F677 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F677 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F677 takes of citations nationally.
Share of Missouri citations2.39%
Of every deficiency written in Missouri in 2025, this is the portion that was F677.
Missouri2.39%
National2.27%
Share of all citations that were F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F677 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.
H · Actual harm, patternOctober 31, 2024
See Event ID 0WE512.
Based on observation, interview and record review, the facility failed to ensure dependent residents who were unable to carry out activities of daily living, including toileting and incontinence care, received the necessary services to maintain good personal hygiene. This affected four out of four residents who were incontinent of bowel and/or bladder (Resident #33, #34, #45 and #46) when staff failed to provide incontinence care in a timely manner. Two additional residents (Residents #43 and #44) said staff frequently did not check them for incontinence every two hours and failed to answer their call lights timely when they needed to be changed. They were left wet for extended periods of time. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on observation, interview and record review, the facility failed to provide necessary assistance with Activities of Daily Living (ADLs) and ensure residents maintained personal hygiene for three of 16 sampled residents. Residents #57 and #7 were observed being left soiled for extended period and Resident #1 was observed with soiled fingernails and not receiving assistance with meals. The census was 65. Review of the facility's Personal Care Needs policy, revised date 1/2024, showed:-Protocol: The facility will provide the needed support when the resident performs their ADLs. The interdisciplinary plan of care will address the individual needs and preferences of the residents. Personal care in ADL support will be provided according to the resident care plan. …
B · No harm, potential for minimal, patternFebruary 27, 2025
Based on observation, interview, and record review, facility staff failed to provide care to meet basic hygiene needs for three (Resident #5, #24, and #80) out of five sampled residents. The facility census was 75.
1. Review of the facility's policies showed the staff did not provide a bath policy.
2. Review of Resident #5's Quarterly Minimum Data Set (MDS), a federally mandated assessment, dated 01/30/25, showed staff assessed the resident as follows:
-Brief Interview for Mental Status ((BIMS) - a short cognitive screening tool) score not conducted as the resident is rarely/never understood;
-Did not reject care;
-Required substantial/max assist from staff with personal hygiene and to shower/bathe. …
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