Based on interview and record review, the facility failed to provide routine laboratory monitoring of [MEDICATION NAME] (an anti-infective medication) levels for one resident (Resident # 65) with a history of kidney disease. The resident experienced critical high laboratory levels and required a hospitalization . The facility census was 87. Record review of the Mayo Clinic website showed medications, such as certain [MEDICAL CONDITION] drugs, antibiotics and dyes used during imaging tests may cause damage to the kidneys. …
F757 citations in Missouri
Unnecessary drugs · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F757 less often than its own record predicts
0.13 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F757.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F757 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, facility staff failed to ensure all residents were free from unnecessary drugs when the facility failed to clarify Depakote (Valproic acid-medication used to prevent seizures and stabilize mood) orders with the prescribing physicians and pharmacy for one resident (Resident #1) with two Depakote orders from two different providers (Psychiatrist and Medical Director) prior to administration possibly resulting in excessive Depakote administration which may have contributed to falls. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.14× |
| 2024 | 0.19% | 0.27× |
| 2025 | 0.11% | 0.13× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction