Based on interview and record review, the facility failed to contact Emergency Medical Services (EMS), to initiate and provide continuous Cardiopulmonary Resuscitation (CPR) timely per facility policy for one sampled resident (Resident #1) out of three sampled residents, who was a full code status. The facility census was 31 residents. The Administrator and Director of Nursing (DON) were notified on [DATE] at 2:45 P.M., of the Immediate Jeopardy (IJ) Past Non-Compliance which occurred on [DATE]. On [DATE], the Administrator and DON became aware of the violation of the facility's CPR policy. The facility in-serviced the staff on the CPR policy and procedures, medical emergencies and ensured code status updates for all residents. The IJ was corrected on [DATE]. …
F678 citations in Missouri
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F678 more often than its own record predicts
3.65 times the share F678 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F678 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 ensure to have process in place to ensure resident's received cardiopulmonary resuscitation (CPR - life-saving emergency procedure used when someone's breathing or heartbeat has stopped, combining chest compressions and rescue breaths to keep blood flowing to vital organs) per standard of practice when two of the four staff who performed CPR were not certified in CPR (official credential proving that you have completed a formal training course and know how to perform CPR, use an AED (automated external defibrillator), and manage choking or breathing emergencies), for one resident (Resident #1) prior to Emergency Medical Services arrival. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.78% | 4.17× |
| 2024 | 0.47% | 2.25× |
| 2025 | 0.66% | 3.65× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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