Nursing home inspections in Missouri

Missouri surveyors cite professional standards of care (F658) at 2.46× its national share.

The same chapter of the regulations — resident assessment and care planning — holds this state’s widest gap the other way: “Develop and implement a complete care plan that meets all the…”, at 0.48×.

F658 · 165 citations · 2025 surveys

487

nursing homes in the public file

18,256

citations on record

4.8%

of citations written at actual harm or above, against 5.4% nationally

AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY

Missouri among the states. Pick another to compare its record.

The shape of it — 2025

Cited more, and less, than expected

Magenta is cited more often than expected, blue less often.

Each state is measured against its own expected share, not against other states.

The evidence

Every tag Missouri cites above its expected share

F658 · Professional standards of care2.46×
Ensure services provided by the nursing facility meet professional standards of quality.
165 citations across 135 facilities · Resident Assessment and Care Planning Deficiencies
F759 · Medication error rate1.62×
Ensure medication error rates are not 5 percent or greater.
66 citations across 65 facilities · Pharmacy Service Deficiencies
F600 · Abuse and neglect1.24×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
122 citations across 81 facilities · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F760 · Significant medication errors1.16×
Ensure that residents are free from significant medication errors.
57 citations across 52 facilities · Pharmacy Service Deficiencies
F584 · Safe, clean, homelike environment1.15×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
91 citations across 83 facilities · Resident Rights Deficiencies
F677 · ADL care for dependent residents1.05×
Provide care and assistance to perform activities of daily living for any resident who is unable.
90 citations across 84 facilities · Quality of Life and Care Deficiencies
F580 · Notifying of changes1.00×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
56 citations across 51 facilities · Resident Rights Deficiencies
F880 · Infection prevention and control0.98×
Provide and implement an infection prevention and control program.
228 citations across 212 facilities · Infection Control Deficiencies
F812 · Food safety and sanitation0.95×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
160 citations across 158 facilities · Nutrition and Dietary Deficiencies
F689 · Accidents and supervision0.93×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
193 citations across 152 facilities · Quality of Life and Care Deficiencies

How severe those findings were

Scope and severity

4.8% of citations found actual harm or worse (level G and above).

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2701.5%	K430.2%	L80.0%
Actual harm	G5453.0%	H140.1%	I—
No harm, potential for more than minimal	D8,40546.0%	E6,71536.8%	F1,7169.4%
No harm, potential for minimal	A—	B1010.6%	C4392.4%

CMS grades every deficiency on harm level and how widespread it was. Letters G and above mean actual harm was found; J and above mean immediate jeopardy.

Browse all 487 Missouri nursing homes →

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction