Based on interview, and record review, the facility failed to ensure one sampled resident (Resident #1) who required dialysis three times a week, received physician ordered dialysis services on 10/22/24 and 10/24/24. On 10/26/24, the resident was sent to dialysis and dialysis staff noticed a significant change in condition and sent the resident to the hospital. The resident was admitted to the hospital on 10/26/24 for weight gain, abdominal pain, acute encephalitis (a neurological condition), end stage renal disease, hyponatremia (low sodium), hyperkalemia (elevated potassium), and his/her hemoglobin was low- requiring an immediate blood transfusion before the resident could receive dialysis. The facility census was 91 residents. …
F698 citations in Missouri
Dialysis · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F698 more often than its own record predicts
1.53 times the share F698 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F698.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F698 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 follow their Home Dialysis Treatment policy and Notification of Changes policy for one resident readmitted to the facility on [DATE], with an order for dialysis (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly) three times a week. Facility staff failed to provide or attempt to provide the resident's transportation to/from dialysis on 11/8/23 and to communicate with the dialysis facility to request a different time for dialysis. Staff also failed to contact the resident's physician of the missed appointment timely and was not notified of the missed dialysis until 11/9/23. …
Based on interview and record review, the facility failed to implement physician orders for pre- and post-dialysis assessments and pre- and post-dialysis weights and failed to develop a comprehensive care plan that addressed the resident's dialysis needs for one resident (Resident #55) out of one sampled resident receiving dialysis. The facility census was 49.Review of the facility policy titled, Care of a Resident with End-Stage Renal Disease, dated September 2019, showed:- Staff caring for the resident with End-Stage Renal Disease (ESRD - the final stage of chronic kidney disease that requires a regular course of dialysis or a kidney transplant), including residents receiving dialysis care outside the facility, shall be trained in the care and special needs of these residents;- Education… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 1.19% | 1.46× |
| 2024 | 0.91% | 1.20× |
| 2025 | 1.14% | 1.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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