Based on observation, interview and record review, the facility failed to ensure hospice (end of life care) orders were complete and failed to update the resident's care plan to identify and include hospice services were provided for one sampled resident on hospice services (Resident #28) out of 13 sampled residents. The facility census was 49 residents. 1.Review of Resident #28's Face Sheet showed the resident was admitted with diagnoses that included:-Stroke with paralysis on his/her right side.-Aphasia (a communication disorder resulting from damage to the brain's language centers).-High blood pressure.-Seizures.-Pain.-Muscle weakness.-Communication deficit and language disorder.-Kidney failure.-Restlessness.-Agitation.Review of the resident's quarterly Minimum Data Set (MDS-a federally… …
F849 citations in Missouri
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F849 less often than its own record predicts
0.39 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F849 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 staff failed to document collaboration of care with hospice providers for development and implementation of a coordinated plan of care and communication between the facility and their two hospice providers for two out of three residents (Resident #27, and #31) receiving Hospice services. The facility census was 38. 1. Review of the facility's Hospice Services Agreement, undated, showed: -Plan of Care. Hospice will collaborate with Facility on a coordinated Plan of Care developed jointly between Hospice and Facility. -Resident Chart. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.55× |
| 2024 | 0.21% | 0.67× |
| 2025 | 0.11% | 0.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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