The Peaks at Clinton

May 11, 2026 · Unannounced, Annual Inspection

No citations from this inspection.

February 25, 2026 · Complaint, Investigation Inspection

• High Provider shall protect clients from abuse, prevent abuse(R380-80-5(4))

  The provider was out of compliance with R432-270-5(4) by not ensuring a resident was protected from abuse, harm, and mistreatment and any action that may have compromised the health and safety of clients through acts or omissions and did not instruct and encourage others to do the same. During the inspection, the licensor identified 2 residents with injuries of unknown origin that the facility failed to investigate as required.

  The state has not yet verified this correction. · $200 penalty

November 5, 2025 · Complaint, Investigation Inspection, Follow-Up, Additional Follow-Up Inspection

• Moderate Notification of medication errors(R432-270-18(14))

  The provider was out of compliance with R432-270-(18)(14) by not ensuring the licensed health care professional was notified when medication errors occurred. During the inspection, the licensor observed 1 resident had multiple narcotic administrations documented solely on the narcotic count sheet, with no corresponding documentation entered into the medication administration record (MAR). The licensed health care professional was not documented to have notified when these medication errors occurred.

  The state has not yet verified this correction. · $150 penalty

• High Policies and procedures for medications(R432-270-18(19)(a)-(b))

  The provider was out of compliance with R432-270-18(19)(a) by not ensuring policies were implemented for the destruction and disposal of outdated medications. During the inspection, the licensor observed the facility’s medication cart contained 1 resident’s outdated narcotic medication that had not been destroyed or properly disposed of.

  The state has not yet verified this correction. · $200 penalty

• Moderate Administrator duties(R432-270-7(1)(a)-(n))

  The provider was out of compliance with R432-270-7(1)(k) by not ensuring suspected exploitation and appropriate action was documented. During the inspection, the licensor noted that 1 employee had been terminated for suspicious narcotic administration involving a resident. Documentation was not completed by the facility regarding the employee’s alleged suspicious narcotic administration activity or the termination and corrective action taken afterward.

  The state has not yet verified this correction. · $150 penalty

• Low Personnel records maintained(R432-270-20(3)(a)-(j))

  The provider was out of compliance with R432-270-20(3) by not ensuring the personnel records were maintained and available for review. During the inspection, the licensor requested the personnel record for 1 former employee. The personnel record was not available for review.

  The state has not yet verified this correction. · $100 penalty

• Moderate Type II RN nursing services(R432-270-14(3)(a)-(c))

  The provider was out of compliance with R432-270-14(3)(c) by not ensuring that the delegated routine nursing tasks were completed. During the inspection, the licensor observed that the medication technicians did not document that the registered nurse’s approval was obtained prior to the administration of as needed medications.

  The state has not yet verified this correction. · $150 penalty

• Moderate Licensee responsibilities(R432-270-5(1)(a)-(d))

  The provider was out of compliance with R432-270-5(1)(c) by not establishing policies and procedures for the general operation of the facility. During the inspection, the licensor observed that the staff were not completing the narcotic count shift change documentation according to facility policy.

  The state has not yet verified this correction. · $150 penalty

• Moderate Resident unable to self administer medications(R432-270-18(7)(a)-(f))

  The provider was out of compliance with R432-270-18(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 1 resident had an active PRN narcotic order that was documented as administered in September 2025, but the medication for this order was never filled by the pharmacy, was not present in the medication cart, and was unavailable for actual administration.

  The state has not yet verified this correction. · $150 penalty

• Moderate Medication error incident reports(R432-270-18(15))

  The provider was out of compliance with R432-270-18(15) by not ensuring that medication error incident reports were completed. During the inspection, the licensor observed documentation that 1 resident was administered an unordered narcotic several times and no medication error incident reports were completed.

  The state has not yet verified this correction. · $150 penalty

August 21, 2025 · Follow-Up, Additional Follow-Up Inspection

• Low Posting of license or certificate(R380-600-3(25))

  The provider was out of compliance with rule R380-600-3(25) by not posting their current license in a readily visible location to the public. Specifically, the licensor observed that the posted license was not current and listed a previous administrator and management company. This is a repeat non-compliance from the inspection conducted on June 30, 2025

  How was this corrected? On November 3, 2025, the licensor verified through observation that the provider had a current license posted from the Department of Health and Human Services as required by rule.

  Corrected on November 5, 2025, verified by the state.

• Low Inspection reports available(R432-270-21(6))

  The provider was out of compliance with rule R432-270-(21)(6) by not ensuring the inspection report by the local health department was maintained at the facility. Specifically, the licensor observed that the facility did not maintain the kitchen’s county health department inspection, and the certificate on display was outdated. This is a repeat non-compliance from the inspection conducted on June 30, 2025.

  How was this corrected? On November 3, 2025, the licensor verified that the provider had a current county department of health inspection posted and available for review as stated by rule.

  Corrected on November 5, 2025, verified by the state.

June 4, 2025 · Complaint, Investigation Inspection, Follow-Up, Additional Follow-Up Inspection, Follow-Up Inspection

• Moderate Residents Rights(R432-270-10(5)(a)-(x))

  The provider was out of compliance with rule R432-270-10(5)(m) by not ensuring that residents had access to telephones to make and receive private calls. During the inspection, the licensor observed that the facility phone system did not allow incoming calls and employees were using personal phone numbers to make and receive calls with residents’ families and outside providers.

  How was this corrected? On June 30, 2025, the licensor verified that the provider had reconnected their phone system for residents to make and receive private calls as required by rule.

  Corrected on June 30, 2025, verified by the state.

April 17, 2025 · Complaint, Investigation Inspection

• Moderate Resident unable to self administer medications(R432-270-19(7)(a)-(f))

  The provider was out of compliance with R432-270-19(7)(b) by not ensuring that facility staff administered medications only after delegation by a licensed health care professional under the scope of their practice. During the inspection, documentation of medication delegations for 5 unlicensed facility staff who administered medications was not provided to the licensor upon request.

  How was this corrected? On June 4, 2025, the licensor verified through employee record review and staff interviews that staff who administered medications were delegated by a licensed healthcare professional, as stated by rule.

  Corrected on June 4, 2025, verified by the state.

• Moderate Type II RN Nursing Services(R432-270-15(3)(a)-(c))

  The provider was out of compliance with R432-270-15(3)(a-c) by not ensuring a registered nurse was employed or contracted to provide or supervise nursing services, including a nursing assessment on each resident, general health monitoring on each resident, and routine nursing tasks. During the inspection, the licensor identified that the provider had not employed or contracted a registered nurse to provide or supervise nursing services.

  How was this corrected? On June 4, 2025, the licensor verified through employee record review and staff interview that a registered nurse was employed to supervise nursing services and complete resident assessments, as stated by rule.

  Corrected on June 4, 2025, verified by the state.

• Moderate Signed and dated resident assessment completed prior to admission(R432-270-13(1))

  The provider was out of compliance with R432-270-13(1) by not ensuring a signed and dated resident assessment was completed for each resident before admission and at least every six months. During the inspection, the licensor identified that assessments for 2 residents were not completed before admission, and assessments for another 2 residents were not completed at least every six months. This is a repeat non-compliance from the inspections dated July 1, 2024, and July 31, 2024.

  How was this corrected? On June 4, 2025, the licensor verified through resident record review and staff interview that assessments were completed for current residents. The provider had no new admissions since the last inspection on 4/17/25. The administrator described the procedure to ensure new resident admissions were assessed prior to admission, as stated by rule.

  Corrected on June 4, 2025, verified by the state.

March 19, 2025 · Follow-Up Inspection

• Low Significant change(R432-270-13(5))

  The licensee was out of compliance with R432-270-13(5) by neglecting to revise and update the assessments of two residents after a significant change occurred. During the inspection, the licensor observed that two residents, who had documented significant changes and were admitted to hospice, lacked completed significant change assessments. This was a repeat noncompliance as noted on 01/06/2025.

  How was this corrected? On June 4, 2025, the licensor verified through review of the significant change log, incident reports and resident assessment review that all residents with a significant change had a significant change assessment, as stated by rule.

  Corrected on June 4, 2025, verified by the state.

September 23, 2024 · Follow-Up, Additional Follow-Up Inspection, Non On-Site Inspection

No citations from this inspection.

September 4, 2024 · Follow-Up Inspection

No citations from this inspection.

July 23, 2024 · Unannounced, Annual Inspection

No citations from this inspection.