Based on observation, interview, and record review, the facility failed to ensure Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility) assessments accurately reflected residents' clinical status for two (Residents #12 and #18) out of 35 sampled residents. The facility inaccurately coded Resident #12 as receiving hospice services when the resident was not enrolled in hospice and inaccurately coded Resident #18 as receiving insulin during the MDS look-back period when no insulin was administered. These inaccurate assessments had the potential to affect resident care planning, quality measures, and the accuracy of federally required resident assessment data. …
F641 citations in Missouri
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F641 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F641 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 observation, interview, and record review, the facility failed to accurately assess the resident and correctly code the minimum data set (MDS) assessment for five residents (Residents #11, #14, #36, #6, and #7), in a review of 17 sampled residents, and one additional resident (Resident #47). The facility failed to accurately code a wound that was present on admission for Resident #7, failed to accurately code a Wanderguard alarm for Residents #11 and #14, failed to accurately code hospice for Residents #36 and #47, and failed to code active diagnoses for Resident #6. The facility census was 41.During an interview on 09/10/25 at 7:30 P.M., the Director of Nursing (DON) said the facility followed the Resident Assessment Instrument (RAI) manual for completion of the MDS. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 0.56× |
| 2024 | 1.13% | 0.67× |
| 2025 | 1.17% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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