Based on interview and record review, the facility failed to ensure a discharge summary was completed, including a recapitulation of the resident's stay and final summary of the resident's status at the time of discharge (Resident #7). The sample was 14. The census was 168. Review of the discharge or transfer policy, dated January 2021, showed: -Purpose: -To provide prompt and safe discharge/transfer of a resident from the facility and to ensure continuity of care through provisions of pertinent resident information; -To provide orientation for a resident being discharged /transferred to ensure a safe and orderly transition home or to a new living environment; -Procedure: -A discharge summary observation will be completed for all residents who: -Discharge to a private residence/home or… …
F661 citations in Missouri
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F661 more often than its own record predicts
2.92 times the share F661 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F661 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 complete a comprehensive discharge summary and recapitulation of stay for one resident (Resident #38), in a review of one closed records. The facility census was 36. Review of the facility's undated policy for discharge/transfer showed the following: -Purpose of the policy was to provide safe departure from the facility and provide sufficient information for after care of the resident; -Complete a discharge summary and post discharge plan of care form which included: a. List of medications with instructions in simple terms; b. Instructions for post discharge care and explain to the resident and/or representative; c. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.52% | 2.01× |
| 2024 | 0.33% | 1.44× |
| 2025 | 0.19% | 2.92× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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