Based on interview and record review, the facility failed to ensure the Minimum Data Set's (MDS- a federally mandated assessment tool completed by facility staff for care planning) were signed by the Registered Nurse (RN) for seven sampled residents (Resident #12, #36, #21, #42, #41, #204, and #154) out of seven sampled residents who triggered for late MDS assessments. The facility census was 54 residents. Review of the facility policy titled MDS Assessment Coordinator dated November 2019 showed: -A Registered Nurse (RN) shall be responsible for conducting and coordinating the development and completion of the resident assessment (MDS). -A RN shall be designated the responsibility of conducting and coordinating each resident's assessment. …
F642 citations in Missouri
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Missouri cites F642 less often than its own record predicts
0.87 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2023, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F642 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 ensure the Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, Completion Date (Z0500B) was no later than 14 days after the Assessment Reference Date (ARD) (A2300) for four additional residents (Resident #11, #51, #10 and #405). The facility census was 117. Review of the Resident Assessment Instrument (RAI) manual, dated 10/1/17, showed the following: -Z0500B description: MDS Completion Date: Date of the RN assessment coordinator's signature, indicating that the MDS is complete; -In accordance with the requirements at 42 CFR 483.20(f)(1), (f)(2), and (f)(3), long-term care facilities participating in the Medicare and Medicaid programs must meet the following conditions: -For all… …
What else Missouri surveyors cite →
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