Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Camelot Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to document that two residents were informed of the risks and benefits of prescribed psychotropic medications before use. One resident with anxiety and depression had an order for buspirone, and another resident with bipolar disorder had orders for buspirone, quetiapine, and sertraline, but the record lacked consent or documentation that the resident or representative was informed. Facility leadership stated residents and/or representatives should be informed in advance of risks, benefits, and treatment alternatives.
Failure to inform Medicaid residents of covered basic haircuts: two residents were charged $15 for haircuts even though basic hair care was covered under the Medicaid per-diem rate. The admission packet and salon price list did not tell residents that a free basic haircut was available, and both residents said no one informed them of this benefit. The BOM stated the facility did not provide free basic haircuts, while the Administrator later stated Medicaid residents should be informed that the per diem covered basic haircuts.
Two residents had inaccurate MDS coding. One resident on hospice with dementia, respiratory failure, and pulmonary fibrosis had J1400 coded no despite hospice status, and another resident with COPD, respiratory failure, and urinary tract issues had catheter-related orders but H0300 coded always incontinent instead of not rated. Staff interviews confirmed the expected coding for hospice and indwelling catheter status.
The facility failed to follow physician orders and failed to obtain required orders for several residents. One resident with a Foley catheter had repeated missed TAR entries for output and infection monitoring, another had catheter care orders missing key details such as catheter type, size, flushing, and change instructions, and a resident with ESRD and septic emboli had missing orders for IV/PICC care and numerous missed daily weights. Staff said catheter and PICC residents should have orders for care, flushes, dressing changes, and documentation, but the records showed those orders and treatments were not consistently in place or completed.
Staff failed to follow infection control practices during resident care, including not using gowns and gloves for EBP when caring for residents with PICC lines, g-tubes, and catheters, not performing hand hygiene at required times, handling used lancets with bare hands, and not disinfecting a glucometer per manufacturer directions. Observations showed an RN, LPN, and NP touching residents, equipment, linens, trash, and a roommate’s wheelchair and restroom door without consistent PPE or hand hygiene, while another LPN performed catheter care without a gown and with repeated glove and hand hygiene lapses.
The facility failed to maintain a medication error rate below five percent, resulting in a 10.7% error rate. An LPN did not prime insulin pens as per manufacturer instructions before administering insulin to three residents. The LPN acknowledged the oversight, and the facility's administration confirmed the expectation for proper priming.
A facility failed to label an insulin pen correctly, affecting a resident. An LPN administered insulin from an undated Fiasp FlexTouch pen, contrary to the facility's policy and manufacturer's recommendations. The LPN acknowledged the oversight, and the Administrator and DON confirmed the expectation for proper labeling.
Failure to Inform Residents About Psychotropic Medications
Penalty
Summary
The facility failed to ensure residents with orders for psychotropic medications were informed about the medications before use for two residents out of five sampled. The facility policy titled, Psychotropic Management, required a psychotropic medication consent from the resident and/or responsible party and documentation of psychoactive medication review on admission, quarterly, annually, and as needed. The report stated that the facility did not have documentation that the resident and/or representative was informed of the risks and benefits of buspirone for one resident with diagnoses of anxiety and depression. For another resident with a diagnosis of bipolar disorder, the record showed orders for buspirone, quetiapine, and sertraline, but there was no documentation that the resident or representative was informed of the risks and benefits of any of these medications. During interview, the Administrator, Regional Nurse Consultant, Regional Director of Operations, and Traveling DON stated they would expect residents and/or their representatives to be informed in advance of risks and benefits of proposed care, treatments, and treatment alternatives and be able to choose a different option if preferred.
Failure to Inform Medicaid Residents of Covered Basic Haircuts
Penalty
Summary
The facility failed to inform and provide a free basic haircut for two Medicaid residents, Resident #14 and Resident #75, even though Missouri Medicaid regulations listed basic hair care, including haircuts, as covered under the per-diem rate. Review of the facility’s admission packet showed that the appendix stated hairdresser and barber services were not included in the basic daily rate and were not covered by Medicare and Medicaid/Managed Medicaid programs, but it did not include information telling residents that a free basic haircut was available to Medicaid residents. The salon price list posted on the door also listed haircut services for $15 and did not mention a free basic haircut for Medicaid residents. The Resident Trust Box Log showed that both Resident #14 and Resident #75 were charged for haircuts. During interviews, Resident #14 and Resident #75 each stated that no one told them they could get a free basic haircut, and both expressed that this would have been helpful because of limited monthly funds. The Business Office Manager stated that the facility did not provide free basic haircuts or trims, although nursing assistants would shave and trim resident beards. The Administrator stated that if a resident could not afford a haircut, the facility would pay the beautician to provide one, and later stated that Medicaid residents should be informed that the Medicaid per diem covered the expense of basic haircuts.
Inaccurate MDS Coding for Hospice and Catheter Status
Penalty
Summary
The facility failed to document accurate MDS assessments for two residents. For one resident with dementia, respiratory failure, and pulmonary fibrosis who was admitted to hospice, the MDS assessments dated 07/18/25 and 10/15/25 coded Section J1400 as no, even though the RAI Manual states J1400 should be coded yes when the medical record includes physician documentation that the resident is terminally ill or receiving hospice services. The facility did not provide a policy regarding MDS coding for accuracy. For another resident with COPD, respiratory failure, and obstructive and reflux uropathy, the medical record included catheter-related physician orders and the significant change MDS dated 01/09/26 coded H0100A as yes for indwelling catheter but H0300 as always incontinent. The RAI Manual states H0300 should be coded not rated if the resident had an indwelling bladder catheter for the entire seven-day look-back period. During interviews, the MDS Coordinator stated J1400 should be marked yes for a resident on hospice and H0300 should be marked not rated for a resident with a catheter, and the Administrator and Traveling DON said they would expect those same codes.
Missing and Unfollowed Orders for Catheter Care, PICC Care, and Daily Weights
Penalty
Summary
The facility failed to follow physician orders for three residents and failed to obtain required orders for three residents. The report states that physician orders must be clearly documented, transcribed to the appropriate administration record, and maintained with current orders, but the records reviewed showed repeated missed treatments and missing order components for catheter care, PICC line care, and daily weights. For one resident with neuromuscular dysfunction of the bladder and a Foley catheter, the physician order required catheter output to be recorded every shift and monitoring for signs and symptoms of infection every shift. Review of the TAR showed multiple missed opportunities across January and February 2026 for both day and night shifts. For another resident with obstructive and reflux uropathy, the POS included catheter care and catheter output orders, but the chart did not contain orders for the catheter type and size or for when to flush or change the catheter. Observation showed the resident in bed with a Foley drainage bag in a privacy bag, and the TAR showed missed catheter care opportunities in December 2025, January 2026, and February 2026. A third resident with ESRD, atrial fibrillation, septic arterial embolism, and muscle wasting had orders for daily weights, IV antibiotics, and PICC-related treatment, but the record lacked orders for IV access, IV flushes, PICC line care, dressing changes, and flushes. The weight record showed 23 missed daily weight opportunities out of 35, and progress notes documented PICC line placement and ongoing IV antibiotic administration through the PICC line. A fourth resident with bladder-neck obstruction also had a catheter bag change and catheter output order, but the POS did not include orders for catheter type and size, catheter care, or when to flush or change the catheter. During interviews, nursing staff stated that catheter residents should have orders for flushes, catheter size, change frequency, PRN changes, and catheter care documentation, and that PICC lines should have orders for dressing changes and flushes. Facility leadership stated they would expect physician orders to be followed and documented for catheter care, PICC line care, and daily weights.
Infection Control Failures During Resident Care
Penalty
Summary
The facility failed to maintain infection prevention and control practices during resident care, including failure to use appropriate PPE and Enhanced Barrier Precautions, failure to properly handle potentially contaminated sharps, failure to sanitize a glucometer according to manufacturer directions, and failure to perform hand hygiene at required times. These failures involved Resident #3, Resident #34, Resident #62, and two additional residents outside the sample, Resident #9 and Resident #42. Resident #62 was observed in bed receiving nebulizer treatment while staff entered and provided care without gowns or gloves. RN C, LPN D, and the NP were observed in the room touching the resident, the resident’s clothing, skin, pillows, trash bag, pillowcases, urinal, call light, bedside table, and the roommate’s wheelchair and restroom doorknob, with multiple instances where hand hygiene was not performed before or after contact and where gloves and gowns were not used. RN C also handled the resident’s urinal containing urine and changed pillowcases and trash bags with bare hands, then later accessed the resident’s PICC line and started antibiotic infusion. Resident #3 received medication via g-tube while RN A entered the room without a gown, washed hands, donned gloves, and administered the medication. RN A placed supplies on the resident’s nightstand and later set the syringe and graduated cylinder on the sink without a barrier. Resident #34 received suprapubic catheter care from LPN B, who entered without a gown, touched the resident’s wheelchair, foot pedals, pants, and catheter tubing with the same gloves, and did not consistently sanitize hands or change gloves between dirty and clean tasks. RN A also administered a sublingual medication to Resident #62 without first sanitizing or washing hands. During blood glucose monitoring for Resident #9 and Resident #42, RN A carried used lancets in a bare hand to the sharps container and placed them inside, then wiped the glucometer with a Sani-Cloth wipe without following the manufacturer’s disinfection process. The report also states that staff and leadership acknowledged that gowns and gloves were expected for residents with tubes, wounds, catheters, and indwelling IV access, that hand hygiene should occur before and after care and between glove changes, that used lancets should be handled with gloves, and that glucometers should be sanitized per manufacturer recommendations.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent, resulting in an error rate of 10.7%. This was observed during medication administration, where there were 28 opportunities with three medication errors made. The errors affected two residents within the sample and one resident outside the sample. The errors were specifically related to the administration of insulin using pen devices, where the Licensed Practical Nurse (LPN) did not follow the manufacturer's instructions to prime the insulin pens with two units before administering the insulin to the residents. The observations were made on three separate occasions involving the administration of insulin to three different residents. In each instance, the LPN failed to prime the insulin pen as required by the manufacturer's guidelines. During an interview, the LPN admitted to not priming the insulin pens and acknowledged the need to start doing so. The facility's Administrator and Director of Nursing confirmed that they expected insulin pens to be primed before administering the prescribed dose.
Failure to Label Insulin Pen Correctly
Penalty
Summary
The facility failed to label medication in a safe and effective manner, specifically affecting one resident outside of the 16 sampled residents. During an observation, an opened and undated Fiasp FlexTouch insulin pen was found on the nurse's medication cart. A Licensed Practical Nurse (LPN) administered a dose of insulin from this undated pen to the resident. The facility's policy requires medications to be dated when opened to ensure medication purity and potency, and the manufacturer's recommendations for the insulin pen specify that it should be discarded after eight weeks of being opened. During interviews, the LPN acknowledged that pens should be dated when opened, and the Administrator and Director of Nursing confirmed that they would expect insulin pens to be dated when opened.
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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) |
|---|---|---|---|---|
| Community Manor | 0.3 mi | ★★★★★ | 1 | 0 |
| Farmington Presbyterian Manor | 0.8 mi | ★★★★★ | 0 | 0 |
| Southbrook Nursing Center | 0.8 mi | ★★★★★ | 4 | 0 |
| St Francois Manor | 2.4 mi | ★★★★★ | 4 | 0 |
| Country Meadows | 6.2 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 July 2026) and official state health department websites.