Based on interview and record review, the facility failed to ensure the facility arbitration agreement (a private process where disputing parties agree that one or several other individuals can make a decision about the dispute after receiving evidence and hearing arguments), provided to residents upon admission, allowed the resident or his/her representative to revoke the facility's arbitration agreement within 30 days of signature. This had the potential to affect all residents admitted to the facility who signed the arbitration agreement. The facility identified 11 residents admitted in the past 30 days. …
F847 citations in Missouri
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F847 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F847.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F847 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 explicitly inform the resident or their representative of their right not to sign an arbitration agreement (a private process where disputing parties agree that one or several other individuals can make a decision about the dispute after receiving evidence and hearing arguments) as a condition of admission, or as a requirement to continue to receive care at the facility, and to have the residents properly indicate their choices on signed admission agreements for two of three residents sampled for review of arbitration agreements (Residents #1 and #52). The census was 93. Review of the facility's admission packet, showed, dated September 2019, showed: -Arbitration: --A. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.95× |
| 2024 | 0.16% | 1.00× |
| 2025 | 0.13% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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