Based on interview and record review, the facility failed to complete comprehensive Minimum Data Set (MDS, a federally mandated assessment completed by the facility) assessments within the required timeframes for two residents (Residents #22 and #55) out of 13 sampled residents. The facility census was 49. Review of the facility's policy titled MDS–Staff Responsibilities, dated October 2017, showed: - Members of the interdisciplinary team (IDT) would complete assigned sections of the MDS and corresponding Care Area Assessments (CAAs) within the timeframes established by the Resident Assessment Instrument (RAI) Manual; - The MDS Coordinator would schedule admission, quarterly, and annual MDS assessments; - The MDS Department would immediately notify the Administrator of issues affecting… …
F636 citations in Missouri
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F636 less often than its own record predicts
0.96 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F636 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 record review and interview, facility staff failed to document the date and location of the documentation used to complete the Care Area Assessment (CAA) section (section V0200) of the Minimum Data Set (MDS), a federally mandated resident assessment tool, for 19 sampled residents (Residents' #4, #6, #9, #17, #21, #26, #27, #28, #31, #34, #39, #41, #43, #44, #48, #54, #57, #59 and #223). The facility census was 70. 1. Review of the CAA summary section of the Resident Assessment Instrument (RAI) Manual showed the following: -Check section A (Care Area Triggered) if Care Area is triggered; -For each triggered care area, indicate whether a new care plan, care plan revision, or continuation of current care plan is necessary to address the problem(s) identified in your assessment of… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.64% | 1.61× |
| 2024 | 0.47% | 1.62× |
| 2025 | 0.24% | 0.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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