Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
F840 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F840 more often than its own record predicts
Versus expected share1.03×
1.03 times the share F840 takes of citations nationally.
Share of Missouri citations0.05%
Of every deficiency written in Missouri in 2025, this is the portion that was F840.
Missouri0.05%
National0.05%
Share of all citations that were F840.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F840 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.
D · No harm, potential for more than minimal, isolatedApril 15, 2026
Based on observation, interviews and record review, facility staff failed to ensure arrangements were made for nephrology (services that provide care for kidney related conditions) services outside of the facility for one resident (Resident #35) of one sampled resident with kidney disease. The facility census was 27.1. Review of the facility's admission Agreement, undated, showed if a resident chose a physician who does not have privileges at the facility, the resident must travel, at their own expense, to the healthcare provider to receive services from that provider. The agreement did not contain direction or guidance on assistance to set up transportation for ordered services or assistance in set up for the appointments. …
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