Based on observation, interview, and record review, the facility failed to implement effective pest control measures to eliminate pests, including flies from areas throughout the facility and in resident rooms. This effected multiple residents of the facility, including Resident #31, who had an open cancerous wound, that required medication to treat for infestation of maggots, Resident #5 who could not sleep due to flies and other residents during their meal service to the extent that they had to use fly swatters to deter the flies during their meal. The facility census was 35. …
F925 citations in Missouri
Pest control · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F925 more often than its own record predicts
1.61 times the share F925 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F925.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F925 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 observation, interview and record review, the facility failed to maintain an effective pest control program for two residents (Resident # 44 and Resident # 27) and in a common area that residents congregate. The sample size was 16. The census was 65. Review of the facility's Pest reporting and Management policy, undated, showed:-Purpose: to maintain a safe, sanitary, and pest-free environment for residents, staff, and visitors; Early detection and structured communication prevent infestations, minimize health risks, and ensure compliance with state at federal long-term care regulations.-Policy: All facility employees have a duty to report any suspected or confirmed pest activity immediately. …
Based on interview, and record review, the facility failed to maintain an effective pest control program. This had the potential to affect all residents in the facility. The facility's census was 65. Review of the facility's policy titled, Pest Control, revised May 2008, showed: - The facility shall maintain an effective pest control program; - This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents; - Pest control services are provided by a contracted pest control company; - Maintenance services assist, when appropriate and necessary, in providing pest control services. Review of the most recent pest control invoices showed no details of the areas of concern or what treatment was provided. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 1.49× |
| 2024 | 0.84% | 1.79× |
| 2025 | 0.72% | 1.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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