Based on interview and record review, the facility failed to ensure a licensed Administrator was available to the facility, that staff were aware of who the Administrator was, and that the Administrator was aware of and involved in the day-to-day happenings of the facility. This resulted in the facility not having sufficient staffing scheduled and available on-hand to ensure proper care resulting in multiple residents being left wet for extended periods of time; in staff not having access to administer ordered insulin and pain medications; allowing an unlicensed driver to transport residents; and failing to provide protective oversight of residents after a staff member was allowed to return with an investigation of allegations of misappropriation against a staff member ongoing. …
F835 citations in Missouri
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F835 less often than its own record predicts
0.72 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F835 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 record review and interview, the facility failed to ensure compliance with the Federal requirement for nurse aide training when the facility made the nurse aides, employed by the facility, pay for the cost of the testing for the nurse aide training program. The facility census was 83. 1. Review of the Code of Federal Regulation, 42 CFR 483.152 Requirements for approval of a nurse aide training and competency evaluation program, showed the following:(c) Prohibition of charges. (1) No nurse aide who is employed by, or who has received an offer of employment from, a facility on the date on which the aide begins a nurse aide training and competency evaluation program may be charged for any portion of the program. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 0.80× |
| 2024 | 0.21% | 0.63× |
| 2025 | 0.21% | 0.72× |
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