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 Mcdonald County Living Center during CMS and state inspections, most recent first.
The facility did not provide necessary pharmaceutical services for residents and failed to employ or obtain the services of a licensed pharmacist, resulting in a deficiency related to medication management and oversight.
A resident experienced a significant medication error due to a failure in the medication administration process.
The facility failed to protect food from contamination by not allowing kitchenware to fully air-dry before storage. Observations revealed that soup bowls and pans were stacked while still wet, contrary to the facility's policy requiring complete air-drying to prevent contamination.
A resident at risk for pressure ulcers did not consistently receive protective heel boots as ordered by a physician. The care plan was not updated, and staff were unaware of the directive, leading to the resident not wearing the boots while in bed. Observations confirmed the boots were often found in the resident's drawer instead of on their feet.
A facility failed to ensure consistent communication and collaboration of care between the facility and hospice staff for a resident receiving hospice services. The resident, who was severely cognitively impaired, had no documentation of hospice evaluations or visit notes in their EMR or the hospice communication book. Interviews revealed that hospice staff were supposed to check out with the Administrator and facility nurses, but the facility staff did not have access to the hospice EMR, and hospice did not document in the facility EMR, leading to a deficiency in coordination of hospice services.
A resident was found unresponsive after self-administering medications that were returned to them prematurely by staff. The resident, who had diagnoses including insomnia and anxiety, was admitted with home medications that were initially secured. After expressing a desire to leave AMA, the medications were returned before the resident's departure, leading to an overdose. Facility policies requiring a physician's order and assessment for self-administration were not followed.
Failure to Provide Pharmaceutical Services and Licensed Pharmacist Oversight
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated.
Significant Medication Error Occurred
Penalty
Summary
Residents were not ensured to be free from significant medication errors. The report identifies that there was at least one instance where a resident received a significant medication error, indicating a failure in the medication administration process. Specific details about the actions or inactions that led to the error, as well as information about the resident's medical history or condition at the time, are not provided in the report.
Improper Drying of Kitchenware
Penalty
Summary
The facility failed to ensure that food was protected from possible contamination due to improper drying practices in the kitchen. During an observation and interview, it was noted that five soup bowls were stacked together while still wet from washing, indicating they had not been allowed to fully air dry. Cook 1 acknowledged that the bowls should be dry before stacking to prevent contamination. Additionally, four pans measuring 6 inches by 10 inches by 6 inches deep were found to be wet and stacked for use without being fully air-dried. This practice was contrary to the facility's policy, which mandates that all items must be air-dried completely before stacking or storing to protect them from contamination.
Failure to Implement Pressure Ulcer Prevention Measures
Penalty
Summary
The facility failed to provide pressure ulcer prevention care according to standards of practice for a resident who was at risk for developing pressure ulcers. The resident, who was severely cognitively impaired and had no unhealed pressure ulcers at the time of assessment, was supposed to wear protective heel boots while in bed as per a physician's order dated 12/06/24. However, the care plan was not updated to reflect this new order, and the intervention was not consistently implemented. Observations on multiple occasions showed that the resident was not wearing the heel boots while in bed, and the boots were found in the resident's drawer instead. Interviews with staff revealed a lack of communication and awareness regarding the new order for heel boots. A CNA was unaware of the directive to place the heel boots on the resident, and another CNA confirmed that the boots were placed on the resident only after noticing them on the dresser. The LPN acknowledged the order for heel boots but noted that the resident would kick them off. The DON confirmed that the boots were necessary for preventing skin breakdown and that the intervention should have been included in the care plan and communicated to staff during shift changes. The failure to ensure the resident wore heel boots as directed by the physician's order led to the deficiency.
Deficiency in Coordination of Hospice Services
Penalty
Summary
The facility failed to ensure consistent communication and collaboration of care between the facility and hospice staff for a resident receiving hospice services. The resident, who was severely cognitively impaired and had diagnoses including heart failure and lymphedema, was care planned to receive hospice services. However, there was no documentation of hospice evaluations or visit notes in the resident's electronic medical record (EMR) or the hospice communication book. The hospice provider began services on a specified date, but the only record available was a visit tracking log. Interviews with the Medical Records staff and the Administrator revealed that hospice staff were supposed to check out with the Administrator and facility nurses after visits, but the facility staff did not have access to the hospice EMR, and hospice did not document in the facility EMR. The hospice communication book lacked any notes, and the facility did not have minutes from Journey meetings, which were intended to discuss the resident's care. This lack of documentation and communication led to a deficiency in the coordination of hospice services for the resident.
Failure to Assess Resident for Safe Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that residents were appropriately assessed for self-administration of medications before allowing them to have medications at their bedside. This deficiency was identified when a resident was found unresponsive after self-administering two medications. The resident had been admitted with home medications, which were initially secured by the staff. However, after the resident expressed a desire to leave the facility against medical advice (AMA), the medications were returned to the resident prematurely. The resident, who had diagnoses including insomnia, depression, and anxiety, was admitted with medications from the hospital. The staff initially took and locked up these medications. During the night, the resident became agitated and called 911 multiple times, expressing a desire to leave the facility. The resident signed an AMA form, and the nurse returned the medications to the resident, anticipating an imminent departure. However, the resident did not leave immediately and was later found unresponsive, having taken additional doses of Lunesta and hydrocodone. Interviews with staff revealed that the medications should not have been returned to the resident until they were leaving the facility. The facility's policies required a physician's order for self-administration and an assessment to ensure the resident's safety in self-administering medications, which were not documented in this case. The failure to adhere to these policies and procedures led to the resident's unresponsiveness and subsequent hospitalization.
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 23 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — 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 Anderson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medicalodges Neosho | 12.8 mi | ★★★★★ | 1 | 0 |
| Highlands Of Bella Vista Health & Rehab, Llc | 15.3 mi | ★★★★★ | 1 | 0 |
| Concordia Nursing & Rehab, Llc | 15.4 mi | ★★★★★ | 0 | 0 |
| Seneca Nursing | 17.1 mi | ★★★★★ | 9 | 0 |
| Betty Ann Nursing Center | 18.9 mi | ★★★★★ | 1 | 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.