Based on interview and record review, the facility failed to maintain an Infection Prevention and Control Program (IPCP) that included an antibiotic stewardship program to with infection surveillance and antibiotic use protocols. This deficient practice had the potential to affect all residents in the facility. The facility census was 29.Review of the facility's policy titled, Antibiotic Stewardship, dated 2024, showed:- It is the policy that this facility's antibiotic stewardship program promotes the appropriate use of antibiotics and a system of monitoring to improve resident outcomes and reduce antibiotic resistance;- Antibiotics will be prescribed for the correct indication, dose, and duration to appropriately treat the resident while attempting to reduce the development of… …
F881 citations in Missouri
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F881 more often than its own record predicts
1.99 times the share F881 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F881 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, facility staff failed to implement an Antibiotic Stewardship Program with antibiotic use protocols and a system to monitor and track antibiotic use within the facility. The facility census was 50.1. Review of the facility's policy titled, Antibiotic Stewardship, revised 12/2016, showed the purpose of the antibiotic stewardship program is to monitor the use of antibiotics. The policy did not direct staff on how to track and trend antibiotics in the facility.During an interview on 04/23/26 at 1:43 P.M., the Infection Preventionist (IP) said he/she was hired in November 2025 for the IP position and received his/her certification at the end of December 2025. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.75% | 1.62× |
| 2024 | 0.64% | 1.43× |
| 2025 | 0.96% | 1.99× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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