Based on observation, interview and record review, the facility failed to provide protection from sexual abuse to one resident (Resident #2), by Resident #1, who had a documented history of sexual preoccupation and sexually inappropriate behaviors. Resident #1 was observed standing over Resident #2, who had documented developmental disabilities and moderate cognitive impairment, while pulling up his/her pants. On [DATE] at 9 A.M., Social Services said the resident reported he/she had been asleep and stated upon waking, Resident #1 was positioned over Resident #2 while touching himself/herself. Resident #2 reported Resident #1 ejaculated into Resident #1's mouth, causing him/her to cough, and stated that he/she attempted to push Resident #1 away. …
F600 citations in Missouri
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F600 more often than its own record predicts
1.24 times the share F600 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F600 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, the facility failed to prevent resident abuse for one sampled resident (Resident #9) out of eight sampled residents. On 08/23/26 Resident #10 punched Resident #9 causing a 2-centimeter (cm) laceration to his/her left cheek that required five sutures. The facility census was 43 residents.Review of the facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy, dated April 2021, showed:-Residents had the right to be free from abuse, including physical abuse;-Objectives of the Prevention Program were:--To protect residents from abuse by anyone, including facility staff, other residents, as well as visitors. …
Based on interview and record review, the facility failed to protect one Special Care Unit resident (Resident #2 ), who was unable to give consent, the right to be free from sexual abuse, when Resident #1 touched and squeezed the chest of Resident #2. The facility census was 34.On 08/24/26, the Administrator was notified of the past noncompliance incident which occurred on 08/19/26. On 08/20/26, facility administration was notified of the incident, an investigation immediately began and corrective actions were implemented to include Resident #1 room was moved, Resident #1 with 1:1 monitoring, and staff education to include de-escalation of behavior, abuse, neglect and sexual behaviors training. The noncompliance was corrected on 08/24/26 prior to the onsite visit. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 1.68% | 0.95× |
| 2024 | 2.18% | 0.93× |
| 2025 | 3.24% | 1.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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