Based on interview and record review, the facility failed to ensure resisdents were appropriately asssesed to have medicaiton at bedside prior to providing bedside medications to residents when staff returned the resident's home medications to the resident prior to the resident exiting the facility for one resident (Resident #1), out of six sampled residents. The resident self-administered two medications and was found unresponsive. The facility census was 58. On 06/24/24, the Director of Nursing (DON) was notified of the Past Non-Compliance that occurred on 06/24/24. The DON notified the physician and the Administrator. The DON completed in-service education with all licensed nurses and certified medication technicians (CMT) regarding dispensing and releasing medications to residents. …
F554 citations in Missouri
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F554 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F554 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 observation, interview, and record review, the facility failed to ensure medications were stored safely, physician orders and care plans were updated, and medication administration was documented appropriately, in accordance with facility policy, for one resident of five residents reviewed for self-administration of medication (Resident #1). The census was 85. Review of the facility's Ordering Self Administration of Medications policy, dated 12/15, showed:-Facility responsibility: Individual residents may self-administer medication if the following criteria are met: --Must have physician order to self-administer each particular medication; --Charge nurse must complete the self-administration of medication assessment form; --The interdisciplinary team must determine that it is safe… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.57× |
| 2024 | 0.58% | 1.05× |
| 2025 | 0.40% | 0.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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