State surveyors inspected 404 of Missouri's 486 nursing homes in the 12 months from August 2025 through July 2026 and cited 3,081 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F880, which CMS words as “provide and implement an infection prevention and control program”, at 185 of those buildings (46%). 61 of the citations were immediate jeopardy, the most serious level CMS has.
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Missouri, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.
August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 1 | F880Provide and implement an infection prevention and control program | 194 | 185 (46%) |
| 2 | F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | 158 | 132 (33%) |
| 3 | F658Ensure services provided by the nursing facility meet professional standards of quality | 146 | 127 (31%) |
| 4 | F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | 124 | 120 (30%) |
| 5 | F684Provide appropriate treatment and care according to orders, resident’s preferences and goals | 116 | 78 (19%) |
| 6 | F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | 115 | 73 (18%) |
| 7 | F584Honor 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 | 96 | 85 (21%) |
| 8 | F761Ensure 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 | 85 | 82 (20%) |
| 9 | F677Provide care and assistance to perform activities of daily living for any resident who is unable | 76 | 70 (17%) |
| 10 | F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities | 67 | 58 (14%) |
| 11 | F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies | 62 | 62 (15%) |
| 12 | F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident | 61 | 55 (14%) |
| 13 | F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights | 60 | 57 (14%) |
| 14 | F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist | 58 | 48 (12%) |
| 15 | F760Ensure that residents are free from significant medication errors | 54 | 47 (12%) |
| 16 | F686Provide appropriate pressure ulcer care and prevent new ulcers from developing | 52 | 47 (12%) |
| 17 | F759Ensure medication error rates are not 5 percent or greater | 49 | 48 (12%) |
| 18 | F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections | 49 | 45 (11%) |
| 19 | F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | 48 | 47 (12%) |
| 20 | F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature | 48 | 46 (11%) |
| 21 | F607Develop and implement policies and procedures to prevent abuse, neglect, and theft | 40 | 37 (9%) |
| 22 | F695Provide safe and appropriate respiratory care for a resident when needed | 38 | 38 (9%) |
| 23 | F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals | 38 | 35 (9%) |
| 24 | F692Provide enough food/fluids to maintain a resident's health | 38 | 35 (9%) |
| 25 | F610Respond appropriately to all alleged violations | 38 | 34 (8%) |
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 26 | F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice | 34 | 31 (8%) |
| 27 | F641Ensure each resident receives an accurate assessment | 30 | 29 (7%) |
| 28 | F602Protect each resident from the wrongful use of the resident's belongings or money | 30 | 26 (6%) |
| 29 | F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge | 28 | 24 (6%) |
| 30 | F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death | 26 | 26 (6%) |
| 31 | F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis | 26 | 25 (6%) |
| 32 | F552Ensure that residents are fully informed and understand their health status, care and treatments | 25 | 25 (6%) |
| 33 | F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training | 25 | 22 (5%) |
| 34 | F700Try 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 | 24 | 24 (6%) |
| 35 | F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public | 24 | 23 (6%) |
| 36 | F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered | 23 | 23 (6%) |
| 37 | F698Provide safe, appropriate dialysis care/services for a resident who requires such services | 23 | 23 (6%) |
| 38 | F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube | 23 | 22 (5%) |
| 39 | F732Post nurse staffing information every day | 23 | 22 (5%) |
| 40 | F881Implement a program that monitors antibiotic use | 22 | 22 (5%) |
| 41 | F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention | 22 | 22 (5%) |
| 42 | F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home | 22 | 21 (5%) |
| 43 | F697Provide safe, appropriate pain management for a resident who requires such services | 22 | 20 (5%) |
| 44 | F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function | 21 | 21 (5%) |
| 45 | F679Provide activities to meet all resident's needs | 21 | 20 (5%) |
| 46 | F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift | 21 | 17 (4%) |
| 47 | F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services | 21 | 13 (3%) |
| 48 | F567Honor the resident's right to manage his or her financial affairs | 19 | 19 (5%) |
| 49 | F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive | 19 | 19 (5%) |
| 50 | F699Provide care or services that was trauma informed and/or culturally competent | 19 | 19 (5%) |
| 51 | F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame | 19 | 19 (5%) |
| 52 | F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | 19 | 17 (4%) |
| 53 | F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives | 18 | 18 (4%) |
| 54 | F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident | 18 | 18 (4%) |
| 55 | F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests | 18 | 15 (4%) |
| 56 | F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 17 | 17 (4%) |
| 57 | F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason | 17 | 17 (4%) |
| 58 | F919Make sure that a working call system is available in each resident's bathroom and bathing area | 17 | 16 (4%) |
| 59 | F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures | 16 | 16 (4%) |
| 60 | F558Reasonably accommodate the needs and preferences of each resident | 16 | 15 (4%) |
| 61 | F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions | 14 | 14 (3%) |
| 62 | F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances | 13 | 13 (3%) |
| 63 | F883Develop and implement policies and procedures for flu and pneumonia vaccinations | 13 | 13 (3%) |
| 64 | F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies | 13 | 11 (3%) |
| 65 | F730Observe each nurse aide's job performance and give regular training | 12 | 12 (3%) |
| 66 | F554Allow residents to self-administer drugs if determined clinically appropriate | 11 | 11 (3%) |
| 67 | F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies | 11 | 11 (3%) |
| 68 | F637Assess the resident when there is a significant change in condition | 11 | 11 (3%) |
| 69 | F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | 11 | 11 (3%) |
| 70 | F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options | 11 | 10 (2%) |
| 71 | F645PASARR screening for Mental disorders or Intellectual Disabilities | 9 | 9 (2%) |
| 72 | F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services | 9 | 8 (2%) |
| 73 | F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder | 9 | 5 (1%) |
| 74 | F583Keep residents' personal and medical records private and confidential | 8 | 8 (2%) |
| 75 | F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed | 8 | 8 (2%) |
| 76 | F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia | 8 | 8 (2%) |
| 77 | F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs | 8 | 8 (2%) |
| 78 | F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times | 8 | 8 (2%) |
| 79 | F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home | 8 | 8 (2%) |
| 80 | F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status | 8 | 8 (2%) |
| 81 | F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months | 7 | 7 (2%) |
| 82 | F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician | 7 | 7 (2%) |
| 83 | F835Administer the facility in a manner that enables it to use its resources effectively and efficiently | 7 | 7 (2%) |
| 84 | F865Have a plan that describes the process for conducting QAPI and QAA activities | 7 | 7 (2%) |
| 85 | F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action | 7 | 7 (2%) |
| 86 | F745Provide medically-related social services to help each resident achieve the highest possible quality of life | 7 | 6 (1%) |
| 87 | F576Ensure residents have reasonable access to and privacy in their use of communication methods | 6 | 6 (1%) |
| 88 | F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment | 6 | 6 (1%) |
| 89 | F791Provide or obtain dental services for each resident | 6 | 6 (1%) |
| 90 | F923Have enough outside ventilation via a window or mechanical ventilation, or both | 6 | 6 (1%) |
| 91 | F555Honor the resident's right to choose his or her attending physician | 5 | 5 (1%) |
| 92 | F574The resident has the right to receive notices in a format and a language he or she understands | 5 | 5 (1%) |
| 93 | F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency | 5 | 5 (1%) |
| 94 | F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment | 5 | 5 (1%) |
| 95 | F687Provide appropriate foot care | 5 | 5 (1%) |
| 96 | F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services | 5 | 5 (1%) |
| 97 | F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data | 5 | 5 (1%) |
| 98 | F908Keep all essential equipment working safely | 5 | 5 (1%) |
| 99 | F565Honor the resident's right to organize and participate in resident/family groups in the facility | 5 | 4 (1%) |
| 100 | F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made | 4 | 4 (1%) |
| 101 | F570Assure the security of all personal funds of residents deposited with the facility | 4 | 4 (1%) |
| 102 | F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide | 4 | 4 (1%) |
| 103 | F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being | 4 | 4 (1%) |
| 104 | F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents | 4 | 4 (1%) |
| 105 | F770Provide timely, quality laboratory services/tests to meet the needs of residents | 4 | 4 (1%) |
| 106 | F814Dispose of garbage and refuse properly | 4 | 4 (1%) |
| 107 | F825Provide or get specialized rehabilitative services as required for a resident | 4 | 3 (1%) |
| 108 | F551Give the resident's representative the ability to exercise the resident's rights | 3 | 3 (1%) |
| 109 | F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing | 3 | 3 (1%) |
| 110 | F638Assure that each resident’s assessment is updated at least once every 3 months | 3 | 3 (1%) |
| 111 | F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason | 3 | 3 (1%) |
| 112 | F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results | 3 | 3 (1%) |
| 113 | F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs | 3 | 3 (1%) |
| 114 | F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law | 3 | 3 (1%) |
| 115 | F553Allow resident to participate in the development and implementation of his or her person-centered plan of care | 2 | 2 (0%) |
| 116 | F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted | 2 | 2 (0%) |
| 117 | F685Assist a resident in gaining access to vision and hearing services | 2 | 2 (0%) |
| 118 | F790Provide routine and 24-hour emergency dental care for each resident | 2 | 2 (0%) |
| 119 | F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards | 2 | 2 (0%) |
| 120 | F850Hire a qualified full-time social worker in a facility with more than 120 beds | 2 | 2 (0%) |
| 121 | F924Put firmly secured handrails on each side of hallways | 2 | 2 (0%) |
| 122 | F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation | 2 | 2 (0%) |
| 123 | F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid | 1 | 1 (0%) |
| 124 | F586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials | 1 | 1 (0%) |
| 125 | F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition | 1 | 1 (0%) |
| 126 | F675Honor each resident's preferences, choices, values and beliefs | 1 | 1 (0%) |
| 127 | F694Provide for the safe, appropriate administration of IV fluids for a resident when needed | 1 | 1 (0%) |
| 128 | F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit | 1 | 1 (0%) |
| 129 | F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining | 1 | 1 (0%) |
| 130 | F757Ensure each resident’s drug regimen must be free from unnecessary drugs | 1 | 1 (0%) |
| 131 | F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them | 1 | 1 (0%) |
| 132 | F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service | 1 | 1 (0%) |
| 133 | F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | 1 | 1 (0%) |
| 134 | F839Employ staff that are licensed, certified, or registered in accordance with state laws | 1 | 1 (0%) |
| 135 | F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service | 1 | 1 (0%) |
| 136 | F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care | 1 | 1 (0%) |
| 137 | F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse | 1 | 1 (0%) |
| 138 | F920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture | 1 | 1 (0%) |
| 139 | F922Have enough backup water supply for essential areas of the nursing home | 1 | 1 (0%) |
| 140 | F926Have policies on smoking | 1 | 1 (0%) |
| 141 | F940Develop, implement, and/or maintain an effective training program for all new and existing staff members | 1 | 1 (0%) |
| 142 | F949Provide behavior health training consistent with the requirements and as determined by a facility assessment | 1 | 1 (0%) |
A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.
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