Based on interview and record review, the facility failed to ensure medical records were complete and accurate, in accordance with professional standards, when staff failed to accurately document insulin administration or rationale for not administering insulin for six residents (Residents #2, #5, #8, #9, #10, and #11). The sample was 11. The census was 147.Review of the facility's Insulin Pen Administration policy, revised January 2026, showed:-Purpose: To provide guidelines for the safe administration of insulin to residents with diabetes.-Policy: The type of insulin, dosage requirements, strength and method of administration must be verified before administration to assure that it corresponds with the order on the medication sheet and physician's orders;-Procedure: Document the… …
F842 citations in Missouri
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F842 less often than its own record predicts
0.27 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F842 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 the facility failed to provide timely access to resident electronic medical records (EMR), staff list, and resident matrix (a document listing all resident's and their clinical characteristics) from 1/27/2026 at 9:50 A.M. through 1/27/2026 at 12:00 P.M. This resulted in the surveyors being unable to timely review necessary records to conduct the survey and review of care provided to residents. The facility census was 98. No policy regarding providing access to medical records in a timely manner was provided by the facility.During an Interview on 1/27/26 at 9:50 A.M. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 0.23× |
| 2024 | 0.74% | 0.40× |
| 2025 | 0.61% | 0.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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