Life Care Center Of Cape Girardeau

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.

53.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 195 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 81.6% 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 38 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 0.59 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 120 beds and averages 85.1 residents a day — about 71% occupied, or roughly 35 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 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.553 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.84 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 3.11 hrs/resident/day on weekends vs 3.71 on weekdays — 16% thinner on weekends. RN hours go from 0.67 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 68% 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 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.

45 citations, most serious first. The 17 most serious are shown; the remaining 28 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-06-27 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 an accurate and consistent system was in place to direct staff when to initiate basic life support for one resident (Resident #1), when on [DATE] at around 10:25 P.M., staff entered the resident's room and found the resident unresponsive with no respirations. Cardiopulmonary resuscitation (CPR - a procedure performed usually involving chest compressions and assisted breathing to revive a person's life) was initiated by facility staff with notification to emergency medical services (EMS) and hospice services. The resident's facility medical record showed a full code status order was entered on [DATE], without any documentation of the resident's wishes or consent for a full code status. The resident's hospice record located in the facility showed the resident's consent and an order for do not resuscitate (DNR) on [DATE], with documentation of the conversation for the DNR as per the resident's choice. The facility census was 92. On [DATE] at 4:25…

  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 before2025-03-18 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 record review and interview the facility failed to ensure an accurate and consistent system was in place to direct staff when to initiate basic life support for one resident (Resident #1) when on [DATE] the Phlebotomist came in around 5:00 A.M. and came to nurse's station and said the resident would not wake up. Licensed Practical Nurse (LPN) E went to the room and the resident did not have a pulse. LPN E and Certified Nurse Aid (CNA) C went to the nurse's station to check the report sheet for code status. The resident was a full code. LPN E returned to the room to begin Cardiopulmonary Resuscitation (CPR) while CNA C checked the electronic medical record for code status and called the code overhead. After a few compressions, CNA C returned to the room and stated the resident was a Do Not Resuscitate (DNR) according to the electronic records. LPN E stopped compressions and 911 was not called. Record review upon the resident's admission, [DATE], a DNR was signed. On a [DATE] re-admission a Full Code was…

  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 · Past Non-Compliance
• Actual harm · G2024-12-18 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 two residents (Residents #1 and #2) out of five sampled residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' choices related to pain management. The facility's census was 94. Review of the facility policy titled, Pain Assessment and Management, last revised 09/12/23, showed: - Facility must ensure that pain management is provided to residents who require such services consistent with professional standards of practice, the comprehensive-centered care plan, and the residents' goals and preferences; - Based on assessment, the facility in collaboration with the attending physician/prescriber, other health care professionals, and the resident and/or their representative, develops, implements, monitors, and revises as necessary interventions to prevent or manage each individual resident's pain; - Monitor appropriately for effectiveness and/or adverse consequences; - All residents will be assessed for pain indicators upon…

  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
• Actual harm · Gcited before2024-11-26 · 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 interview and record review, the facility failed to ensure the environment remained free of accident hazards by not ensuring staff utilized a hoyer lift and an appropriate vehicle to accommodate a wheelchair for one resident (Resident #1) resulting in increased pain and anxiety out of three sampled residents. The facility census was 99. The facility did not provide a policy for transfers. 1. Review of Resident #1's medical record showed: - An admission date of 10/30/24; - Diagnoses of muscle weakness, reduced mobility, history of falling, and chronic kidney disease (long standing disease of the kidneys); - No documentation of a lift assessment. Review of the resident's significant change Minimum Data Set (MDS - a federally mandated assessment completed by the facility staff), dated 11/16/24, showed: - The resident required maximal assistance with mobility. Review of the resident's Physical Therapy (PT) evaluation, dated 11/05/24, showed: - The resident required a Hoyer lift (a mechanical lift) for transfers. - Review of the resident's comprehensive care plan, dated…

  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
• Actual harm · Gcited before2024-08-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  jw KW Based on observation, interview, and record review, the facility failed to identify and treat a facility acquired pressure ulcer (injury to the skin and underlying tissue from prolonged contact with pressure) for one resident (Resident #2) out of five sampled residents. The facility's census was 105. Review of the facility's policy titled, Skin Wound, dated 08/25/21, showed: - Based on comprehensive assessment of a resident, the facility must ensure that a resident receives care consistent with professional standards of practice to prevent pressure ulcers and does not develop pressure ulcers unless the individuals clinical condition demonstrates that they were unavoidable; - A resident with pressure ulcers receives necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new pressure ulcers form developing; - A skin assessment/inspection should be performed weekly by a licensed nurse; - Skin observations also occur throughout points of care provided by Certified Nurse Aides (CNA) during activities of…

  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
• Actual harm · Gcited before2024-03-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  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

  Based on interview and record review, the facility failed to provide needed care and services to promote the healing of an open abdominal surgical wound for one resident (Resident #37) out of one sampled resident. The failure to thoroughly assess, document, treat and monitor the resident's condition contributed to the resident being hospitalized with sepsis (widespread infection causing organ failure and dangerously low blood pressure) and wound infection. The facility census was 100. The facility did not provide a policy regarding skin assessments, wound management or treatment. 1. Review of Resident #37's medical record showed: - An admission date of 02/13/24; - Diagnoses of surgical aftercare of an abdominal open wound, type 2 diabetes mellitus (inability of the body to make enough insulin), chronic obstructive pulmonary disease (lung disease that makes it difficult to breathe), diastolic heart failure (heart can't properly fill with blood during the resting period), paroxysmal atrial fibrillation (irregular heart beat), atherosclerotic heart disease (narrowing of the artery…

  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
• Actual harm · Gcited before2024-03-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 physician orders and provide treatment for two residents (Resident #37 and #71) out of six sampled residents with pressure injuries (injury to the skin and underlying tissue resulting from prolonged pressure on the skin). Resident #37 was admitted from the hospital with a sacral (above the tailbone) wound. The facility failed to complete a comprehensive assessment upon admission and failed to obtain physician orders to treat the wound. The resident was hospitalized 19 days after the facility admission with an infected, unstagable (the stage is unclear due to the base of the wound is covered with dead tissue) sacral wound. The facility census was 100. Review of the facility's policy titled, Skin Integrity & Pressure Ulcers/Injury Prevention and Management, reviewed 03/31/23, showed: - A resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing; - Certain risk factors have…

  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 · D2025-12-16 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 sufficient fluid intake to maintain proper hydration and health by not providing residents with fresh, easily accessible water at bedside, assistance with holding a water cup and cueing/offering resident's hydration for three of the four sampled residents, (Residents #1, #2, #3). The facility census was 79.Review of the facility's undated policy titled, Hydration and Nutrition, dated 09/25/25, directed staff to do the following: - Offer residents sufficient fluid intake to maintain proper hydration and health;- Fluid is available to residents at all times;- Continually assess the resident of the ability to consume and assimilate food and fluid is conducted by nursing personnel and all concerns are reported to the nurse to include the ability to feed self, the imbalance of intake, and signs of dehydration;- Document intake percentages;- Notify the resident's physician of any concerns. 1. Review of Resident #1's progress notes dated…

  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 before2025-05-22 · 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. These practices had the potential to affect all residents who are served food from the kitchen. The facility census was 88. The facility policy titled, Food Safety, reviewed 05/01/25, showed: - Food is stored and maintained in a clean, safe, and sanitary manner following federal, state, and local guidelines to minimize contamination and bacterial growth; - Pre-packaged food is placed in a leak-proof, pest-proof, non-absorbent, sanitary container with a tight-fitting lid. The container is labeled with the name of the contents and date (when the item is transferred to the new container). The use by date is noted on the label or product when applicable; - The use by date guide is easily accessible to all associates involved with resident food storage; - Dented, leaky, rusted, and swelling cans that could affect food safety are returned to the vendor but stored in a designated area away from…

  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 · E2025-05-22 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, facility staff failed to properly maintain the temperature of cold foods at or below 41 degrees Fahrenheit (°F) at the time of meal service, failed to implement a system to monitor food temperatures at the time of meal service, and failed to ensure refrigerator temperatures were maintained at 41 degrees or below. Failure to maintain foods at the proper temperature had the potential to affect all residents receiving meal service. The facility's census was 88. Facility policy entitled, Food Temperature Control, revised 4/28/25, showed: - Food temperatures are maintained during mealtimes to ensure residents receive safe food served at acceptable temperatures; - Food temperatures are checked at the completion of the cooking process and before food is placed on the serving line; If issues are identified, they are corrected, or the food is discarded; - Food temperatures are recorded prior to meal service on the Food Temperature Record Log; - If the food temperatures are unsatisfactory, the problem areas are corrected before serving 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 · D2025-05-22 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, facility staff failed to cover resident catheter (tube inserted into the bladder to drain urine) bags to maintain dignity for one resident (Resident #54) out of six sampled residents and for one resident (Resident #38) outside the sample. The facility census was 88. Review of the facility's policy titled, Dignity, revised 09/26/24, showed: - Each resident has the right to be treated with dignity and respect. Interactions and activities with residents by staff, temporary agency staff, or volunteers must focus on maintaining and enhancing the resident's self-esteem, self-worth, and incorporating the resident's goals, preferences, and choices. Staff must respect the resident's individuality as well as, honor and value their input; - A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his/her quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident; - Staff…

  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 · D2025-05-22 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  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 create an environment that was respectful of the rights of each resident to make choices about aspects of their lives that were significant by putting residents to bed based on staff preference and not resident preference for one resident (Resident #54) and by failing to honor two resident's (Residents #54 and #77) preferences to be shaved regularly out of 21 sampled residents . The facility's census was 88. Review of the facility's policy titled, Area of Focus: Resident Rights, reviewed 11/14/24, showed: - At the time of admission, a resident is afforded certain rights while residing in a Long-Term Care Facility. The facility and its associates have the responsibility for ensuring these rights are always upheld while the resident is in their care. Center for Medicare and Medicaid Services (CMS) outlines at least 48 rights the resident has that span a wide range of topics; - The resident has a right to a dignified existence,…

  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 · D2025-05-22 · tag F0569 — isolated
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  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 refund resident funds within 30 days of discharge or expiration of residents for four residents (Residents #197, #198, #199, and #200) out of a sample of 10 residents. The facility census was 88. The facility did not provide a policy regarding expired or discharged resident funds. 1. Review of Resident #197's census showed billing stopped on [DATE]. Review of the facility maintained Resident Trust Fund Trial Balance Report, dated [DATE] - [DATE], showed: - The resident's balance remained at $367.14. Review of the facility maintained Resident Trust Fund Trial Balance Report, dated [DATE] - [DATE], showed: - The resident's account was closed on [DATE]; - The resident funds of $367.14 remained in the facility account for days 94 days after the resident was discharged from the facility. 2. Review of Resident #198's census showed billing stopped on [DATE]. Review of the facility maintained Resident Trust Fund Trial Balance Report, dated [DATE] - [DATE],…

  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 before2025-05-22 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 a care plan with specific interventions tailored to meet individual needs for four residents (Residents #22, #25, #46 and #83) out of 21 sampled residents. The facility census was 88. Review of the facility's policy titled, Comprehensive Care Plans and Revisions, reviewed 09/11/24, showed: - The facility will ensure the timeliness of each resident's person-centered, comprehensive care plan, and to ensure the comprehensive care plan is reviewed and revised by an interdisciplinary team composed of individuals who have knowledge of the resident and his/her needs, and that each resident and resident representative, if applicable, is involved in developing the care plan and making decisions about his or her care; - The facility should monitor the resident over time to help identify changes in the resident condition that may warrant an update to the person-centered plan of care; - When these changes occur, the facility should review…

  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 before2025-05-22 · 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 observation, interview, and record review, the facility failed to obtain weights as ordered for one resident (Resident #25) out of five sampled residents and one resident (Resident #53) outside the sample. The facility census was 88. Review of the facility's policy titled, Weight Monitoring, Long-Term Care, reviewed 08/19/24, showed: - Weighing a resident in a long-term care facility is an important part of assessing a resident's health. Following a routine weighing schedule helps detect weight changes. Unless otherwise specified, a resident's weight should be recorded at the time of admission, weekly for 4 weeks, and then monthly. Keep in mind that many residents have comorbidities that cause unplanned weight changes, and some residents require more frequent weight assessments; - Weight loss in older adults can result from various conditions. Unplanned weight loss in residents is associated with increased mortality. A decrease in weight of 5% or more in a month and/or more than 10% in six months should be reported to the practitioner for further evaluation. Weight loss can…

  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 · D2025-05-22 · tag F0675 — failed to support quality of life — isolated
  Honor each resident's preferences, choices, values and beliefs.
  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 one resident (Resident #25) out of two sampled residents received timely feeding assistance and one resident (Resident #37) out of 21 sampled residents received an evening meal tray in a timely manner. The facility's census was 88. Review of the facility's policy titled, Feeding a Resident, reviewed 09/10/24, showed: - Properly trained personnel supervised by nursing assist residents as needed with meals and snacks and feed residents who are unable to feed themselves; and nursing personnel provide assistive devices to residents as directed by therapy and provide education to residents regarding the use of assistive devices; - The facility must provide special eating equipment for residents who need them and appropriate assistance to ensure that the resident can use the assistive device when consuming meals and snacks; - Assist resident with toileting and hand hygiene prior to meals, ensure resident is positioned appropriately for meals, sit to assist resident with eating, provide size appropriate bites…

  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 · Dcited before2025-05-22 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide showers for three residents (Residents #25, #54, and #77) out of 21 sampled residents and one resident (Resident #53) outside the sample. The facility's census was 88. Review of the facility policy titled, Activities of Daily Living (ADLs), reviewed 09/10/24, showed: - The resident will receive assistance as needed to complete ADLs. Any change in the ability to perform ADLs will be reported to the nurse; - Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices: - Based on the comprehensive assessment of a resident and consistent with the resident's needs and choices, the facility must provide the necessary care and services to…

  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

“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

$149,578 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $81,955 — penalty dated 2025-05-22
• $17,345 — penalty dated 2025-03-18
• $30,030 — penalty dated 2024-11-26
• $20,248 — penalty dated 2024-08-22
• Medicare payment denial — starting 2025-07-25 for 19 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 LIFE CARE CENTERS OF AMERICA — 194 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 23 rows in the source record cover these 16 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.

3 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.

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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