F697 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F697 more often than its own record predicts
Versus expected share1.02×
1.02 times the share F697 takes of citations nationally.
Share of Missouri citations0.80%
Of every deficiency written in Missouri in 2025, this is the portion that was F697.
Missouri0.80%
National0.78%
Share of all citations that were F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F697 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.
J · Immediate jeopardy, isolatedNovember 26, 2024
35394
40865
JW
Based on observation, interview and record review, the facility failed to provide pain management, for one resident (Resident #524) with a fractured hip who complained of pain when staff provided care upon waking, when assessed by therapy at breakfast and when put to bed after dinner. The resident was administered no pain medication for 19 hours until he/she was transferred to the hospital. The facility staff also failed to provide as needed (PRN) pain medication to one resident (Resident #516) who suffered from chronic pain for four hours.
The facility also failed to ensure one resident's (Resident #507's) Lidocaine patch (a topical pain reliever) was ordered timely and administered as ordered. …
Based on interview and record review, the facility failed to provide an effective pain management program for two residents (Resident #4 and #1), in a review of four sampled residents. The facility failed to consistently monitor the effectiveness of pain medication following administration to Resident #4 and to administer as needed (PRN) pain medication to ensure the resident's pain was controlled. The facility failed to ensure Resident #4 had effective pain management when he/she was out of his/her oxycodone (opioid pain reliever) from 05/16/26 until 05/20/26 and his/her pain was not controlled. The resident frequently rated his/her pain as an eight or higher (on a pain scale of 0-10 with 10 being the most pain) and staff identified the resident's pain affected his/her mood and emotions. …
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on interview, and record review, the facility failed to ensure a complete and effective pain management program was in place for one resident (Resident #1) when staff failed to provide and document interventions when pain medication was ineffective, and failed to notify the physician of unrelieved pain. The facility census was 62. Review of the facility provided policy Administering Pain Medications and Pain Management dated March 2020 showed:-The pain management program is based on a facility wide commitment to appropriate assessment and treatment of pain;-Pain management is defined as the process of alleviating the resident's pain based on his/her condition;-Pain management includes: addressing the underlying cause of pain; Developing and implementing approaches to pain management;… …
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