Big River nursing and Rehabilitation Center, Cedar Hill, MO: A complaint investigation was conducted. The facility staff failed to protect one resident from sexual abuse by failing to provide sufficient monitoring of a registered sex offender.

Maple Lawn Nursing Home, Palmyra, MO: The facility failed to provide adequate assessment and supervision for three residents who smoked. Two residents, who had smoking privileges and had orders for continuous oxygen therapy, were observed with oxygen tanks on their wheelchairs while they smoked. The facility failed to develop a policy regarding resident smoking and failed to update smoking assessments.