Based on interview and record review, the facility failed to notify five residents (Residents #116, #123, #160, #170, and #186) out of 10 sampled residents when their resident trust fund account balances were within $200 of their Medicaid spend-down limit. This deficient practice had the potential to affect all residents receiving Medicaid benefits with a spend-down requirement. The facility census was 169. The facility did not provide a policy regarding spend-down notifications. …
F569 citations in Missouri
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F569 more often than its own record predicts
4.63 times the share F569 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F569.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F569 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 record review and interview, facility staff failed to provide refunds of personal funds to from the facility operating account for nine residents (#294, #290, #296, #288, #295, #287, #286, #291, and #289) out of 15 sampled residents who discharged from the facility within the required 30 days. The facility census was 35. 1. The facility did not provide a policy for accounting records. Review of the facility's Admission Agreement, undated, showed the facility agreed to refund the unused balance of payment when the resident discharges from the facility. 2. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 3.39× |
| 2024 | 0.74% | 6.45× |
| 2025 | 0.50% | 4.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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