South County Health Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 25.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 27 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 47% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 153 beds and averages 85.5 residents a day — about 56% occupied, or roughly 68 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 1.40 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.17 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.10 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 1.21 hrs/resident/day on weekends vs 1.48 on weekdays — 19% thinner on weekends. RN hours go from 0.19 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

33 citations, most serious first. The 11 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · J2026-03-27 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect three residents (Residents #1, #2, and #3) of three sampled residents from sexual abuse when the Assistant Director of Nurses (ADON) offered and provided his/her personal medications to the residents in exchange for sexual activity and inappropriate touching. The facility also failed to protect Resident #1, with a history of substance abuse, from abuse when the Activities Director (AD) took the resident in his/her personal vehicle to purchase marijuana. The AD and resident then used the marijuana together while in the vehicle. The facility census was 86. The administration was notified on 3/25/26 at 1:30 P.M. and 3/26/26 at 1:00 P.M. of the Immediate Jeopardy situations which began on 03/18/26. The IJ was removed on 3/26/26, as confirmed by surveyor onsite verification. Review of the facility's Abuse and Neglect Policy dated 06/12/24, showed:- Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-16 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to provide residents with a clean, comfortable and homelike environment by failing to maintain resident-use areas, bathing areas and common areas in a sanitary and orderly condition. This deficient practice had the potential to affect all residents residing in the facility. The facility census was 80.The facility did not provide a policy for a safe, clean, and comfortable homelike environment.Review of the Resident Council minutes from the 02/11/26 meeting showed a concern with housekeeping and not getting the rooms cleaned. There was no follow-up included. Observation on 06/16/26 at 9:00 A.M., during the initial tour of the facility showed a strong a strong urine odor upon entering.Observations on 06/16/26 at 9:12 A.M. of the 300-hall showed:A dried tissue with black substance that had been streaked across the floor and left in front of the men's and women's bathrooms on the 300 hall;The female bathroom had an out of order sign posted on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview the facility failed to maintain hazardous cleaning chemicals in a secure manner to prevent resident access when an unattended one-gallon container of cleaning solution was observed on the floor in a resident accessible hallway. The product was identified by the manufacturer as causing serious eye irritation and potentially harmful if swallowed. The facility's assessment identified that 40 of the 80 residents had behavioral health needs, making resident access to hazardous chemical a foreseeable accident hazard. The facility census was 80.Observation on 06/16/26 at 9:26 A.M., showed an unattended one-gallon container of a purple cleaning solution sitting on the floor in the Countryside 100 and resident-accessible hallway. Review of the manufacturer's Safety Data Sheet identified the product as causing serious eye irritation and noted it may be harmful if swallowed. Review of the facility assessment identified 35 residents with behavioral symptoms and cognitive impairment and 40 residents with behavioral health needs. Failure to secure…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-16 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide wound care and medications as ordered for one resident (Resident #1) out of 10 sampled residents. The facility census was 82.The facility policy titled, Transcription of Orders and Following Orders, dated May 2024, showed:- The Licensed/Registered nurse will review electronic medication administration records (MARs) and treatment administration records (TARs) on a routine basis to monitor for medications that were not administered to the resident due to unavailability, refusal, omission and etc.;- If a medication is marked as not given, the reasoning for not being given should be explained in the progress notes and the Resident Care Coordinator (RCC), the Director of Nursing (DON), Assistant Director of Nursing (ADON), Registered Nurse (RN), and the Administrator must be notified. The physician and legal guardian (if applicable) must also be notified. The nurses progress notes must document the plan/solution because of the medication not being administered and any adverse reactions that the resident may have;- For…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on closed record review and interview, the facility failed to provide bathing/showers for one resident (Resident #1) of 10 sampled residents. The facility census was 82.The facility policy titled Resident Showers and dated June 2024, directed staff to: - Assist residents with bathing to maintain proper hygiene, stimulate circulation and help prevent skin issues as per current standards of practice;- Provide residents with showers as requested or as per facility schedule protocols and based upon resident safety; The facility did not provide a resident shower/bathing schedule. 1. Review of Resident #1's admission Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, dated January 23, 2026, showed:- An admission date of 01/21/26;- Diagnoses of sepsis (a life-threatening medical emergency caused by an overwhelming immune response to infection, leading to tissue damage, organ failure, and death), chronic kidney disease (a serious, long-term condition where kidneys are damaged and cannot effectively filter blood, often leading to waste…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of food-borne illness. This had the potential to affect all residents. The facility census was 92.Review of the facility's Dietary Equipment Operations and Sanitation Policy, last reviewed 02/02/24, showed:-The Dietary Manager shall record all cleaning and sanitation tasks for the Dietary Department;-The dietary employee should complete the tasks assigned for the day shift;- All surfaces and equipment shall be washed in sanitizing solution;-Tray carts, dish carts, and utility carts should be washed after each meal, using sanitizing solution and a clean cloth;-Clean grill surface with grill stone and diluted degreaser or grill cleaner after each use;-Rinse thoroughly with water;-Wash with mild soap and water, then rinse with water;-Wash back and side guards with soap and water;-Clean counters with mild detergent and water;-Dust, mop, or sweep floors;-Mop floors with cleaning agent and warm water, according to directions on the label.The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-07 · tag F0570 — pattern
  Assure the security of all personal funds of residents deposited with the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to maintain a surety bond (a purchased bond for security of residents' personal funds) sufficient to ensure the protection of resident funds. The facility census was 92.Review of the facility's Resident Trust policy, last reviewed 06/12/25, showed:-The facility shall allow residents to access personal possessions and funds during regular business hours, Monday through Friday;-The facility shall keep an accurate and maintained accounting system for the residents that choose to have their personal funds managed;-The facility shall provide assurance of financial security by means of a surety bond. The bond shall be in an amount equal to at least one and one-half times the average total of the reconciled monthly balances. A copy of current bond shall be kept in a file in the facility by the Resident Trust Clerk.Review of the residents' personal funds account for the period July 2024 through July 2025 showed an average monthly balance of $40,973.07. An average monthly balance of $40,973.07 rounded to the nearest thousand equaled…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-07 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable and homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 92.Review of the facility’s policy titled, “Environmental Rounds”, revised on 06/29/23, showed: - Environmental rounds are to be done daily by the Department Heads; - The Department Head should be inspecting the room for potentially hazardous items and any areas that may not be in compliance with state and federal guidelines; - Environmental rounds include the resident rooms, drawers and bathrooms. Staff will look for items during these rounds which pose a possible risk to residents and/or staff. Review of the facility's Safe and Homelike Environment Policy, last reviewed 06/05/24, showed: - In accordance with resident rights, the facility will provide a safe, comfortable and homelike environment; - The facility will create and maintain, to the extent possible, a home-like…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-07 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a Certified Background Check (CBC), the Employee Disqualification List (EDL) and Nurse Aide (NA) Registry were checked prior to the employment start date for six employees out of the ten sampled employees. This deficient practice had the potential to affect all residents. The facility census was 92.Record review of the facility's policy titled, Screening-Applicant, Employee, Volunteer and Vendor (Missouri), revised on 06/12/25, showed: - Pre-employment screening; Human Resources Department (HR) will conduct pre-employment screens on applicants to determine whether the applicant has committed a disqualifying crime, is an excluded provider of any federal or state healthcare programs, is eligible to work in the United States, and if applicable is duly licensed or certified to perform the duties of the position for which they applied;- Applicants shall complete a request for criminal records check and request for consent to employee disqualification check form. Human Resources staff will conduct the following screens on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-07 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that residents' code statuses were listed in the chart, care planned and up to date with the most accurate information for four residents (Resident #1, #16, #65 and #101) out of 19 sampled residents. The facility census was 92.Review of the facility’s policy, “Advanced Directives-Missouri, revised on [DATE], showed: - Individuals have the right to make decisions concerning their care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives as permitted under state statutory and case law; - It is the policy of this facility to follow the directions given by each resident with regard to accepting or refusing medical or surgical treatment to the extent permitted by law; - At the time of admission as a resident of the facility, the resident or their legal representative will be provided with information on Advance Directives; - There shall be documented in the resident’s medical record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-07 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow appropriate discharge procedures by not completing a discharge recapitulation or documentation of the reason for discharge by the physician for one resident (Resident #96) out of three closed record reviews. The facility census was 92. Review of the facility's Transfer/Discharge, Immediate Discharge and Therapeutic Leave policy, last reviewed 06/12/25, showed:- The facility may discharge or transfer a resident if needs can not be met;- Resident no longer needs the service provided by facility;- The safety of individuals in facility is or would be endangered;- The resident failed, after reasonable and appropriate notice, to pay for stay at facility;- The facility ceases to operate;- When resident is transferred or discharged due to welfare and needs can not be met or health has improved, the attending physician must document in medical record, the reason for transfer/discharge, specific needs the facility could not meet, specific services the receiving facility will provide to meet those needs;- When resident is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$93,995 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $93,995 — penalty dated 2026-03-27
• Medicare payment denial — starting 2026-05-13 for 57 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to RELIANT CARE MANAGEMENT — 34 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $756K paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO