Deficiency Index

Morningside Center

Chillicothe, Missouri · CCN 265813

15 surveys since 2011. The first finding at harm level was recorded in 2026.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
69
Surveys
15
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
Government - County
Chain
Independent
County
Livingston · rural
Medicare-certified since
2007

CMS ratings

Overall
2
Health inspection
2
Staffing
5
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 113 facilities with fewer than 66 beds in Missouri.

Last survey on record

Mar 20, 2026

234 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.713.62
Registered-nurse hours per resident day0.98—
Annual nurse turnover50.7%39.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG14.0%H—I—
No harm, potential for more than minimalD624.0%E1768.0%F14.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 25 of the 69 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Morningside Center, in the surveyor’s own words.

  • Actual harm, isolatedF600Jan 14, 2026

    Based on interview and record review, the facility failed to protect one resident's (Resident #2) right to be free from physical abuse when Resident #1 slapped Resident #2 on the cheek. The facility census was 52. Review of the facility's Abuse and Neglect Policy undated., showed:- The purpose is to ensure that the residents of Morningside Center are protected from any mistreatment, neglect or all types of abuse;- Alleged violation is defined as a situation or occurrence that is observed or reported by staff, resident, relative, visitor or others but has not yet been investigated and, if verified, could be noncompliance with the Federal requirements related to mistreatment, exploitation, neglect, or abuse;- Abusers may include facility staff, other residents;- Abuse is defined as any… […]

  • No harm, potential for more than minimal, widespreadF812Jun 2, 2023

    Based on observation, interview and record review, the facility failed to maintain the kitchen in a sanitary manner, failed to ensure food items were properly labeled and dated, failed to enter temperatures on the temperature logs and failed to ensure the walk in freezer did not have ice buildup. These all have the potential to affect all residents residing in the facility. The facility census was 55. The facility did not provide any policies. Record review of the walk in freezer temperature log showed: - No entries in the morning on ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE] and no entries in the evening on ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE]. […]

  • No harm, potential for more than minimal, patternF578Mar 20, 2026

    Based on interview and record review, the facility failed to ensure the Do Not Resuscitate Order's (DNR, medical order that instructs the health care provider not to do resuscitative measures if a person's heart stops) for Resident #29, Resident #13 and Resident #21 were correct when the Durable Power of Attorney's (DPOA) a legal document that authorizes a designee to manage financial or medical affairs if the person became incapacitated, name was printed on the DNR instead of the name of the resident on Resident #29's DNR, and when the facility failed to ensure that two residents (Resident #13 and Resident #21) had physician letters of incapacitation prior to the Power of Attorney designee making decisions for him/her. […]

  • No harm, potential for more than minimal, patternF636Mar 20, 2026

    Based on interview and record review, the facility failed to ensure resident assessments were completed accurately for two of 14 sampled residents (Resident #1 and Resident #7) when the facility failed to accurately document a diagnosis of Resident #1 and failed to accurately document a Urinary Tract Infection (UTI) for Resident #7. The facility census was 56.The facility did not provide a resident assessment or Minimum Data Set (MDS) policy. MDS is a federally mandated assessment completed by facility staff in accordance with specified formats and timelines in conducting comprehensive assessments as part of an ongoing process through which the facility identifies preferences and goals of care, functional and health status, strengths and needs. 1. […]

  • No harm, potential for more than minimal, patternF656Mar 20, 2026

    Based on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. When facility staff did not address UTI (urinary tract infection) with antibiotic usage for two residents (Resident #25 and Resident #14), did not address use of anticoagulant medication or therapeutic activities for one resident (Resident #52) and when dementia care had not been cared planned for one resident (Resident #29 & Resident #52). This affected four of the 14 sampled residents. […]

Read 20 findings in full →The most serious and the most recent: 20 of 69 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 20, 2026Standard9 findings
  • Jan 14, 2026Complaint1 finding · 1 harm
  • Jan 16, 2025Standard7 findings
  • Jun 2, 2023Standard5 findings
  • Dec 3, 2020Standard3 findings
  • Nov 7, 2019Complaint1 finding
  • May 11, 2018Standard4 findings
  • Feb 10, 2017Standard3 findings
Show the 7 earlier surveys
  • Mar 30, 2016Standard3 findings
  • Nov 9, 2015Complaint2 findings
  • Feb 26, 2015Standard6 findings
  • Feb 26, 2014Standard4 findings
  • Mar 5, 2013—7 findings
  • Mar 29, 2012—3 findings
  • Mar 25, 2011—11 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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