Based on interview and record review, the facility failed to ensure one of two sampled residents (Resident #12) was free from a significant medication error. The facility failed to order and administer Resident #12's antirejection medication after the resident admitted to the facility post kidney transplant. Resident #12 did not receive ordered medications for immunosuppression (a state in which the body immune system is weekend and less effective in fighting infection) on 10/15/25 and 10/16/25. …
F760 citations in Missouri
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F760 more often than its own record predicts
1.16 times the share F760 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F760 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 one resident (Resident #1) remained free of significant medication errors when Registered Nurse (RN) A did not verify admission physician's orders, which resulted in staff not administering diabetic medications and resident hospitalization with Diabetic ketoacidosis (DKA) (a life-threatening complication of diabetes that occurs when the body lacks enough insulin to use blood sugar). The facility census was 224.The administrator was notified on 06/12/26 of Past Non-Compliance which occurred on 06/08/26. …
Based on interview, and record review the facility failed to ensure one resident was free of significant medication errors, when Resident #1 was administered another resident's hour of sleep medications that included antidepressant medication, antipsychotic medication, antiseizure medication, antianxiety medication and muscle relaxant medication, Resident #1 was not prescribed. This affected one of six sampled residents. The facility census was 72. On 08/04/26 , the Administrator was notified of the past noncompliance incident which occurred on 07/29/26. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 1.27% | 1.15× |
| 2024 | 1.46% | 1.25× |
| 2025 | 1.51% | 1.16× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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