Based on interviews, record reviews, and facility policy review, the facility failed to maintain an effective training program for all staff which included training on compliance and ethics program annually. This failure resulted in staff not receiving the required training on the compliance and ethics program standards, policies, and procedures. The facility census was 93. Findings include: Review of the facility's Performance Improvement Plan (PIP), dated 12/13/24, revealed the facility identified the annual 12 hours of training required by regulation had not been consistently scheduled to ensure it is being offered and completed by all staff. …
F946 citations in Missouri
Administration Deficiencies
Provide training in compliance and ethics.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F946 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri in 2025, this is the portion that was F946.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F946 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% | 0.45× |
| 2025 | 0.03% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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