Based on observation, interview and record review, the facility failed to ensure residents who needed assistance with nail care, received timely nail care services. The delay in services resulted in long, jagged and unkempt toenails (Resident #107 and Resident #12). The sample was 31. The census was 141.Review of the nail care policy, revised 6/26/24, showed:-Purpose: To provide guidelines for the provision of care to a resident's nails for good grooming and health;-Policy: -Assessments of nails will be conducted on admission and readmission to determine the nail condition, needs, and preferences for nail care: -Report unusual or abnormal conditions of the nails to the physician and the responsible party (curling, color changes, separation from the nail bed, redness, bleeding, pain, odor,… …
F687 citations in Missouri
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F687 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F687.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F687 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.
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.09% | 0.51× |
| 2024 | 0.12% | 0.65× |
| 2025 | 0.11% | 0.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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