Based on interview and record review, the facility failed to ensure an assessment of the Level I preadmission screening resident review (PASARR) assessment (used to identify individuals with mental illness or intellectual/developmental disabilities completed before admission to the nursing facility) was completed before admission for one resident (Resident #6). The affected one of 12 sampled residents. The facility census was 32.The facility did not provide a PASARR policy. 1. …
F645 citations in Missouri
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F645 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F645 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 have a Preadmission Screening and Resident Review (PASARR) completed for one resident (Resident #61) with a documented [DIAGNOSES REDACTED]. The facility census was 73. 1. Review of the facility's policy for Preadmission Screening, dated 11/10/16, showed the following: -Preadmission Screening and Resident Review (PASARR) is a federal requirement to help ensure individuals are not inappropriately placed in nursing homes for long term care; -PASARR requires that all applicants to a Medicaid certified nursing facility be evaluated for serious mental illness and/or intellectual disability; be offered the most appropriate and least restrictive setting for their needs; and receive the services they need in those settings; -The process… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.78% | 1.34× |
| 2024 | 0.74% | 1.16× |
| 2025 | 0.42% | 0.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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