Based on observation, interview and record review, the facility failed to provide behavioral health care services to address one resident's (Resident #84) known history of self-harming behavior. The facility failed to develop and implement care plan interventions related to the self-injurious behaviors, failed to develop a safety plan for the resident, and to timely refer the resident to psychiatric services, resulting in self-mutilating behaviors of biting off his/her fingers when he/she became frustrated or angry. The facility also failed to address one resident's aggressive behavior and pulling the facility fire alarm multiple times. (Resident #39) The sample was 33. The census was 149. …
F740 citations in Missouri
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F740 more often than its own record predicts
1.51 times the share F740 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F740 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 observation, interview and record review, the facility failed to provide the necessary behavioral services as recommended by the admission Preadmission Screening and Resident Review (PASRR, a federally required screening process used to check if a person applying to or living in a Medicaid-certified nursing facility has a serious mental illness, intellectual disability, or developmental disability) assessment for one resident and follow the behavior modification plan for Resident #1, who had a documented history of sexual preoccupation and sexually inappropriate behaviors. Resident #1 was observed standing over a sleeping resident with documented developmental disabilities and moderate cognitive impairment (Resident #2) and begged and pleaded for oral sex. …
Based on interview and record review, the facility failed to develop and implement an individualized plan of care to manage the known behavioral health needs of one sampled resident, (Resident #1), of nine sampled residents. The facility census was 119 residents.1. Review of Resident #1's admission Record Face Sheet dated 8/13/26 showed he/she was admitted to the facility on [DATE] with the following diagnoses:-Schizoaffective disorder, (a mental health disorder that can cause unusual thoughts or perceptions along with significant changes in mood);-Psychotic disorder with delusions due to physiological condition, (a mental health disorder involving impaired perception of reality and firmly held false beliefs);-Anxiety disorder, (a mental health disorder characterized by excessive fear,… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 1.10× |
| 2024 | 0.37% | 1.50× |
| 2025 | 0.40% | 1.51× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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