Based on observation, interview and record review, the facility failed to maintain an effective grievance process for residents and family members to be able to file a grievance verbally or anonymously. This deficient practice had the potential to affect all residents in the facility. The census was 81 with 21 residents in certified beds. Review of the facility's Resident Rights, dated 11/4/19, showed the following resident rights: Resident's right to voice grievances to the facility without discrimination or reprisal and without fear of discrimination or reprisal. Review of the facility's Grievance - Informal and Formal policy, dated 6/16/25 showed:-Residents have the right to file a grievance in writing or orally;-Grievance may be filed anonymously. …
F585 citations in Missouri
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F585 less often than its own record predicts
0.62 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F585 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, facility staff failed to provide written documentation of responses related to grievances, and the policy failed to address the residents' right to file a grievance anonymously. The facility failed to ensure the results of grievances were maintained for a period of no less than three years and failed to educate and review guidelines on how to file a grievance with the residents. The facility census was 57. 1. Review of the facility's Resident Rights statement, undated, showed residents will always be provided with the highest level of care and service, and if for any reason a resident, and/or Responsible Party feel such needs are not being met by the facility staff, they are entitled to a variety of avenues in which to resolve their concern(s). …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.58% | 0.95× |
| 2024 | 0.56% | 0.88× |
| 2025 | 0.40% | 0.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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