Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F838 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F838 takes of citations nationally.
Share of Missouri citations0.27%
Of every deficiency written in Missouri in 2025, this is the portion that was F838.
Missouri0.27%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F838 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.
F · No harm, potential for more than minimal, widespreadAugust 14, 2026
Based on interview and record review, the facility failed to update the comprehensive facility assessment annually, in accordance with all applicable Federal requirements. Failure to develop and update the comprehensive facility assessment annually could delay the services needed to care for the residents in day-to-day operations and in emergencies. This failure could affect all facility occupants. The facility census was 86. Review of the facility policy/template titled, Requirements of Participation: Facility assessment, revised July 2024, showed the facility must review and update this assessment annually or whenever there is/the facility plans for any change that would require a modification to any part of this assessment. …
C · No harm, potential for minimal, widespreadFebruary 26, 2026
Based on interview and record review, facility staff failed to update the Facility Assessment at least annually, failure to review the assessment within 12 months may result in the facility failing to identify a factor that would require a change to the assessment. The facility census was 53.1. Review of the Facility's Assessment, dated 12/04/24, showed the assessment did not contain documentation the assessment was reviewed for 2025
During an interview on 02/26/26 at 1:37 P.M., the administrator said she does not know why the facility assessment has not been reviewed and updated since 2024. The administrator said she is aware the assessment needs to be completed at least annually. …
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