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

JOPLIN GARDENS

JOPLIN, MO · 92 certified beds · Last Life Safety survey August 23, 2024

CMS Certification Number 265853 · first certified December 2015

Ownership

Operated by JAMES & JUDY LINCOLN · For profit - Limited Liability company

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

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within MO

14 citations — more than 37% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 2.5. 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

1 inspection-and-testing tag has 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

2 of the 14 citations on file are 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)

4 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 14 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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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 facility14MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
22019-1032022-0992024-08
Citations at each Life Safety survey
Survey dateCitations
October 18, 20192
September 13, 20223
August 23, 20249

Most-cited tags

Most-cited tags at this facility
K-07122K-02931E-00391K-02221K-09201K-09111K-03241K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22024-08-23
K-0293Have properly located and lighted "Exit" signs.12019-10-18
E-0039Conduct testing and exercise requirements.12024-08-23
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.12024-08-23
K-0920Ensure proper usage of power strips and extension cords.12022-09-13
K-0911Meet requirements for the installation and maintenance of electrical systems.12022-09-13
K-0324Provide properly protected cooking facilities.12024-08-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-08-23

What the citations cover

Citations by CMS category
  • Egress Deficiencies 3
  • Smoke Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Egress Deficiencies3
Smoke Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies2
Services Deficiencies1

Every citation on file

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

August 23, 2024 — 9 citations

Citations issued on August 23, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (October 4, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 4, 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 (September 16, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 4, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (October 4, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 6, 2024)
K-0522Have an externally vented heating system.Deficient, Provider has date of correction (October 4, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 4, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 4, 2024)

September 13, 2022 — 3 citations

Citations issued on September 13, 2022
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 25, 2022)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (October 25, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 25, 2022)

October 18, 2019 — 2 citations

Citations issued on October 18, 2019
TagWhat the surveyor checksStatus
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 (December 2, 2019)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 2, 2019)

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