F605 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F605 less often than its own record predicts
Versus expected share0.75×
0.75 times the national share — cited less often here than elsewhere.
Share of Missouri citations0.53%
Of every deficiency written in Missouri in 2025, this is the portion that was F605.
Missouri0.53%
National0.70%
Share of all citations that were F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F605 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, isolatedNovember 20, 2023
18947
Based on observation, interview and record review, the facility failed to ensure chemical restraints were not used unless medically necessary for two of 42 sampled residents (Residents (R)31 and R70). As needed intramuscular injections of psychotropic medication were administered to both residents while physically restraining them and without their willing consent. The residents were exhibiting behaviors, however facility staff did not first attempt to utilize the residents' assessed and care planned de-escalation techniques to calm them down. …
Based on observation, interview, and record review, the facility failed to ensure one sampled resident (Resident #84) out of 18 sampled residents, was not ordered and administered medications which were not required to treat medical symptoms and resulted in altering the resident's behavior, such that the resident required a lesser amount of effort or care. Observations showed the resident sleeping for prolonged periods of time, had difficulty keeping eyes open when talking, speech was slow and soft with words slow and elongated during enunciation and incontinent. …
D · No harm, potential for more than minimal, isolatedMay 1, 2026
Based on observation, interview and record review, the facility failed to monitor symptoms and side-effects of psychotropic medications (a medication that affects brain activities associated with mental processes and behavior) for two sampled residents (Residents #12 and #38) out of five residents sampled for medication review. The facility census was 86 residents.
Review of the facility's policy Psychotropic Medications dated December 2019 showed:-The resident's need for the psychotropic medication will be monitored, as well as when the resident has received optional benefits from the medication and when the medication dose can be lowered or discontinued.-The physician's order for a psychotropic medication will include both a qualifying diagnosis for the drug and a list of behaviors… …
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