Based on observation and interview, the facility failed to ensure one resident with an order for a puree diet (smooth consistency with very fine particles so that chewing is not required) and special instructions for feeding was fed by qualified staff with the appropriate training (Resident #24). The census was 156. Review of the resident's diagnoses listed on the admission face sheet, included epilepsy (seizures), dementia, dysphagia (difficulty swallowing), cognitive communication deficit and adult failure to thrive. …
F659 citations in Missouri
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F659 citations were recorded in Missouri for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Missouri surveyors wrote
F659 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.
What else Missouri surveyors cite →
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