Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0600
G

Failure to Protect Residents from Physical Abuse During Transfers

Warsaw, Missouri Survey Completed on 10-29-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Facility staff failed to protect two residents from physical abuse when a Certified Nurse Aide (CNA) forcefully transferred them from their beds to their wheelchairs. Multiple staff members, including two CNAs and an LPN, witnessed the CNA acting in an angry and agitated manner, roughly grabbing the residents under their arms and moving them without the use of a gait belt. The transfers were performed quickly and forcefully, causing visible distress and fear in the residents. The CNA did not communicate with the residents during the transfers and did not follow proper transfer protocols as outlined in the residents' care plans. Both residents involved were assessed as cognitively impaired and required extensive assistance with activities of daily living, including transfers. Their care plans specifically required the use of two staff members and a mechanical lift or extensive assistance for transfers, as well as the use of gentleness and clear communication to reduce anxiety and pain. Despite these requirements, the CNA transferred the residents alone, without a gait belt, and in a manner that caused one resident to complain of arm pain and the other to require pain medication for moaning. Staff documentation and resident interviews confirmed that the transfers were performed in a rough and unsafe manner, resulting in physical and psychological distress. The incident was reported by staff who were visibly upset by what they witnessed. The residents' medical histories included dementia, anxiety, depression, osteoarthritis, and osteoporosis, making them particularly vulnerable to injury and distress from improper handling. The facility's own investigation and staff statements corroborated that the CNA's actions violated established safety protocols and resident rights, directly leading to the deficiency.

An unhandled error has occurred. Reload 🗙