Glasgow Gardens

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.

55.6% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 59 beds and averages 38.1 residents a day — about 65% occupied, or roughly 21 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 2.52 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.75 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 2.23 hrs/resident/day on weekends vs 2.64 on weekdays — 15% thinner on weekends. RN hours go from 0.30 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · F2025-04-17 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  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 the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week. This had the potential to affect all residents. The facility census was 36. Review of the facility's policy, Staff Scheduling, dated April 2015, showed an RN must work eight consecutive hours on the day shift every day, seven days a week. 1. Review of the facility's RN daily staffing sheets and time-clock data, dated December 2024, showed the facility did not have documentation to show an RN (including the Director of Nursing (DON)) worked on 12/01/24, 12/07/24, 12/13/24, and 12/26/24. Review of the facility's RN daily staffing sheets and time-clock data, dated January 2025, showed the facility did not have documentation to show an RN (including the DON) worked on 01/13/25, 01/19/25, and 01/27/25. Review of the facility's RN daily staffing sheets and time-clock data, dated March 2025, showed the facility did not have documentation to show an RN (including the DON) worked on 03/23/25. During an interview 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-17 · 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 complete or maintain documentation of a two-step or prior two step Tuberculin Skin Tests (TST), or a chest x-ray in the last year, as required to rule out Tuberculosis (TB) (a communicable disease that affects the lungs characterized by fever, cough, and difficulty breathing), and failed to complete annual TB screening as required for three residents (Resident #17, #239, and #15), in a review of five sampled residents evaluated for immunization status. The facility failed to ensure there was a complete water management program in place to reduce the risk of legionellosis (any disease caused by Legionella (a bacteria which people can breathe in without knowing, sometimes causing infection in the lungs)) in the facility. The facility census was 36. Review of the facility's Tuberculosis Control Plan, dated May 2015, showed the following: -All residents new to long-term care who do not have documentation of a previous skin reaction less than…

  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 · E2025-04-17 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility staff failed to follow the facility's policy for the antibiotic stewardship program by not reporting infections to the infection preventionist as directed in policy, and failed to timely track infections and review antibiotic use following initiation of the medications. The facility census was 36. Review of the facility's undated policy, Surveillance: Antibiotic Stewardship Program, showed the following: -Measures of Antibiotic Prescribing, Use, and Clinical Outcomes: -The Infection Preventionist/designee will be responsible to audit the clinical assessment documentation at the time of the antibiotic prescription; -The Infection Preventions/designee will be responsible for auditing the completeness of antibiotic prescribing documentation to include dose, route, start date, end date, days of therapy, and indication; -The Infection Preventionist/designee will monitor antibiotic imitation. This is done by taking the number of new antibiotic starts for a single indication (Urinary Tract Infection, etc), dividing by total number 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-17 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 provide the pneumococcal vaccinations (a vaccine that can protect against pneumococcal disease) as indicated by the current Centers for Disease Control and Prevention (CDC) guidelines for four residents (Residents #15, #25, #6, and #34), of five five residents reviewed for immunization status. The facility census was 36. Review of the facility's undated policy, Immunization, showed the following: -Pneumococcal vaccination in persons age [AGE] and older years, unless contraindicated, would be administered according to the following guidelines when determining the vaccination status; -Adults 65 years or older who have not already received a pneumococcal conjugate vaccine should receive either a single dose of PCV15 followed by a dose of PPSV23 one year later, or a single dose of PVC20. If PCV20 is administered, a dose of PPSV23 is not indicated; -Adults 65 or older who have only received PPSV23 should receive a single dose of PCV15 or PCV20. The PCV 15…

  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 · Dcited before2025-04-17 · 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 develop a comprehensive, person centered care plan for two residents (Resident #35 and #89), in a review of 15 sampled residents. The facility census was 36. Review of the facility's undated policy Care Plan Comprehensive, showed the following: -An individualized comprehensive care plan that includes measurable goals and time frames will be developed to meet the resident's highest practicable physical, mental and psychosocial well-being; -Assessment of each resident is ongoing and the care plan will be revised as changes occur in the resident's condition; -The comprehensive care plan is developed within seven days of the completion of the resident's comprehensive assessment; -Periodic review and updating of care plans will occur: a. When a significant change in the resident's condition has occurred; b. At least quarterly; c. when changes occur that impact the resident's care (i.e. change in diet, change in care areas). 1. Review 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-08-23 · tag F0700 — pattern
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record reviews, facility policy review, and interviews, it was determined that the facility failed to perform assessments and obtain consents for bed rails for 3 (Residents #19, #24, and #26) of 3 residents reviewed for the use of bed rails. This affected 27 residents that had bed rails on their bed. Findings included: A review of an undated facility policy titled, Bed Rails, indicated, Once the Bed Rail observation is completed, the facility will print the observation and review associated risks and benefits with the resident and/or resident representative. After the review is complete, the resident and/or resident representative will sign the consent line and the nurse will sign as well. The policy further indicated, Educate the resident/legal representative on the benefits and risks of bed rail use. Develop a care plan that outlines the medical factors necessitating bed rails and an explanation of how the use of a bed rail is intended to treat the specific resident's condition. 1. A review of a Resident Face Sheet indicated the facility admitted 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-08-23 · tag F0909 — failed to maintain a comfortable temperature — pattern
  Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  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 observations, interviews, and facility document and policy review, the facility failed to conduct regular inspections of all bed frames, mattresses, and bed rails as part of a regular maintenance program to identify areas of possible entrapment for 36 out of 59 beds in the facility with bed rails. Findings included: Review of an undated policy titled, Bed Rails, revealed, Staff will conduct regular inspections of all bedframes, mattresses, and bed rails, to identify areas of possible entrapment. On 08/22/2023 at 3:11 PM, the Administrator provided a handwritten list of residents titled Assit [sic] Rails that listed 27 beds with rails (16 beds with two bed rails and 11 beds with one bed rail). Observations on 08/22/2023 between 3:20 PM and 3:31 PM revealed 31 occupied beds in the facility had either one or two bed rails. The facility census was 38. During an interview on 08/22/2023 at 3:11 PM with the Administrator and the Maintenance Director after maintenance logs for the beds and rails had been…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-08-23 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, and document review, the facility failed to complete a significant change Minimum Data Set (MDS) assessment as required for 2 (Resident #26 and Resident #8) of 19 sampled residents. Specifically, the facility failed to conduct a significant change MDS when Resident #26 had a decline in two areas of activities of daily living (ADL) and when Resident #8 was admitted to hospice services. Findings included: On 08/23/2023 at 2:40 PM, the Administrator stated the facility did not have a policy for MDS assessments and indicated they used the Resident Assessment Instrument (RAI) manual for MDS information. 1. A review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2019 (Version 1.17.11), revealed, The MDS completion date (item Z0500B) must be no later than 14 days from the ARD [Assessment Reference Date] (ARD + 14 calendar days) and no later than 14 days after the determination that the criteria for an SCSA [Significant Change in Status Assessment] were met. The manual also indicated, The final decision…

  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 · D2023-08-23 · 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

  Based on record review, interviews, and facility policy review, the facility failed to revise a care plan for 1 (Resident #24) of 19 residents reviewed for care plans. Specifically, the facility failed to ensure Resident #24's care plan was appropriately revised when the resident's diet status changed by removing the portions of the care plan that were no longer pertinent. Findings included: A review of an undated facility policy titled, Care Plan Comprehensive, revealed, Assessment of each resident is ongoing process and the care plan will be revised as changes occur in the resident's condition. The policy further revealed, The interdisciplinary care plan team is responsible for the periodic review and updating of care plans: c. When changes occur that impact the resident's care (i.e., change in diet, discontinuation of therapy, changesin [sic] care areas that do not require a significant change assessment). A review of the Resident Face Sheet indicated the facility readmitted Resident #24 on 06/26/2023 with diagnoses that included abnormal weight loss and dysphagia (difficulty…

  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 · D2023-08-23 · 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 observation, record review, interviews, and facility policy review, the facility failed to assess an open wound for 1 (Resident #8) of 13 sampled residents after hospice staff identified superficial areas to Resident #8's buttocks on 08/04/2023. Findings included: A review of a facility policy titled, Wound Care and Treatment, undated, indicated the guidelines for treatment included, 1. There must be a specific order for the treatment and 22. The care plan should reflect the current status of the wound and appropriate goals and approaches. Prevention strategies included, 1. On-going skin assessment with weekly documentation of status. A review of a significant change in status Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 06/02/2023, revealed the facility admitted Resident #8 on 08/31/2019. Resident #8 had a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. Resident #8 required extensive staff assistance for transfers, bed mobility, locomotion, and toilet use. The MDS indicated Resident #8 had no skin…

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to JAMES & JUDY LINCOLN — 56 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

1 organizational owner 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 $684K paid to related parties — landlords or management companies under common ownership — equal to about 23% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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