PARKWAY SENIOR LIVING, THE.

THE FACILITY DID NOT RETURN A PLAN OF CORRECTION THEREFORE, NO POC IS INCLUDED WITH THE STATEMENT OF DEFICIENCIES (2567 FORM) PRINTED: 07/24/2025 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: A. BUILDING: COMPLETED 07/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) PARKWAY SENIOR LIVING, THE 19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing Sprinkler Systems. (B) Facilities that have a sprinkler system installed prior to August 28, 2007, shall inspect, maintain, and test these systems in accordance with the requirements that were in effect for such facilities on August 27, 2007. I/II This regulation is not met as evidenced by: Class II Based on observation, record review, and interview on July 21, 2025, the facility failed to install and maintain a complete sprinkler system in accordance with NFPA 13, 1999 edition. The facility census was sixty-eight (68). This affected sixty-eight (68) of sixty-eight (68) residents. Observation at 2:06 P.M., showed the gauges at the sprinkler riser, with a date of April 27, 2020. These gauges shall be calibrated or replaced every five (5) years. Record review at 3:08 P.M., showed on the annual sprinkler system report dated, March 31, 2025; 14.3 Internal Inspection Last date (5 years) 2020 in both wet and dry pipes, 5.3 Gauge maintenance: date last tested (5 years) blank in the wet section and 2020 in the dry section. During an interview on July 21, 2025, at 4:27 P.M., the Plan Ops Director stated, the 5-year inspections are scheduled on August 8, 2025. Record review of the Nation Fire Protection Association (NFPA) 25, 1998 Edition. 2-3.2* Gauges. Gauges shall be replaced every 5 years or tested every 5 years by comparison with a calibrated gauge. Gauges not accurate to Missouri Department of Health and Senior Services LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 NPWV11 If continuation sheet 1 of 3 PRINTED: 07/24/2025 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: A. BUILDING: COMPLETED 07/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) PARKWAY SENIOR LIVING, THE Continued From page 1 within 3 percent of the full scale shall be recalibrated or replaced. 10-2* Obstruction Investigation and Prevention. 10-2.1* To ensure that piping remains clear of all obstructive foreign matter, an obstruction investigation shall be conducted for system or yard main piping wherever any of the following conditions exist: (a) Defective intake for fire pumps taking suction form open bodies of water (b) The discharge of obstructive material during routine water test (c) Foreign materials in fire pumps, in dry pipe valves, or in check valves (d) Foreign material in water during drain tests or plugging of inspector ' s test connection (s) (e) Plugged sprinklers (f) Plugged piping in sprinkler systems dismantled during building alterations (g) Failure to flush yard piping or surrounding public mains following new installations or repairs (h) Arecord of broken public mains in the vicinity (i) Abnormally frequent false tripping of a dry valve (s) (j) Asystem that is returned to service after an extended shutdown (greater than 1 year) (k) There is a reason to believe that the sprinkler system contains sodium silicate or highly corrosive fluxes in the copper systems (1) Asystem has been supplied with raw water via the fire department connection. 10-2.2* Obstruction Prevention. System shall be examined internally for obstruction where condition exist that could cause obstructed piping. If the condition has not been corrected or the condition is one that could result in obstruction of piping despite any previous flushing procedures that have been performed, the system shall be Missouri Department of Health and Senior Services STATE FORM 6899 NPWV11 If continuation sheet 2 of 3 PRINTED: 07/24/2025 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: A. BUILDING: COMPLETED 07/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) PARKWAY SENIOR LIVING, THE Continued From page 2 examined internally for obstruction every 5 years. This investigation shall be accomplished by examining the interior of the dry value or preaction value and by removing two cross main flushing connections. Missouri Department of Health and Senior Services STATE FORM 6899 NPWV11 If continuation sheet 3 of 3

PRINTED: 05/03/2024 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION AND PLAN OF CORRECTION IDENTIFICATION NUMBER: (X3) DATE SURVEY COMPLETED A. BUILDING: C 04/18/2024 B. WING NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE PARKWAY SENIOR LIVING, THE BLUE SPRINGS, MO 64014 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES ANIOF CORRECTION (x5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED JfO THE APPROPRIATE DATE DEFICIENCY) Administration, Documented Medication Orders. (G) The administration of medication shall be recorded on a medication sheet or directly in the | resident's record and, if recorded ona medication sheet, shall be made part of the resident's record. The administration shall be recorded by the same individual who prepares the medication and administers it. II/III This regulation is not met as evidenced by: Class II*. Based on interview and record review, the facility failed to ensure one sampled resident (Resident #1) was given medications as ordered per his/her physician. The facility census was 64 residents. | A4809 19 CSR 30-86.047(47)(G) Medication Review of the facility's Medication Administration Policy dated 5/13/23 showed: _-The wellness director or designee will conduct | monthly and as needed review of the electronic medical record (EMAR) for non-distributed medication or improperly documented administration. -All medication errors shall be documented using the medication error form and reported to the on-duty nurse, wellness director, physician and responsible party. | -The medication error form must be completely filled out included who, what, where, when, why and how the error happened along with observations of the resident's condition and any | adverse effects. | -Ensure documentation of vital signs, reasons for medication refusals, etc. are documented in the EMAR system. -Upon move-in, all necessary resident information including medications, treatments, therapies, etc. Missouri Department of Health and Senior Services | LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE | (X6) DATE Suse, Bro eve trrecy 51524 STATE FORM sass YHHW11 If continuation sheet 1 of 8 PRINTED: 05/03/2024 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: A. BUILDING: COMPLETED Cc 04/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) PARKWAY SENIOR LIVING, THE Continued From page 1 will be entered into the electronic MAR system and faxed to pharmacy. -The MAR will be checked monthly by Licensed Nurse and signed. -The nurse will monitor reports daily via computer to monitor medication delivery. 1. Review of Resident #1's Face Sheet showed the resident was admitted on 3/8/24 with diagnoses including high blood pressure and Vitamin D deficiency. Review of the Resident's Order Summary Report printed 4/18/24 showed: -Active orders as of 3/11/24: -Buspirone 5 milligram (mg), take one tablet by mouth three times daily for depression. -Calcitonin-Salmon 200 units, instill one spray into nose once daily for Vitamin D deficiency. -Calcium Citrate 200 mg, take one tablet by mouth twice daily for Vitamin D deficiency. -Cephalexin 500 mg, take one capsule by mouth three times daily for seven day for urinary tract infection. -Duloxetime 60 mg, take one capsule by mouth daily for depression. -Ferrous sulfate 325 mg, take one tablet by mouth two time a week for iron deficiency. -Furosemide 20 mg take one tablet by mouth once daily on Monday, Wednesday and Friday for high blood pressure. -Hydralazine 25 mg tablet, take one tablet by mouth three times daily for high blood pressure. -Lidocaine 5% patch, apply to affected area once daily, on for 12 hours, them remove for 12 hours for acute pain. -Metoprolol 25 mg, take one tablet by mouth daily for high blood pressure. -Mirtazapine 7.5 mg, take one tablet by mouth daily for sleep disorder. Missouri Department of Health and Senior Services STATE FORM 6899 YHHW11 If continuation sheet 2 of 8 PRINTED: 05/03/2024 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: A. BUILDING: COMPLETED Cc 04/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) PARKWAY SENIOR LIVING, THE Continued From page 2 -Polyethylene dissolve one cap full (17 grams) in eight ounces of liquid and take by mouth daily for constipation. -Potassium 10 milliequivalents (mEq), take one tablet by mouth once daily on Monday, Wednesday and Friday, only if taking Furosemide, for potassium supplement. -Reguloid capsule, take on capsule by mouth twice daily for constipation. -Telmisartan 80 mg, take one tablet by mouth daily, home must reorder, for high blood pressure. -Trazodone 50 mg, take one tablet by mouth daily, home must reorder, for insomnia. -Vitamin B-12, take one tablet by mouth daily for vitamin supplement. -Vitamin D3 500 microgram (mcg), take two capsules by mouth daily for vitamin supplement. -Vitamin D3 5000 unit, take one tablet by mouth daily with food for vitamin supplement. Review of the Resident's March 2024 Medication Administration Record (MAR) showed: -Administration reviewed from admit date through transfer to hospital on 3/24/24. -Calcitonin-Salmon 200 units documented as not administered nine out of 13 opportunities from 3/12-3/24/24. -Calcium Citrate 200 mg documented as not given for 14 out of 26 opportunities from 3/11-3/24/24. -Duloxetine 30 mg, take on capsule by mouth daily, documented as not administered five out of nine opportunities from 3/22-3/24/24. -Ferrous Sulfate 325 mg documented as not administered with code 11, one out of three times from 3/15-3/24/24. -Hydralazine 25 mg documented as not administered with code 11, for five out of nine opportunities from 3/22-3/24/24. Missouri Department of Health and Senior Services STATE FORM 6899 YHHW11 If continuation sheet 3 of 8 PRINTED: 05/03/2024 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: Cc 04/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE PARKWAY SENIOR LIVING, THE (x4) ID PREFIX TAG BLUE SPRINGS, MO 64014 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X5) (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) Continued From page 3 -Lidocaine 5% patch documented as not applied with code 11, three out of 13 opportunities from 3/12-3/24/24. -Metoprolol 25 mg documented as not administered with code 11, for seven out of 13 opportunities from 3/12-3/24/24. -Polyethylene Glycol documented as not administered with code 11, for five out of 13 opportunities from 3/12-3/24/24. -Potassium 10 mEq documented as not administered with code 11, for three out of five opportunities from 3/13-3/24/24. -Reguloid Capsule documented as not administered with code 11, for 14 out of 27 opportunities from 3/11-3/24/24. -Trazodone 50 mg documented as not administered with code 11, for 10 out of 14 opportunities from 3/11-3/24/24. -Vitamin D3 50 mcg documented as not administered with code 11, for eight out of 13 opportunities from 3/12-3/24/24. *NOTE: Review of the facility Emergency Drug Supply (E-Kit) list showed Metoprolol, Polyethylene, Potassium, Trazodone and Vitamin D3 are available for administration. Review of the resident's nursing notes from 3/19-3/24/24 showed code 11 on the MAR showing the drug was not available to administer. Review of the resident's Progress Notes date 3/24/24 showed: -Medications not given, on order: Calcitonin-Salmon, Polyethylene Glycol, Vitamin D3, and Hydralazine. -Emergency Medical Services (EMS) was called after nurse observed the resident holding his/her chest, complaining of chest tightness, and having dark brown emesis. Missouri Department of Health and Senior Services STATE FORM 6899 YHHW11 If continuation sheet 4 of 8 Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: NAME OF PROVIDER OR SUPPLIER (X2) MULTIPLE CONSTRUCTION A. BUILDING: 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 PARKWAY SENIOR LIVING, THE (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL TAG REGULATORY OR LSC IDENTIFYING INFORMATION) Continued From page 4 -Vital signs taken with blood pressure (B/P) 186/101 (normal blood pressure should be equal to or less than 120/70). -The family asked if the resident's medications were given on time today. -Upon checking the MAR, the nurse found out the resident's Hydralazine for the morning and the afternoon were not given due to awaiting delivery, but the night shift was able to administer the resident's Hydralazine at 7:30 P.M. -Approximately one hour later the resident was sent to the Emergency Room (ER) via EMS due to resident continued to vomit brownish mucus, was generally weak, skin was cold and clammy. -The nurse called 911 and notified all parties of the transfer. Review of resident's Progress Note dated 3/25/24 at 3:19 A.M., showed the resident was admitted to the hospital for high blood pressure and coffee ground emesis. During an interview on 4/18/24 at 1:59 P.M. Licensed Practical Nurse (LPN) A said: -There was no trouble keeping medications in stock as long as the medications were ordered timely. -If medication was ordered on the weekend, sometimes it takes longer. -When medications were ordered, it usually took one to two days to get the medications in the facility. -If a medication was needed the after-hours number can be called and it can be ordered from a local pharmacy. -If a blood pressure medication was not available, the doctor should be called. -The medication can be obtained from the E-Kit or the pharmacy could usually get it. -Nobody should go without a blood pressure Missouri Department of Health and Senior Services STATE FORM 6899 YHHW11 PRINTED: 05/03/2024 FORM APPROVED (X3) DATE SURVEY COMPLETED Cc 04/18/2024 STREET ADDRESS, CITY, STATE, ZIP CODE PROVIDER'S PLAN OF CORRECTION (X5) (EACH CORRECTIVE ACTION SHOULD BE COMPLETE CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) If continuation sheet 5 of 8 PRINTED: 05/03/2024 FORM APPROVED Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: A. BUILDING: COMPLETED Cc 04/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) PARKWAY SENIOR LIVING, THE Continued From page 5 medication for 48 hours or more. -If the medication was ordered in a timely manner it will be delivered the same day, if not the administration can get it from the pharmacy. During an interview on 4/18/24 at 2:06 P.M. the Director of Wellness (DOW) said: -The facility usually sent scheduled medications to the pharmacy that need to be sent to the facility. -Over the counter medications can be obtained from a local pharmacy. -Sometimes the family can help get medications for a resident. -It was not acceptable that the resident went without his/her blood pressure medications for two days or more. During an interview on 4/18/24 at 2:29 P.M. Level One Medication Aide (L1MA) A said: -The only time medication was not available was when there was a new order. -If the medication was not available, it could have been gotten out of the E-Kit. -lf the resident's blood pressure medication was not in the medication cart, pull from the E-Kit. -If the medication was not in the E-Kit, he/she can contact the Director and check to see if there was an order for a PRN (as needed) medication. -Contact the pharmacy to get the medication from the backup supply from the local pharmacy. -If the resident was on hospice (end of life care), contact hospice to get the medication. -There should never be a reason for a resident to go without blood pressure medication, or any other medications for two or more days. -If the medication was that serious, something should have been done, the resident should not go without the medication. Missouri Department of Health and Senior Services STATE FORM 6899 YHHW11 If continuation sheet 6 of 8 Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: NAME OF PROVIDER OR SUPPLIER (X2) MULTIPLE CONSTRUCTION A. BUILDING: 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 PARKWAY SENIOR LIVING, THE (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL TAG REGULATORY OR LSC IDENTIFYING INFORMATION) Continued From page 6 During an interview on 4/18/24 at 3:03 P.M. the Administrator said: -The family requested to provide the medications for the resident and did not bring the medication for the resident. -Typically the facility had the medications ordered ahead of time. -He/She did not know why the resident missed his/her blood pressure medications. -He/She did not understand how the medication was not given twice during the day on 3/23/24 and 3/24/24, but was given once at bedtime. -It was the facility's responsibility to ensure the resident was getting his/her medications. -His/Her expectation was there should've been notification of the missing medications and the medications should have been obtained, no matter what pharmacy. -The resident should not have went two or more days without his/her blood pressure medications. During an interview on 4/30/24 at 11:40 A.M. the physician nurse said: -The physician was not notified of the resident missing any medications. -The missed medications was likely the cause of the resident having elevated blood pressure and chest pain as the metoprolol and hydralazine were prescribed for high blood pressure. -The physician expects to be notified of any and all missed medications for any reason. During an interview on 4/30/24 at 1:24 P.M. Resident Family Member A said: -There were concerns about the resident not getting his/her medication on 3/24/24. -The resident was acting strange and they called 911. -The family activated the camera in the room to speak with facility staff, with the paramedics in Missouri Department of Health and Senior Services STATE FORM 6899 YHHW11 PRINTED: 05/03/2024 FORM APPROVED (X3) DATE SURVEY COMPLETED Cc 04/18/2024 STREET ADDRESS, CITY, STATE, ZIP CODE PROVIDER'S PLAN OF CORRECTION (X5) (EACH CORRECTIVE ACTION SHOULD BE COMPLETE CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) If continuation sheet 7 of 8 Missouri Department of Health and Senior Services STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: NAME OF PROVIDER OR SUPPLIER (X2) MULTIPLE CONSTRUCTION A. BUILDING: 550 NE NAPOLEON DRIVE BLUE SPRINGS, MO 64014 PARKWAY SENIOR LIVING, THE (X4) ID SUMMARY STATEMENT OF DEFICIENCIES PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL TAG REGULATORY OR LSC IDENTIFYING INFORMATION) Continued From page 7 the room. -The family learned at that time the resident had not gotten prescribed medication for his/her blood pressure and anxiety. -The facility staff told the family the resident had run out his/her medications. -The facility staff had planned on addressing the resident running out of medications on Monday, when supervisory staff was back in the facility . -The resident's blood pressure was elevated when the paramedics were called. -By the time the resident arrived at the hospital his/her blood pressure was beginning to come down. -The family requested a meeting with the facility to address the concerns of the resident being out of his/her medications. -The family was not aware of the resident being out of medications prior to 3/24/24. -The family and the resident had a meeting with the facility and were assured the resident would not be out of medication again. -The facility was adamant about changing to their pharmacy for dispensing medications. -He/She was told the reason the resident ran out of medications was due to the transition from senior living to assisted living. -He/She was unsure how many days the resident was out of medications. *The higher classification merited due to the extent of the violation M0O00233873 Missouri Department of Health and Senior Services STATE FORM 6899 YHHW11 PRINTED: 05/03/2024 FORM APPROVED (X3) DATE SURVEY COMPLETED Cc 04/18/2024 STREET ADDRESS, CITY, STATE, ZIP CODE PROVIDER'S PLAN OF CORRECTION (X5) (EACH CORRECTIVE ACTION SHOULD BE COMPLETE CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) If continuation sheet 8 of 8 PLAN OF CORRECTION Provider Name: The Parkway Senior Living Street Address, City, Zip: 550 NE Napoleon Drive, Blue Springs, MO 64014 Date of Survey: 04/18/2024 Provider number: ID PREFIX TAG 29917 PROVIDER'S PLAN OF CORRECTION: (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE This plan of correction is submitted as required under State and/or Federal law. The submission of this Plan of Correction does not constitute an admission on the part of the community as to the accuracy of the surveyors’ findings or the conclusions drawn therefrom. Submission of this Plan of Correction also does not constitute an admission that the findings constitute a deficiency cited are correctly applied. Any changes to the community policies and procedures should be considered subsequent remedial measures as that concept is employed in Rule 407 of the Federal Rules of Evidence, corresponding state rules of civil procedure and should be inadmissible in any proceeding on that basis. The community submits this plan of correction with the intention that it be inadmissible by any third party in any civil or criminal action against the community or any employee, agent, officer, director, attorney, or shareholder of the community or affiliated companies. A4809 Correction of Cited Deficiency: Resident #1 has all medications present in the community as ordered by the physician. The Director of Wellness, family, Care Coordinator and Executive Director met to go over each of the medications that the family brought in versus what was ordered by a physician. All medications have been made available to the nurses and medication partners on the community's medication cart for the resident. 3/28/2024 Assessment to Identify other Residents that may be affected: An audit will be completed of move-ins from within the last 30 days to ensure any new resident had all medications on the medication cart for each physician order that was sent with the move in paperwork. 5/25/2024 Procedure to ensure on-going compliance: Director of Wellness or designee and Executive Director will review orders sent to the pharmacy each week in a one-on-one meeting. Director of Wellness will verify all medications are present, or being delivered, prior to or on the first day of the new resident’s move in. Should a family not provide medications, medications will be ordered through the 5/22/2024 | community's preferred pharmacy to have ready for resident. Education will be provided to all nurses and medication partners going over the medication administration policy and what to do if a medication is not present. Nurses and Med Partners should make proper notifications if a medication is not available. Medications can be pulled from the Emergency Kit on site and/or ordered from after-hours pharmacy. Monitoring for on-going compliance: Executive Director and Director of Wellness will spot check orders once a week for three months to ensure nurses and medication partners are following education provided and notifying if there is a missing medication so that it can be handled at the time of the incident preventing residents from going without a medication. Executive Director and Wellness Director will review move in orders and ensure there is a selected pharmacy in place prior to a new move in to prevent the same situation from occurring. The Administrator signing and dating the first page of the CMS-2567/State Form is indicating their approval of the plan of correction being submitted on this form.