Based on record review and interview, the facility failed to ensure that a written transfer agreement with a hospital was in effect to ensure residents timely admission to the hospital when medically appropriate and that information would be exchanged between providers. The facility census was 59. Review showed the facility did not provide a policy pertaining to written transfer agreements with a hospital or a written transfer agreement with a community hospital. During an interview on 02/27/25, at 3:30 P.M., the Administrator said he/she had not been able to locate a written transfer agreement. When the facility changed to new ownership in 2020, the facility applied at two local hospitals with no response. …
F843 citations in Missouri
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F843 more often than its own record predicts
3.38 times the share F843 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F843.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F843 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.
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2024 | 0.02% | 1.20× |
| 2025 | 0.05% | 3.38× |
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