Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chaffee Nursing Center during CMS and state inspections, most recent first.
Failure to inform residents or their representatives in advance of the risks, benefits, and alternatives of psychotropic medications. Two residents had psychotropic medications started without documentation that informed consent was provided before initiation, including an antipsychotic for a resident with dementia and agitation and multiple psychotropics for a resident with dementia, bipolar disorder, and anxiety. The DON said consents were charted in progress notes, while an LPN said the psychiatry provider verbally discussed the medications and documented the conversation.
A resident discharged from skilled Medicare services remained in the facility, but the required SNF ABN was not issued in writing at least two calendar days before skilled services ended. The record showed the resident received a NOMNC, while the Administrator said the SNF ABN was overlooked and that she misread the instructions for issuing the notice.
Failure to use EBP and perform hand hygiene during resident care occurred for two residents with wounds. Staff entered rooms without EBP signage or gowns, and during transfer, incontinent care, and wound care, gloves were changed without hand hygiene and dirty-to-clean care was performed without proper hand hygiene. Interviews confirmed staff knew hand hygiene was required before and after care and when changing gloves, and that residents with wounds or indwelling devices should be on EBP.
Items Stored on Overhead Light Fixtures: Staff observed multiple resident rooms with pictures, figurines, stuffed animals, a vase, a glass globe, and other items placed on top of overhead light fixtures above residents' beds. The Housekeeper said he/she did not know if items should be placed on light fixtures, while the RN and DON stated residents should not have items on the fixtures and that housekeeping monitored rooms for items on the lights.
A facility failed to provide trauma-informed care for a resident with PTSD, depression, insomnia, and anxiety disorder. The resident's care plan did not address PTSD or document past trauma and triggers, despite the resident's history of trauma and specific triggers. Interviews with staff revealed a lack of awareness and documentation regarding the resident's PTSD and triggers, indicating non-compliance with the facility's trauma-informed care policy.
A facility failed to maintain a medication error rate below five percent, resulting in a 7.41% error rate. A resident received aspirin in the wrong form and an incorrect dosage of Fluticasone Propionate Nasal Suspension. The RN involved admitted to not confirming the correct dosages before administration.
Facility staff failed to maintain infection control practices during medication administration and personal care. An RN contaminated medications by picking up dropped pills with bare fingers and did not perform hand hygiene between tasks. CNAs did not change gloves or perform hand hygiene during catheter care, contaminating the process. Additionally, staff did not follow enhanced barrier precautions for a resident with a lumbar wound, neglecting to use gloves and gowns during high-contact care activities.
Failure to Inform Residents Before Starting Psychotropic Medications
Penalty
Summary
The facility failed to inform residents and/or their responsible parties, in advance, of the risks and benefits of proposed psychotropic medications before starting treatment for two residents. The facility policy stated that prior to initiating or increasing a psychotropic medication, the resident, family, and/or resident representative must be informed of the benefits, risks, and alternatives, and that the facility will document that this information was provided in advance. Review of the records showed no documentation that the resident or representative was informed before Rexulti was started for one resident with diagnoses of dementia with agitation and anxiety disorder. For another resident with diagnoses of dementia, bipolar disorder, anxiety disorder, and sarcopenia, the record showed multiple psychotropic medication orders, including lorazepam, quetiapine, Remeron, and trazodone, but no documentation that the resident or representative was informed of the risks and benefits before these medications were initiated. During interviews, the DON stated she was responsible for obtaining consents and that they were charted in progress notes. An LPN stated the psychiatry provider verbally reviewed risks and benefits and documented the conversation in progress notes, and that residents did not sign anything. The Administrator and DON stated they would expect residents and/or representatives to be informed in advance of the risks and benefits and possible alternatives for psychotropic medications.
Failure to Issue SNF ABN Before End of Skilled Medicare Services
Penalty
Summary
The facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) in writing at least two calendar days before the end of skilled Medicare services for one resident. Resident #35 discharged from skilled Medicare services on 04/08/26 and remained in the facility, and the record showed the resident received a Notice of Medicare Non-Coverage (NOMNC) on 03/30/26 but did not receive a SNF ABN notice. The deficiency involved the facility's failure to provide the required notice to the resident and/or the resident's representative before skilled services ended. The facility policy titled, Advance Beneficiary Notices, stated that Medicare beneficiaries must be informed of potential liability for payment and that a liability notice shall be issued before the facility provides services that may not be covered by Medicare. It also stated that for Medicare Part A services, the facility shall use the SNF ABN form and that the Business Office Manager or designee is responsible for issuing notices. During interview, the Administrator said she was responsible for giving out SNF ABN and NOMNC notices and stated that Resident #35 did not receive a SNF ABN because it was overlooked and that she was new to the role and misread the instructions for issuing the notices.
Failure to Use EBP and Perform Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to maintain proper infection control when staff did not implement Enhanced Barrier Precautions (EBP) for two residents with wounds and did not perform hand hygiene during resident care for two residents. The facility policy stated that residents with wounds and/or indwelling medical devices should have an order for EBP, that gowns and gloves should be used during high-contact care activities, and that hand hygiene should be performed before and after direct contact, before and after glove use, and when moving from dirty to clean care. Resident #48 had diagnoses of wounds to the left thigh, bilateral gluteal folds, and right arm, but there was no order for EBP. During observation of a mechanical lift transfer, there was no EBP signage outside the room and no gowns available outside the room. CNA A and CNA B entered the room without gowns, performed hand hygiene, and used gloves during the transfer. During observation of incontinent care, there was again no EBP signage and no gowns available outside the room. CNA A and CNA B entered without gowns, and CNA B performed front peri care, changed gloves, cleaned the resident's buttock area, changed gloves again, and did not perform hand hygiene between these tasks. Resident #65 was observed during a gait belt transfer and wound care. The resident also had no EBP signage outside the room and no gowns available outside the room. RN C and CNA D entered after performing hand hygiene and putting on gloves, but RN C removed the soiled coccyx dressing, changed gloves without performing hand hygiene, cleaned the wound, did not change gloves or perform hand hygiene, applied the clean dressing, then changed gloves again without hand hygiene before finishing care. Staff interviews confirmed that hand hygiene should be performed before and after care and when changing gloves, and that residents with wounds or indwelling devices should be on EBP with gloves and gowns used for high-contact care.
Items Stored on Overhead Light Fixtures
Penalty
Summary
The facility failed to provide a safe environment for residents and staff by allowing miscellaneous items to remain on top of overhead light fixtures in resident rooms. Observation on 05/11/26 found Room PA 1-A with two pictures, a pot, and a sign on top of the light fixture above the bed next to the door; Room MS 4-B with ten figurines on top of the light fixture above the resident's bed next to the window; Room PA 6-B with a cross, two stuffed animals, a vase, a glass globe, six figurines, and an art house on top of the light fixture above the bed next to the window; and Room NG 3-B with two figurines and one stuffed animal on top of the light fixture above the resident's bed next to the window. In Room NG 3-B, a decoration made from strips of cloth was draped under the light fixture and attached to each end of the fixture above the resident's bed. Observation on 05/13/26 found Room NG 8-A with one stuffed animal on top of the light fixture above the resident's bed next to the door, and Room NG 8-B with three paper flower arrangements, one framed picture, one stuffed animal, and a plastic figurine on top of the light fixture above the resident's bed next to the window. During interview, the Housekeeper said he/she did not know if items should be placed on light fixtures. The RN said residents should not have items on light fixtures and staff sometimes had to go around and take the items off. The DON said housekeeping was responsible for monitoring light fixtures to make sure nothing was placed on them, and that no items should be on the light fixtures. The DON and Administrator later stated they would expect no items to be placed on top of the lights in resident rooms, and that housekeeping monitored resident rooms for items on the lights.
Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to provide trauma-informed care for a resident diagnosed with PTSD, depression, insomnia, and anxiety disorder. The resident's medical record lacked a trauma-informed care assessment, and the comprehensive care plan did not address PTSD, include goals for maintaining psychosocial and mental health, or document past trauma and potential triggers. Despite the resident's history of trauma and specific triggers, such as distress from hearing people talk about them and a past heat stroke, these were not identified or addressed in the care plan. Interviews with facility staff, including the MDS Coordinator, Social Service Designee, Director of Nursing, and Administrator, revealed a lack of awareness and documentation regarding the resident's PTSD and triggers. The MDS Coordinator acknowledged that PTSD should be included in the care plan if active, while the Social Service Designee was unaware of any specific triggers for the resident. The Director of Nursing and Administrator confirmed that PTSD and triggers should be documented in the care plan if active, indicating a failure to adhere to the facility's policy on trauma-informed care.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent during medication administration, resulting in an error rate of 7.41%. This deficiency was identified through observation, interview, and record review, affecting one resident out of three sampled. Specifically, there were 27 opportunities for medication administration, with two errors made. The errors involved the administration of aspirin and Fluticasone Propionate Nasal Suspension to Resident #4. The facility's policy on administering oral medications requires checking the medication label and confirming the medication name and dose with the Medication Administration Record (MAR), as well as re-checking the medication dose. During the medication administration for Resident #4, RN E administered aspirin in the enteric-coated form instead of the prescribed chewable form and only administered one spray of Fluticasone Propionate Nasal Suspension in each nostril instead of the prescribed two sprays. RN E acknowledged the errors during an interview, stating that the dosage of the nasal spray should have been confirmed before administration and the correct form of aspirin should have been given. The facility's Administrator and Director of Nursing expressed their expectation to maintain a medication error rate of less than five percent.
Infection Control Deficiencies in Medication and Personal Care
Penalty
Summary
The facility staff failed to maintain appropriate infection control practices during medication administration and personal care activities. During medication administration for two residents, a registered nurse (RN) was observed dropping pills onto the medication cart, picking them up with bare fingers, and placing them back into the medication cup, contaminating the medications. The RN then administered these contaminated medications to the residents without performing hand hygiene between tasks or after touching the residents and the medication cart. In another instance, during catheter care for a resident, certified nurse aides (CNAs) failed to change gloves or perform hand hygiene between clean and dirty tasks. The CNAs repeatedly reached into basins of soapy and clean water with the same gloves, contaminating the water and washcloths used for cleaning the resident's perineal area and catheter. This improper technique was observed throughout the entire catheter care process, compromising infection control standards. Additionally, the facility staff did not adhere to enhanced barrier precautions (EBP) for a resident with a lumbar wound. Despite a sign indicating EBP, CNAs entered the resident's room without performing hand hygiene or donning gloves and gowns. They proceeded to perform high-contact care activities, such as using a mechanical lift and brushing the resident's hair, without following the necessary precautions. Interviews with staff confirmed their awareness of the required procedures, yet these were not followed during the observed care activities.
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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 Chaffee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lutheran Home, The | 9.3 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Cape Girardeau | 9.8 mi | ★★★★★ | 1 | 0 |
| Chateau Girardeau | 9.9 mi | ★★★★★ | 10 | 0 |
| Fountainbleau Lodge | 11.3 mi | ★★★★★ | 0 | 0 |
| Ratliff Care Center | 11.7 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.