Based on interview and record review, the facility failed to complete a discharge assessment and electronically transmit encoded data Minimum Data Set (MDS - a federally mandated assessment instrument completed by facility staff) assessments from the facility to the Centers for Medicare & Medicaid Services (CMS) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system within 14 days for two residents (Resident #28 and Resident #52) out of a sample of 19 residents selected for review. The facility had a census of 51 residents. …
F640 citations in Missouri
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F640 less often than its own record predicts
0.55 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F640 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, the facility failed to correctly complete and transmit required Minimum Data Sets (MDS), a federally mandated resident assessment completed by facility staff, and tracking records for three residents (Resident #29, #14, and #87). The facility census was 88. 1. Review of Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, Version 1.17.1, dated October 2019, showed: -The CMS Long-Term Care Facility RAI User's Manual is the primary source of information for completing an MDS assessment; -The standard look-back period for the MDS 3.0 is seven days, unless otherwise stated; -The quarterly assessment is an Omnibus Budget Reconciliation Act (OBRA) non-comprehensive assessment for a… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 0.97× |
| 2024 | 0.23% | 0.69× |
| 2025 | 0.16% | 0.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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