Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MASON POINTE CARE CENTER

CHESTERFIELD, MO · 63 certified beds · Last Life Safety survey August 22, 2024

CMS Certification Number 265071 · first certified May 1995

Ownership

Operated by EVERTRUE · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within MO

18 citations — more than 48% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (October 2025 to May 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was August 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 18 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 18 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility18MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
82019-0642023-0762024-08
Citations at each Life Safety survey
Survey dateCitations
June 11, 20198
July 12, 20234
August 22, 20246

Most-cited tags

Most-cited tags at this facility
K-03452K-02112K-03532K-03511E-00411K-02711K-09111K-07811
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-08-22
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-08-22
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-07-12
K-0351Install an approved automatic sprinkler system.12019-06-11
E-0041Implement emergency and standby power systems.12023-07-12
K-0271Have exits that are accessible at all times.12019-06-11
K-0911Meet requirements for the installation and maintenance of electrical systems.12019-06-11
K-0781Have restrictions on the use of portable space heaters.12019-06-11

What the citations cover

Citations by CMS category
  • Egress Deficiencies 5
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Egress Deficiencies5
Smoke Deficiencies5
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 22, 2024 — 6 citations

Citations issued on August 22, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 20, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (August 20, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 20, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 20, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 21, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 16, 2024)

July 12, 2023 — 4 citations

Citations issued on July 12, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (September 1, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 1, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 1, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 1, 2023)

June 11, 2019 — 8 citations

Citations issued on June 11, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 25, 2019)
K-0271Have exits that are accessible at all times.Waiver has been granted (December 11, 2019)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 25, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 25, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (July 25, 2019)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (July 25, 2019)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (July 25, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 25, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.