F637 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F637 more often than its own record predicts
Versus expected share2.10×
2.10 times the share F637 takes of citations nationally.
Share of Missouri citations0.50%
Of every deficiency written in Missouri in 2025, this is the portion that was F637.
Missouri0.50%
National0.24%
Share of all citations that were F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F637 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.
D · No harm, potential for more than minimal, isolatedJune 17, 2026
Based on interview and record review, the facility failed to timely complete a significant change Minimum Data Set (MDS - a federally mandated assessment instrument completed by facility staff) assessment within 14 days of admission to hospice services for two residents (Residents #1 and #30) out of two sampled residents. The facility census was 39.Review of the facility's policy titled, MDS Completion and Submission Timeframes, revised July 2017, showed:- Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes. …
C · No harm, potential for minimal, widespreadMay 8, 2025
Based on interview and record review, facility staff failed to complete a Significant Change Minimum Data Set (MDS), a federally mandated resident assessment tool, for three residents (Resident #18, #44, and #47) out of 14 sampled residents who had either improvements and/or declines in condition. The facility census was 55.
1. Review of the facility's policies showed staff did not provide a policy for completion of a Significant Change of Status Assessment.
Review of the Resident Assessment Instrument (RAI) manual version 3.0, dated October 2024, Omnibus Budget Reconciliation Act (OBRA)-required Assessment Summary showed assessment time frames as follows:
-A significant change in status assessment (SCSA) is appropriate when there is a determination that significant change (either… …
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