Based on observation, interview, and record review the facility failed to employ a qualified activity professional to oversee the activity program of the facility. The facility employs a part time activity director, but he/she had not completed an approved activity professional training program. The facility census was 58. The facility did not provide a policy regarding activities professional training and requirements. Review of facility's job description for the Activities Director showed: Responsibilities Included: -Plans, organizes, and implements programs to meet the social, intellectual, emotional, educational, and physical needs of residents in a long-term care facility; -Creates and facilitates activities that promote socialization, intellectual stimulation, and physical… …
F680 citations in Missouri
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F680 more often than its own record predicts
2.99 times the share F680 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F680.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F680 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, facility staff failed to ensure the activities program was directed by a qualified professional. The census was 37. 1. Review of the facility's Activity Director (AD) Job Description, undated, showed the employee must have successfully completed all educational requirements for licensure and certification as required by federal and state regulations. During an interview on 06/25/25 09:02 A.M., the administrator said he/she thought the activity director had a certification but he/she did not. During an interview on 06/25/25 at 11:40 A.M., the AD said he/she did not have certification and had been in the role since November of last year. He/She did not know he/she should be certified until recently.
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 1.78× |
| 2024 | 0.25% | 3.20× |
| 2025 | 0.21% | 2.99× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction