Based on interview and record review, the facility failed to ensure nursing staff working in the facility were licensed to practice in the state of Missouri, when a Licensed Practical Nurse (LPN) on duty, who obtained their nursing license in a different state was working as a LPN in the facility with no Missouri nurses license. This had the potential to affect all residents. The census was 170.Review of the facility's current Human Resources (HR) General Position Information, showed graduated practical nurses (GPN, an individual who had graduated from nursing school to work as an LPN but had not yet passed the nursing boards) may only work for maximum of 90 days following graduation date. …
F839 citations in Missouri
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F839 more often than its own record predicts
2.36 times the share F839 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F839.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F839 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 observation, interview, and record review, the facility failed to maintain a qualified administrator on duty from 1/31/2020 to 2/10/2020. The facility census was 75. Review of the current Missouri Association of Nursing Home Administrators license registry web site showed Administrator A not listed as a current Missouri Licensed Administrator. During an interview on 2/14/2020 at 11:45 A.M., the Assistant Director of Nursing(ADON) said Administrator A had left for the day and that this was his last day as the administrator. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2024 | 0.08% | 1.46× |
| 2025 | 0.13% | 2.36× |
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