Based on observation, interview and record review the facility failed to notify the physician, and state survey agency (SA) when one resident (Resident #1) had a bruise of unknow origin to his/her left eye. Registered Nurse (RN) A assessed the bruise on 08/22/26 and did not notify the physician, assistant director of nursing (ADON) or the SA. The resident's family member discovered the bruise on 08/24/26 and notified the ADON. The ADON did not notify the resident's physician or SA of the bruise of unknown origin. The facility census was 83. Review of the facility's policy titled, Abuse, Neglect and Exploitation, dated 09/01/21 showed the facility staff are to report allegations of abuse to the Administrator and the SA, immediately but not more than two hours after the allegation is made. …
F607 citations in Missouri
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F607 more often than its own record predicts
1.73 times the share F607 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F607 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 implement their background screening investigations policy when they did not check the staff's employee disqualification list (EDL) check quarterly. The facility census was 73. 1. Review of the facility's Background Screening Investigations policy, revised November 2015, showed the EDL - Through Department of Health and Senior Services - ran prior to hire and quarterly. During an interview on 08/30/23 at 10:24 A.M., the human resources director said he/she was told by corporate the EDLs only had to be ran annually. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 1.33% | 1.78× |
| 2024 | 1.40% | 1.86× |
| 2025 | 1.14% | 1.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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