F741 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F741 more often than its own record predicts
Versus expected share8.85×
8.85 times the share F741 takes of citations nationally.
Share of Missouri citations0.42%
Of every deficiency written in Missouri in 2025, this is the portion that was F741.
Missouri0.42%
National0.05%
Share of all citations that were F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F741 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, isolatedMarch 11, 2025
Based on interview and record review, the facility failed to provide staff with appropriate competencies and skill sets to provide nursing and related services to ensure resident safety and attain the highest practicable physical, mental, and psychosocial well-being for two sampled residents (Resident #1 and #2) when staff failed to implement interventions preventing Resident #2 from hitting Resident #1 and interventions preventing staff from physically moving Resident #1 against his/her will. The census was 120.
On 02/25/25 at 3:30 P.M., the Administrator was notified of the immediate jeopardy (IJ) which began on 02/06/25. The IJ was removed on 02/27/25, as confirmed by surveyor onsite verification. …
Based on interview and record review, the facility failed to ensure the facility staff had the competencies and skills to assure resident safety for one sampled resident (Resident's #23), when on 4/14/24 at about 11:00 A.M., Housekeeper B failed to utilize non-physical crisis intervention and de-escalation techniques in accordance with facility policy, resulting in physical abuse and psychosocial harm to the resident. About 12:20 P.M., Hall Monitor C made derogatory statements to the resident, based on their behavioral health symptoms and engaged in a physical altercation with the resident against facility policies and training for a behavioral intervention resulting in abuse of the resident. Six residents were sampled for review. …
E · No harm, potential for more than minimal, patternAugust 24, 2026
Based on interview and record review, the facility failed to provide resident-specific behavioral health training to staff who are responsible for providing care to one sampled resident (Resident #1) out of ten sampled residents, with a known history of aggressive behaviors. 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 heath disorder involving impaired perception of reality and firmly held false beliefs);-Anxiety disorder, (a mental… …
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