Based on observation, interview, and record review, the facility failed to develop and implement a baseline care plan (the minimum healthcare information necessary to properly care for the immediate needs of a resident) for three residents (Residents #22, #43, and #55) out of four sampled residents. The facility census was 49. The facility did not provide a policy regarding Baseline Care Plans. 1. Review of Resident #22's medical record showed: - admission date of 06/01/26; - Diagnoses of chronic obstructive pulmonary disease (COPD, lung disease making it hard to breathe), diabetes mellitus (a chronic condition that affects the way the body processes glucose), heart failure (heart not pumping blood as it should), obstructive sleep apnea (OSA, airway obstruction making it harder to… …
F655 citations in Missouri
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F655 less often than its own record predicts
0.93 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F655 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 provide the resident or resident representative a copy of the resident's baseline care plan for three residents Resident (#5, #7, and #14). The facility census was 41. Review of the facility policy, Care Plans - Baseline, revised 2022, showed the following:-A baseline plan of care to meet the resident's immediate health and safety needs is developed for each resident within 48 hours of admission;-The resident and/or representative are provided a written summary of the baseline care plan (in a language that the resident/representative can understand) that includes, but is not limited to the following: -The stated goals and objectives of the resident; -A summary of the resident's medications and dietary instructions; -Any services… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.87% | 1.09× |
| 2024 | 0.37% | 0.54× |
| 2025 | 0.61% | 0.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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