Based on interview and record review, the facility failed to have physician orders for the resident's immediate care when staff failed to transcribe one resident's surgical wound treatments from the hospital discharge orders into the facility physician orders and failed to obtain a treatment order for the coccyx (tailbone) wound, which was present on admission, which resulted in the treatment not being provided/documented for four days after admission (Resident #111). The sample size was 24. The census was 102. The administrator was notified on 6/26/25, of past non-compliance. When the facility identified the issue, they immediately assessed the resident's current condition, notified the physician/Nurse Practitioner (NP). Treatment orders were put in place per provider's order. …
F635 citations in Missouri
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F635 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F635 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.
What else Missouri surveyors cite →
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