Chariton Park Health Care Center
Inspection Findings
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
due to the facility's inability to provide adequate care and to ensure the safety of staff and other residents.
The resident had a documented history of multiple physical assaults against staff and peers during his/her stay at the facility. Review of the resident's Immediate Notice of Discharge, dated 12/16/25, showed the following:-The letter served as formal notice of immediate discharge, effective 12/17/25, due to an immediate and serious threat to the health and safety of staff and others;-Reason for discharge: The resident physically assaulted three staff. The incident involved acts of physical violence requiring staff intervention, activation of emergency safety procedures, and law enforcement involvement. This behavior constitutes an immediate danger to staff and residents and cannot be safely managed within the facility.
Due to the severity and escalation of behaviors, the facility is unable to ensure the safety of other should
the resident remain in the facility. Continued placement is therefore not appropriate;-Discharge location: hospital psychiatric center.(Review of an email from the facility's Administrator, dated 01/16/26 at 3:23 P.M., showed the immediate discharge letter was provided on 12/19/25, but was improperly dated as 12/16/25.)
During interview on 01/02/25 at 9:00 A.M., the resident's guardian said the facility provided an immediate discharge letter on 12/19/25 after the resident was sent to the hospital on [DATE REDACTED]. The resident's immediate discharge was for incidents that occurred three days prior to the facility providing the discharge letter. She appealed the discharge while the resident was at the hospital, and the facility filed a motion to set aside the stay. The resident remained in the hospital (discharge location) until there was a judgement from the hearing. During interviews on 12/30/25 at 3:20 P.M. and 1/20/25 at 12:45 P.M., the Administrator said the following:-The resident assaulted staff on 12/16/25, was arrested, and was sent for psych evaluation, but
the hospital would not keep the resident. The resident returned to the facility; -The resident was arrested again on 12/18/25 for misuse of 911 services;-The resident was released from jail on 12/19/25 and went to
the hospital for a psychiatric evaluation;-The facility determined the resident needed a higher level of care, so the facility issued an immediate discharge letter on 12/19/25; -The facility had no plans to accept the resident back until after the hearing, which was set for 01/07/26;-Corporate staff provided her with an inservice regarding the proper discharge process. The facility could not immediately discharge a resident to
a hospital; -Per legal guidance, the facility did not send an amended discharge letter with a different discharge location after they had an inservice regarding the improper discharge location;-The facility had tried to find a discharge location for the resident for a couple months, but no facility would accept the resident due to his/her aggressive behaviors. Complaint 2697890
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CHARITON PARK HEALTH CARE CENTER in SALISBURY, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SALISBURY, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CHARITON PARK HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.