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F-tags by state · Missouri
Most common nursing home citations in Missouri
17,541 health citations were recorded at 483 of 479 rated nursing homes in Missouri over the last three inspection cycles, about 36.6 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.
Citations17,54136.6 per rated facility
Facilities cited483of 479 rated
Actual harm (G–I)5013% of citations
Immediate jeopardy (J–L)3332% of citations
Top 25 F-tags in Missouri
"State share" is the percentage of rated Missouri nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.
| # | Tag | Requirement | Category | Citations | State share | U.S. share |
|---|---|---|---|---|---|---|
| 1 | F880 | Provide and implement an infection prevention and control program. | Infection control | 915 | 93% | 81% |
| 2 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Quality of life & care | 823 | 76% | 69% |
| 3 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Nutrition & dietary | 814 | 87% | 76% |
| 4 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | Assessment & care planning | 646 | 69% | 29% |
| 5 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | Quality of life & care | 489 | 56% | 44% |
| 6 | F584 | 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. | Resident rights | 481 | 58% | 39% |
| 7 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Pharmacy services | 480 | 65% | 59% |
| 8 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Assessment & care planning | 418 | 59% | 58% |
| 9 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Abuse, neglect & exploitation | 360 | 37% | 35% |
| 10 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Resident rights | 330 | 48% | 43% |
| 11 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Resident rights | 320 | 50% | 23% |
| 12 | F759 | Ensure medication error rates are not 5 percent or greater. | Pharmacy services | 296 | 47% | 26% |
| 13 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Abuse, neglect & exploitation | 289 | 39% | 40% |
| 14 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Quality of life & care | 285 | 38% | 39% |
| 15 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | Quality of life & care | 278 | 44% | 46% |
| 16 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Assessment & care planning | 258 | 43% | 42% |
| 17 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Pharmacy services | 250 | 41% | 34% |
| 18 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Nutrition & dietary | 245 | 35% | 21% |
| 19 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Abuse, neglect & exploitation | 239 | 41% | 17% |
| 20 | F760 | Ensure that residents are free from significant medication errors. | Pharmacy services | 235 | 35% | 25% |
| 21 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Quality of life & care | 234 | 38% | 33% |
| 22 | F610 | Respond appropriately to all alleged violations. | Abuse, neglect & exploitation | 224 | 31% | 28% |
| 23 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Quality of life & care | 224 | 39% | 10% |
| 24 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Pharmacy services | 210 | 32% | 38% |
| 25 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Quality of life & care | 196 | 31% | 19% |
Citations by category
Citations by survey year
Partial years reflect the rolling three-cycle window.
Check a specific Missouri nursing home
The report card lists every citation for one facility with the severity decoded, and ranks it against the other 479 rated facilities in the state.
How this works
Source and method
CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Missouri. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.
Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.
Frequently asked questions
What is the most common nursing home citation in Missouri?
F880 (Provide and implement an infection prevention and control program.) is the most-cited F-tag in Missouri, with 915 citations at 444 facilities, or 93% of the state's rated nursing homes, compared with 81% nationally.
How many nursing home citations are there in Missouri?
17,541 health citations across 483 of 479 rated nursing homes in the last three inspection cycles, about 36.6 per facility. 501 involved actual harm and 333 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.
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