Average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Life Care Center Of Jefferson City during CMS and state inspections, most recent first.
Surveyors observed that kitchen equipment, including a stove, steamer, deep fryer, and an electrical box, had visible food debris, buildup, and sticky residue, indicating that cleaning protocols were not followed. The RD confirmed that the equipment was not maintained in a clean and sanitary condition as required by facility policy.
A resident with multiple chronic conditions was found to have a portable stand-up fan in their room with significant dust and debris buildup on the blades and grille. Facility staff confirmed that this accumulation should not occur with routine cleaning, and that housekeeping was responsible for maintaining cleanliness of room contents.
Two residents were incorrectly coded on their MDS assessments as receiving anticoagulant medications, despite only having physician orders for antiplatelet drugs such as aspirin and clopidogrel. This error was identified through review of medical records, facility policy, and staff interviews, and was confirmed by the MDS Coordinator.
A resident with multiple medical conditions and moderate cognitive impairment was identified as a candidate for a toileting program to address bowel and bladder incontinence. Despite this, staff did not implement a toileting, timed, or scheduled voiding program, and the resident remained incontinent. Staff interviews and documentation confirmed the absence of appropriate continence interventions.
A resident with multiple chronic conditions did not receive oxygen therapy at the physician-ordered rate of 3L/min via nasal cannula. Observations showed the oxygen was set at 2L/min on multiple occasions, and staff confirmed the discrepancy between the order and actual administration.
Staff failed to discard an expired multi-dose vial of TB ppd and did not date another opened vial, leaving both available for resident use in the medication refrigerator. The DON and RN confirmed that these vials were not managed according to facility policy or manufacturer guidelines, resulting in expired and undated medication being stored and accessible.
A facility's kitchen equipment, including the dishwasher door, gas stove burners, griddle, convection oven, can opener blade, and storage bins for flour and powdered sugar, was found with dried food debris and unsanitary substances. The facility's policy required daily cleaning and sanitizing according to manufacturer's instructions, which was not followed. The Food Service Manager confirmed the lack of daily cleaning, leading to unsanitary conditions. The facility's menu review indicated pasta was served on the day of the observation, posing a potential contamination risk.
The facility failed to create person-centered care plans for two residents. One resident's preference for wearing a nasal cannula in her mouth was not documented, and another resident without Dementia had care plan interventions meant for Dementia patients. Both the LSW and DON confirmed the deficiencies.
The facility failed to label the tube feeding formula for a resident with the date and time of initiation, as required by policy. The LPN and DON confirmed the oversight, which involved a resident with Protein-Calorie Malnutrition, Gastrostomy, and Dysphasia.
The facility failed to store a nasal cannula in a sanitary manner for a resident with COPD and did not follow proper infection control practices during medication administration for another resident with multiple diagnoses. An LPN admitted to handling medications with bare hands, contrary to infection control protocols.
Failure to Maintain Kitchen Equipment in Clean and Sanitary Condition
Penalty
Summary
The facility failed to maintain kitchen equipment in a clean and sanitary condition as required by its own sanitation and maintenance policy. During an observation of the kitchen, surveyors found dried dark brown food debris on the handles of the 6-burner gas stove's oven compartments, light brown food debris on the bottom front of the steamer door and its operational control panel, and copious amounts of granular food debris on the deep fryer's top drip tray, as well as dried tan fluid streaks on both sides of the unit. Additionally, an electrical box mounted beside the deep fryer was found to be dirty, covered in debris, and sticky to the touch. The Registered Dietitian confirmed that the kitchen was supposed to be cleaned daily and deep cleaned weekly, and acknowledged the presence of food debris and buildup on the equipment, confirming that the kitchen equipment was not maintained in a clean and sanitary condition.
Failure to Maintain Clean and Sanitary Resident Environment
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in accordance with its daily room cleaning policy, which requires housekeeping staff to ensure the cleanliness of each resident's room and its contents. Observations on two consecutive days revealed that a portable stand-up fan in a resident's room had accumulated a large amount of gray dust and thick debris resembling clumped gray fibers on both the blades and the protective grille. The resident involved had a medical history including Parkinson's Disease, Diabetes Mellitus, an above-knee amputation, and Peripheral Vascular Disease. The Assistant Director of Nursing confirmed the presence of the debris and acknowledged that it should not be present with routine cleaning. The Environmental Service Director also confirmed that housekeeping was responsible for cleaning the rooms and their contents.
Inaccurate MDS Coding for Anticoagulant Use
Penalty
Summary
The facility failed to accurately complete Minimum Data Set (MDS) assessments for two residents reviewed for anticoagulant use. According to the facility's policy and the CMS Resident Assessment Instrument (RAI) Manual, staff are required to correctly document medication use, specifically distinguishing between anticoagulants and antiplatelet medications. For both residents, medical record reviews showed active physician orders for antiplatelet medications such as aspirin and clopidogrel, but no orders for anticoagulant medications. Despite this, the MDS assessments for these residents were incorrectly coded to indicate anticoagulant use. The inaccuracy was confirmed during an interview with the MDS Coordinator, who acknowledged that the assessments did not align with the RAI manual's definitions. The residents involved had medical histories including cerebral palsy, epilepsy, congestive heart failure, muscle weakness, diabetes mellitus, displaced intertrochanteric fracture of the femur, gait abnormalities, and acute cystitis with hematuria. The deficiency was identified through a review of facility policy, the RAI manual, medical records, and staff interviews.
Failure to Implement Bowel and Bladder Continence Program
Penalty
Summary
The facility failed to provide appropriate treatment and services to restore continence of bowel and bladder for one resident with multiple diagnoses, including cerebral palsy, epilepsy, congestive heart failure, muscle weakness, and diabetes mellitus. The resident was always incontinent of bowel and bladder, had moderate cognitive impairment, and was dependent on staff and a mechanical lift for transfers. Despite facility policies requiring assessment and implementation of interventions to restore continence, the resident's care plan only included general interventions such as assistance with toileting and peri-care as needed, and reminders to call for assistance. There was no evidence of a toileting, timed, or scheduled voiding program being implemented. Medical record reviews showed that the resident was identified as a candidate for toileting, timed, or scheduled voiding based on two separate evaluations, and the urinary incontinence tool indicated the resident could comprehend instructions and participate in such a program. However, documentation for a 30-day period confirmed the resident remained incontinent 100% of the time, and interviews with staff, including an LPN, CNA, and the DON, confirmed that no toileting program had been initiated. The DON acknowledged that the resident should have been placed on a toileting program according to the assessment tools used.
Failure to Administer Oxygen Therapy as Ordered
Penalty
Summary
A deficiency occurred when a resident with multiple diagnoses, including cerebral palsy, epilepsy, congestive heart failure, muscle weakness, and diabetes mellitus, did not receive oxygen therapy as ordered by the physician. The resident's care plan and physician's order specified continuous oxygen administration at 3 liters per minute via nasal cannula. However, during observations on two separate days, the resident was found receiving oxygen at only 2 liters per minute, both in the dining room with a portable oxygen canister and in their room with an oxygen concentrator. Despite the Medication Administration Record being signed by nursing staff to indicate that the oxygen was administered as ordered, direct observation and staff interviews confirmed the oxygen flow rate was set incorrectly at 2 liters per minute instead of the prescribed 3 liters per minute. The LPN acknowledged the discrepancy, and the Director of Nursing confirmed that oxygen is expected to be administered as ordered by the physician.
Failure to Discard Expired and Undated Multi-Dose Vials of TB PPD
Penalty
Summary
Facility staff failed to properly manage multi-dose vials of Tuberculin (TB) purified protein derivative (ppd) in accordance with facility policy and manufacturer guidelines. During an observation of the medication refrigerator in the Unit 2 Medication Storage Room, one multi-dose vial of TB ppd was found to be opened and dated 5/6, but not discarded after 30 days as required by the manufacturer. The year of opening was also not indicated. A second opened multi-dose vial of TB ppd was found without any date indicating when it had been opened. Both vials were available for resident use at the time of the survey. Interviews with the RN and the DON confirmed that the vials had not been managed according to policy, as one was not discarded after the required period and the other lacked an opened date. The facility's policy and the manufacturer's guidelines both require opened multi-dose vials to be dated and discarded within a specified timeframe to ensure potency and safety. The failure to follow these procedures resulted in expired and undated medication being stored and available for use.
Sanitation Lapses in Kitchen Equipment Maintenance
Penalty
Summary
The facility failed to maintain sanitary kitchen equipment, potentially affecting 97 residents. During an initial kitchen observation, it was noted that the dishwasher door, gas stove burners, griddle, convection oven, can opener blade, flour and powdered sugar bins were all found to have various levels of dried food debris and unsanitary substances present. The facility's policy on sanitation and maintenance required cleaning and sanitizing equipment according to manufacturer's instructions, which was not being followed adequately. The Food Service Manager confirmed during an interview that the kitchen equipment was not being cleaned daily as expected, leading to the unsanitary conditions observed. Furthermore, the review of the facility's menu revealed that pasta had been served on the day when the deficiency was noted, indicating a potential risk of contamination from the unsanitary kitchen equipment. Despite a weekly cleaning schedule being in place, the equipment was found to be in an unsanitary state, highlighting a lack of adherence to proper cleaning protocols.
Failure to Create Person-Centered Care Plans
Penalty
Summary
The facility failed to create person-centered care plans for two residents, leading to deficiencies in their care. Resident #23, who was admitted with diagnoses including Heart Failure, Respiratory Failure, Alzheimer's Disease, and Obstructive Sleep Apnea, preferred to wear her nasal cannula in her mouth rather than her nose. Despite being cognitively intact and expressing this preference, her care plan did not include any interventions related to this preference. Observations and interviews confirmed that the resident consistently wore the nasal cannula in her mouth, and the Director of Nursing (DON) was unaware of this preference, acknowledging that it should have been included in the care plan. Resident #25, admitted with diagnoses including Acute Respiratory Failure, Bipolar Disorder, Anxiety Disorder, and Muscle Weakness, did not have a diagnosis of Dementia. However, the care plan included interventions appropriate for a resident with Dementia, such as using non-verbal cues to manage behavior. The Licensed Social Worker (LSW) responsible for developing the care plan confirmed that these interventions were not person-centered and inappropriate for Resident #25. The DON also confirmed that the care plan interventions were not suitable for the resident's actual condition.
Failure to Label Tube Feeding Formula
Penalty
Summary
The facility failed to ensure that the tube feeding formula for Resident #43 was appropriately labeled with the date and time when initiated. Resident #43, who was admitted with diagnoses including Protein-Calorie Malnutrition, Gastrostomy, and Dysphasia, had a physician order for enteral feeding at specific times and rates. However, during an observation, it was noted that the tube feeding formula was infusing without any label indicating the date or time of initiation. Both the resident and LPN confirmed that the feeding had started that morning, but the exact time was unknown, and the formula was not labeled as required by the facility's policy and the manufacturer's guidelines. The Director of Nursing (DON) confirmed that it was the facility's expectation for the enteral formula bottle to be labeled with the date and time when initiated. The failure to label the tube feeding formula appropriately was acknowledged by the LPN and verified by the DON, indicating a lapse in adherence to the facility's protocol for managing enteral feedings. This deficiency highlights a critical oversight in ensuring proper documentation and safety measures for residents receiving tube feedings.
Infection Control Deficiencies in Oxygen Storage and Medication Administration
Penalty
Summary
The facility failed to ensure a nasal cannula was stored in a sanitary manner for one resident and did not follow proper infection control practices during medication administration for another resident. Resident #78, who was admitted with diagnoses including Aftercare for Joint Replacement and Chronic Obstructive Pulmonary Disease (COPD), had an oxygen nasal cannula observed lying on the floor under the bed. Despite the facility's policy requiring oxygen supplies to be stored in a labeled bag when not in use, the nasal cannula was not replaced after being on the floor. The Director of Nursing confirmed that the nasal cannula should have been replaced after it was observed on the floor and not placed back on the resident. Additionally, the Physical Therapist Assistant admitted to using the nasal cannula that was lying on the bed, which was against the facility's policy. Resident #59, who was admitted with diagnoses including Atrial Fibrillation, Major Depressive Disorder, and Chronic Pain Syndrome, experienced improper medication administration. During an observation, an LPN was seen pushing medication tablets through blister packets onto her bare hands and placing them into a medication cup. One tablet fell onto the surface of the medication cart and was picked up with bare hands before being administered to the resident. The LPN acknowledged that she knew this practice was against infection control protocols but found it easier to handle the medications this way. This failure to follow proper infection control practices during medication administration was confirmed by the LPN herself.
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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 Jefferson City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jefferson City Health And Rehab Center | 0.4 mi | ★★★★★ | 0 | 0 |
| Jefferson County Nursing Home | 7.5 mi | ★★★★★ | 9 | 0 |
| Ridgeview Terrace Of Life Care | 11.1 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Morristown | 11.5 mi | ★★★★★ | 2 | 0 |
| Heritage Center, The | 13.1 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 July 2026) and official state health department websites.