F603 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F603 more often than its own record predicts
Versus expected share1.17×
1.17 times the share F603 takes of citations nationally.
Share of Missouri citations0.05%
Of every deficiency written in Missouri in 2025, this is the portion that was F603.
Missouri0.05%
National0.05%
Share of all citations that were F603.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F603 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.
J · Immediate jeopardy, isolatedFebruary 1, 2023
Based on observation, record review, and interview, the facility failed to protect the resident's right to be free from involuntary seclusion by staff when one staff member Registered Nurse (RN) A held one resident's (Resident #1) door shut while he/she was in their room and attempting to exit the room, in response to his/her behaviors and combativeness with staff. Multiple staff were present during the time RN A held the door closed and witnessed the resident attempting to exit their room and did not intervene. The facility census was 43.
The Administrator was notified on 1/26/23, at 1:39 P.M., of an Immediate Jeopardy which began on 1/19/2023. The Immediate Jeopardy was removed on 01/26/23, as confirmed by surveyor onsite verification. …
Based on observation, interview, and record review, the facility placed one resident (Resident #4) on a secured/locked unit within the facility, without clinical justification and an assessment of whether the individual met the criteria for admission on to a secured unit. The facility placed the resident, who was cognitively intact and their own responsible person, on the secured unit- based solely on his/her status as a registered sex offender. The resident stated he/she did not want to come to this facility, and no one asked or provided him any paperwork. The resident stated he/she didn't do anything and didn't know why he/she was locked up in this place. The sample was 5. …
D · No harm, potential for more than minimal, isolatedMay 16, 2025
Based on observation, interview and record review, the facility failed to ensure residents were free from involuntary seclusion for one resident (Resident #45). The facility failed ensure policies and procedures were developed with clinical criteria for placement on the secured unit and to ensure residents who resided on the secured unit were assessed for appropriateness. As a result, the resident had been placed on and remained on the secured unit without clinical rationale. The facility staff failed to notify the resident's next of kin of the relocation from the first floor to the secured unit. The facility failed to assess continued appropriateness of the placement following the move on to the secured unit. …
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