0 |
| Laurie Care Center | 9.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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 July 2026) and official state health department websites.