F609 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F609 less often than its own record predicts
Versus expected share0.73×
0.73 times the national share — cited less often here than elsewhere.
Share of Missouri citations1.78%
Of every deficiency written in Missouri in 2025, this is the portion that was F609.
Missouri1.78%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F609 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, isolatedJune 26, 2024
Based on interview and record review, facility staff failed to report an allegation of sexual abuse for one resident (Resident #1) to the administrator on 4/17/24, after witnessing the event. The alleged perpetrator worked 18 additional shifts before the nurse aide reported what was seen to the administrator on 5/13/24. The administrator failed to report the allegation of sexual abuse to the Department of Health and Senior Services (DHSS) within the required two hour timeframe. The facility census was 52.
The Administrator was notified on 06/26/24, of an Immediate Jeopardy (IJ) which began on 04/17/24. The IJ was removed on 05/30/24 as confirmed by surveyor onsite verification.
1. …
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on interview and record review, the facility failed to follow their policy and ensure an injury of unknown origin for Resident #1 was reported to the state survey agency within two hours. The facility census was 62. Review of the facility provided policy Abuse Investigation and Reporting dated July 2017 showed:-All reports of resident abuse, neglect, exploitation, misappropriation of resident property, mistreatment, and/or injuries of unknown source shall be promptly reported to the Administrator, local , state and federal agencies, and thoroughly investigated;-All alleged violation of abuse, neglect, exploitation, or mistreatment, (including injuries of unknown source) will be reported immediately but not later than: 2 hours if the alleged violation involves suspicion of a crime,… …
C · No harm, potential for minimal, widespreadFebruary 6, 2018
Based on interview, and record review, the facility staff failed to report an allegation of abuse involving Resident #9 and Resident #22 within in two hours to the administrator and the state agency (Department of Health and Senior Services). A sample of 17 resident was selected. The facility census was 66.
Record review of the facility's Abuse and Neglect Policy, dated 11/27/17, showed the following information:
-Abuse definition: The infliction of physical, sexual, or emotional injury or harm including financial exploitation by any person, firm, or corporation;
-All allegations of abuse and neglect will be reported to the administrator and Director of Nursing immediately after an allegation is made;
-All allegations of abuse and neglect will be reported to the State Survey Agency in… …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction