Based on observation, interview, and record review, the facility failed to conduct a complete assessment to identify a history of trauma, the presence of symptoms related to the trauma, and triggers that may cause re-traumatization and to develop an individualized care plan with interventions to mitigate and eliminate these triggers for two residents (Residents #30 and #14), in a review of 14 sampled residents. Resident #30 had a diagnosis of post traumatic stress disorder (PTSD, a mental health condition triggered by a terrifying event, either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event) related to sexual abuse as a child. …
F699 citations in Missouri
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F699 more often than its own record predicts
1.93 times the share F699 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F699.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F699 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 interviews and record reviews, the facility failed to ensure all residents who were trauma survivors receive trauma-informed care when nursing staff was not informed about one resident's (Resident #1) past trauma as it could relate to care and failed to add trauma-informed care interventions to the resident's care plan. The facility census was 77.Review of the facility's policy titled, Trauma-informed Care Policy and Procedure, dated 03/11/26, showed the following:-The facility shall provide culturally competent, trauma-informed care to residents who are trauma survivors. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 1.79× |
| 2024 | 0.54% | 1.67× |
| 2025 | 0.64% | 1.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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