Based on interview and record review, the facility failed to ensure grievances raised by resident council members were acted upon in a timely manner and failed to give a rationale as to why the grievances were not acted upon. This deficient practice had the potential to affect all residents in the facility. The sample was 21. The census was 91. Review of the facility's Grievance policy, dated 7/1/25, showed:-Policy: Residents and resident representatives have the right to voice concerns or grievances, which affect their lives at this facility, without fear of discrimination or reprisal;-Procedure: Grievances may be presented to any staff member; the staff member may resolve the issue immediately. …
F565 citations in Missouri
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F565 more often than its own record predicts
1.28 times the share F565 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F565 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, facility staff failed to provide the resident council with written actions, responses and rationales to their concerns. The facility census was 74. 1. Review of the facility's protocol titled, Grievance Protocol, undated, showed no direction for staff in regard providing a written response to the resident councils concerns. During an interview on 08/21/23 at 2:16 P.M., the members of the resident council said facility staff do not provide a written response to grievances. Further the council members said they rarely hear any response to concerns they share. During an interview on 08/23/23 at 2:16 P.M., the resident council president said he/she knows how to file a grievance. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 0.76× |
| 2024 | 0.33% | 1.07× |
| 2025 | 0.35% | 1.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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