Based on observation, interview and record review, the facility failed to allow one resident (Resident #4) to participate in his/her own plan of care, when the resident was placed in a secured/locked unit based solely on his/her history of justice involvement. This failure did not support the resident's goals, choices, and preferences. This practice affected one resident who was admitted into the facility and immediately placed on the secured unit due to his/her status as a sex offender (Resident #4). The resident was described as being visibly upset when he/she got to the facility. The resident stated he/she did not want to come to this facility, and no one asked or provided him/her any paperwork. …
F553 citations in Missouri
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F553 more often than its own record predicts
1.00 times the share F553 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F553.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F553 findings written in Missouri, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to invite two residents (Resident #7 and Resident #55) to care plan meetings out of 16 sampled residents. The facility census was 63 residents. A policy was requested from the facility for care plan meetings and was not provided. Review of the undated Care Plan Invitation Form showed:-A place for the residents' name.-Three boxes in which one would be checked for if the person invited would be:-Attending in person.-Join in by telephone.-If neither the resident, nor family member would be in attendance. 1. Review of Resident #7's admission record showed the resident was admitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.86× |
| 2024 | 0.16% | 0.88× |
| 2025 | 0.19% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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