Belleview Valley Nursing Home

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.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 109 beds and averages 82.6 residents a day — about 76% occupied, or roughly 26 beds typically open. It usually has some room. 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 2.72 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.22 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 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 2.56 hrs/resident/day on weekends vs 2.79 on weekdays — 9% thinner on weekends. RN hours go from 0.26 to 0.13 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%. 1 administrator has left in the past year.

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 unchanged from the previous inspection. 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.

44 citations, most serious first. The 17 most serious are shown; the remaining 27 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-10-21 · 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, interview, and record review, the facility failed to provide adequate supervision and to ensure the resident environment was free from accident hazards for one resident (Resident #1), who had been assessed as needing supervision for smoking, was observed smoking in his/her room on several occasions while receiving supplemental oxygen via a nasal cannula, and failed to investigate the source of the smoking materials (lighters and cigarettes). The resident sustained 2nd degree burns while smoking in his/her room, putting the entire building and its occupants in danger. The facility census was 86. The administration was notified on 10/20/25 at 4:55 P.M. of an Immediate Jeopardy (IJ) which began on 10/13/25. The IJ was removed on 10/21/25, as confirmed by surveyor onsite verification. Record review of the facility's undated smoking policy showed:- Smoking is only permitted in the designated smoking areas under the supervision of a staff member assigned by the charge nurse each shift;- Staff to instruct the resident about the facility policy on smoking including…

  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
• Immediate jeopardy · Jcited before2024-07-18 · 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 observation, record review and interview, the facility failed to ensure one resident (Resident #2) was free from physical abuse, and 11 other vulnerable residents at an increased likelihood for abuse to occur when facility staff placed residents with a history of physical and verbal altercations and unstable, aggressive behaviors towards other residents, on the secured unit which housed 12 residents with dementia, receiving hospice care, or requiring total care from staff. The aggressive residents were placed on the secured unit for 24 hours to 5 days until the administrator felt they were no longer a risk to residents outside the locked unit. Resident #1 was placed on the secured unit after returning from a hospital evaluation due to physical aggression. Resident #1 got in an altercation with Resident #2, a resident on the secured unit for safety and dementia care. Resident #1 pushed Resident #2 into the toilet. Resident #2 sustained bruising to his/her face. The census was 88. On 07/09/24 at 4:00…

  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
• Immediate jeopardy · Jcited before2024-04-16 · 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 observation, interview, and record review, the facility staff failed to ensure residents were free from abuse when the maintenance supervisor (MS) grabbed the arm and wrist of one resident (Resident #91) out of 20 sampled residents. The resident had a history of mental health support needs, including behavioral problems. During a behavioral episode, the MS grabbed the resident's arms/wrists and struggled to physically restrain the resident which resulted in bruising to the resident's right upper arm. The facility failed to take appropriate steps to protect the resident from additional abuse and allowed the MS to continue to work around the residents. The facility census was 96. The administrator was notified on 04/09/24 at 9:50 A.M., of an Immediate Jeopardy (IJ) which began on 04/03/24. The IJ was removed on 04/10/24, as confirmed by surveyor onsite verification. Review of the facility's policy titled, Abuse, undated, showed: - Ensure that each resident is free from abuse; - Abuse - the willful…

  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
• Immediate jeopardy · J2024-04-16 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 thoroughly investigate an allegation of staff to resident abuse and failed to implement interventions to prevent further abuse from occurring for one resident (Resident #91) out of 20 sampled residents after the Maintenance Supervisor (MS) grabbed the resident's arm and wrist in a restraining manner that resulted in a physical struggle and bruising to the resident's right upper arm. The facility also failed to follow their policy, resulting in the MS continuing to work around the resident. The facility census was 96. The administrator was notified on 04/09/24 at 9:50 A.M. of an Immediate Jeopardy (IJ) which began on 04/03/24. The IJ was removed on 04/10/24, as confirmed by surveyor onsite verification. Review of the facility's abuse policy, undated, showed: - Ensure that each resident is free from abuse; - Abuse- the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or…

  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
• Immediate jeopardy · Kcited before2023-11-09 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent the potential spread of COVID-19 (an acute respiratory illness in humans caused by the Coronavirus, SARS-CoV-2) and other infections, when staff failed to follow acceptable infection control practices for COVID-19. The facility failed to implement infection control mitigation strategies, including separating 25 residents (Resident #1, #4, #10, #12, #15, #16, #17, #18, #22, #23, #24, #28, #33, #34, #37, #38, #40, #42, #44, #46, #49, #50, #52, #54, and #57) who had tested positive for COVID-19 from 32 residents (Resident #2, #3, #5, #6, #7, #8, #9, #11, #13, #14, #19, #20, #21, #25, #26, #27, #29, #30, #31, #32, #35, #36, #39, #41, #43, #45, #47, #48, #51, #53, #55, and #56) who had tested negative for COVID-19. These failures placed the residents at an increased risk of contracting COVID-19 due to prolonged exposure and Resident…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-09-10 · 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 — the official record, unedited, may be distressing

  Refer to Event ID J4LN13 for SOD Complaint #MO241216 This deficiency is uncorrected. For previous examples, refer to the Statement of Deficiencies dated 07/18/24. Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #8) was free from physical abuse when Resident #7 punched Resident #8 in the back of the head after an earlier verbal altercation. This resulted in Resident #8's head going forward and smacking his/her face into the medication cart. This caused bruising and swelling to Resident #8's cheek bone. The facility census was 83.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-09-10 · 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 — the official record, unedited, may be distressing

  Refer to Event ID J4LN13 for SOD. Complaint #MO241561 and 241643 This deficiency is uncorrected. For previous examples, refer to the Statement of Deficiencies dated 04/16/24 and 06/11/24. Based on observation, interview and record review, the facility failed to ensure staff followed professional standards of practice when staff did not check on one resident (Resident # 6) out of six sampled residents for over seven hours on the night shift. The resident had fallen around midnight and lay on the floor of his/her bedroom until staff entered the resident's room at 6:55 A.M. The facility also failed to identify, assess, and care plan interventions related to falls. The facility census was 83.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-29 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 ensure residents received care and services in accordance with physician orders for six residents (Residents #4, #5, #6, #34, #41, and #69) out of 18 sampled residents. The facility also failed to ensure the Hospice Coordinated Plan of Care addressed necessary treatments, supplies, and appliances for two residents (Residents #3 and #27) out of three sampled residents receiving hospice services. These failures had the potential to result in delayed treatment, ineffective symptom management, uncontrolled blood glucose levels, and compromised continuity of care. The facility census was 77.Review of the facility's policy titled, Hospice Plan of Care, showed:- The purpose of this policy is to ensure coordinated, person-centered end-of-life care;- All hospice care and services furnished to residents who elect hospice shall be provided in accordance with an individualized written hospice plan of care;- The hospice plan of care must be…

  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 · Ecited before2026-05-29 · tag F0699 — pattern
  Provide care or services that was trauma informed and/or culturally competent.
  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 identify, assess, and provide supportive interventions for three residents (Residents #4, #21, and #81) with a diagnosis of post-traumatic stress disorder (PTSD - a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event) out of three sampled residents. The facility's census was 77. Review of the facility's policy titled, Policy and Procedure PTSD, dated 03/26/26, showed: - This policy establishes mandatory requirements for identification, assessment, care planning, service delivery, documentation, and follow-up applicable to residents with a history of trauma and/or PTSD;- The purpose of this policy is to promote resident safety, dignity, psychosocial well-being, and quality of life; reduce the risk of re-traumatization, and maintain compliance with applicable federal requirements,…

  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 · Ecited before2026-05-29 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 implement an infection prevention and control program to prevent the transmission of infectious organisms. The facility failed to follow Enhanced Barrier Precautions (EBP - precautions used during high-contact resident care activities for residents infected or colonized with a multidrug-resistant organism (MDRO - microorganisms resistant to one or more classes of antimicrobial agents) or for residents with chronic wounds and/or indwelling medical devices) for one resident (Resident #2) out of four sampled residents. The facility failed to perform appropriate hand hygiene and glove changes during incontinent care for two residents (Residents #50 and #76) out of five sampled residents. The facility failed to properly clean and disinfect a shared glucometer (a machine used to check blood sugars), perform hand hygiene, and prevent cross-contamination during blood glucose testing and medication pass activities for four residents (Residents #8,…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-29 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 ensure staff treated residents with dignity and in a respectful manner by leaving one resident (Resident #76) out of five sampled residents exposed during incontinent care and emptying of a urinary catheter (a sterile tube inserted into the bladder to drain urine) drainage bag. The census was 77. Review of the facility's policy titled, Dignity and Privacy, dated 03/13/26, showed:- This policy establishes standards to protect and promote each resident's privacy, dignity, individuality, and self-determination in the nursing home;- Personal care, bathing, dressing, toileting, transfers, examinations, and treatments will be provided with visual and auditory privacy to the fullest extent practicable;- In shared rooms and common area, staff will balance each resident's privacy and preferences with the rights of roommates and other residents, using curtains or closed doors, whenever possible. 1. Review of Resident #76's medical record showed:- admission date of 02/07/25;- Diagnoses of anxiety disorder (persistent…

  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 · D2026-05-29 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 update and revise care plans with specific interventions tailored to meet individual needs for one resident (Resident #3) out of 18 sampled residents. The facility census was 77.Review of the facility's policy titled, Revising Care Plans, undated, showed:- It is the policy of this facility to ensure that all comprehensive care plans are reviewed and revised promptly to reflect changes in the resident's condition, treatment, or goals of care;- Care plan revisions are essential to ensure individualized, person-centered, and safe care and to promote accurate, updated interventions that reflect the resident's needs and preferences;- Care plans must be reviewed and revised quarterly, upon a significant change, new physician's orders that impact resident care, after hospitalizations or acute medical events, and upon resident/family request or concerns;- Nurses and other direct care staff must promptly notify the Interdisciplinary Team (IDT - a…

  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 · Dcited before2026-05-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 ensure placement of the urinary catheter (a sterile tube inserted into the bladder to drain urine) drainage bag was maintained for two residents (Residents #2 and #76) out of four sampled residents. The facility census was 77.Review of the facility's policy titled, Urinary Catheter Care, dated 03/30/26, showed:- Keep the bag below the level of the resident's bladder at all times;- To empty the bag, place a large plastic container or graduated cylinder (container used to measure liquid) on the floor beneath the bag, remove the drain spout from its sleeve at the bottom of the catheter bag without touching its tip, open the slide valve on the spout, and let the urine flow out of the bag into the container, do not let the drain tube touch anything, close the slide valve and put the drain spout into its sleeve at the bottom of the bag;- Did not address keeping the catheter drainage bag off the floor. 1. Review of Resident #2'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-29 · tag F0691 — failed to provide colostomy / ostomy care — isolated
  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility failed to ensure care and services for one resident (Resident #59) out of a sample of one resident with a colostomy (a surgical procedure that brings one end of the large intestine out through the abdominal wall) were provided in accordance with professional standards of practice. The facility allowed Resident #59 to independently perform colostomy care without evidence of a physician order authorizing self-administration of care, without a documented assessment of the resident's competency to safely perform colostomy care, and without ongoing nursing assessment and monitoring of the stoma (opening) and appliance. The facility also failed to develop and implement a comprehensive care plan that addressed the resident's colostomy care needs, including monitoring of the stoma, appliance management, supply needs, resident education, and interventions necessary to maintain the resident's highest practicable well-being. The facility census was 77.Review of the facility's policy titled, Care Plan Completion, dated 03/27/26, showed:- The facility will develop a comprehensive…

  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 · D2026-05-29 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure 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.
  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 ensure drugs and biologicals were labeled and/or disposed of after the expiration date in accordance with currently accepted practices. This had the potential to affect all residents. The facility census was 77.Review of the facility's policy titled, Medication Labeling Policy, dated 03/26/26, showed:- This policy establishes requirements for accurate, complete, legible, and current medication labeling in the nursing home in order to support safe medication use, prevent errors, reduce diversion risk, and maintain compliance with federal requirements, Missouri law, and pharmacy service agreements;- The facility will ensure that medications and biologicals are labeled in a manner consistent with applicable federal and Missouri requirements and in a format that supports safe storage, preparation, dispensing, and administration;- No medication may be administered from a container, package, syringe, cup, blister card, or other storage system that is unlabeled, incompletely labeled, illegible, altered without…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-12-08 · 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 cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 81.The facility did not provide a dietary cleaning rotation or food storage policy. 1. Observations on 12/03/25 at 10:35 A.M., 12/04/25 at 3:01 P.M., and 12/08/25 at 3:07 P.M., of the kitchen showed:- The commercial dishwasher exterior with flaky white grime build-up and scattered debris on the floor beneath;- The floor below the reach-in freezer, reach-in refrigerator, range, and the food preparation counter with scattered debris, oily film, and brown grime;- The microwave oven interior with food debris build-up along the top and side surfaces;- Three 12-inch (in.) diameter ceiling diffusers (one of the few visible parts of an air conditioning system) with dust buildup and a brown substance on the front exterior surface and in between the ventilation louvers;- Two approximate 24 in. x 24 in. ceiling diffusers with dust…

  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 · Ecited before2025-12-08 · 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, and comfortable homelike environment. The facility census was 81.The facility did not provide a maintenance policy. 1. Observation of the bathroom door in room [ROOM NUMBER] on 12/03/25 at 10:49 A.M., showed a 6 inch (in.) by 3 in. hole. During an interview on 12/03/25 at 10:49 A.M., the resident in room [ROOM NUMBER] said the hole in the bathroom door had been there since he/she moved into the room about three months ago. He/She spoke with the Maintenance Director about his/her concerns with the room because it was frustrating. 2. Observations on 12/08/25 at 9:30 A.M. and 3:45 P.M., showed:- The A hall dining room area wooden food service counter behind the steam table with an approximate 2 foot (ft.) by 6 in. non-intact section along the floor without a baseboard;- The A hall dining room area metal food and drink service counter near the ice machine with an approximate 6 ft. by 6 in. scraped front section near 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

“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

$260,352 in federal fines across 3 penalties. 3 Medicare payment denials on record.

• $53,697 — penalty dated 2025-10-21
• $150,504 — penalty dated 2024-04-16
• $56,151 — penalty dated 2023-11-09
• Medicare payment denial — starting 2025-05-22 for 1 days
• Medicare payment denial — starting 2024-05-28 for 140 days
• Medicare payment denial — starting 2023-12-15 for 5 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.

Who owns this facility

CMS files one row per role, so the 33 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

13 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 95% 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 $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 17% 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