Based on interview and record review, the facility failed to ensure staff treated residents with dignity and respect for four residents (Residents #1, #2, #3, and #6) in a review of nine sampled residents. Residents described staff as being rude, disrespectful and were loud, snappy, and yelled at them. Others described staff as talking down to them, scolding them and making them feel stupid while others said staff mocked and made fun of them, calling them a liar, and making them feel terrible, angry, frustrated, and not like home. …
F557 citations in Missouri
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F557 more often than its own record predicts
1.58 times the share F557 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F557 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 and interview the facility failed to provide a dignified existence for one resident, who resided on the Special Care Unit, (Resident #1), when Certified Nurse Aide (CNA) A took a picture of Resident #1, without resident or family/guardian consent and shared it with a coworker. The facility census was 48Review of the facility provided Resident Rights Policy dated 12/2024 showed:-Each resident residing in this community has the right and will be afforded the right to a dignified existence;-It is the responsibility of all who work in this community including employees, to protect the rights of each resident;-Resident Rights include privacy and confidentiality.Review of Resident #1's Significant Change Minimum Data Set (MDS: a federally mandated assessment tool completed… …
U4413 Based on interview and record review, the facility failed to allow a resident access to his/her personal possessions for one resident (Resident #5) out of a sample of four. The census was 50. 1. Record review of the facility maintained Personal Effects Inventory showed Resident #5's inventory included a personal wheelchair, Rollator (wheeled walker with a seat) and recliner. Observation on 10/18/22 at 9:38 A.M., showed the resident's room did not contain a Rollator, a wheelchair, or a recliner. Observation on 10/18/22 at 9:40 A.M., showed the resident seated in a wheelchair near the TV area. The wheelchair had a sticker on the back of it that showed St. John's Place. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 1.14× |
| 2024 | 0.52% | 1.94× |
| 2025 | 0.37% | 1.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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