Section 6:

Questions: How often do they fail to investigate? And how often do they ignore evidence of violations?

If Missouri DHSS performs so poorly that they are slow to investigate, slow to cite, and slow to catch problems that the Federal investigators find, are we even sure they investigate every complaint? If they’re so busy, do some complaints that DHSS manager Pam Clark says will have to wait just never get looked into at all?

How often does DHSS simply fail to ever investigate a report of abuse or other problems?

And when DHSS does investigate, are there cases when Missouri DHSS ignores its statutory obligations or actually twists the situation to excuse nursing home abuse, neglect, or other regulatory violations?

How often does that sort of misconduct happen in the 90% of investigations that yield no citations?