Pleasant Valley Manor Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% 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 102 beds and averages 62.8 residents a day — about 62% occupied, or roughly 39 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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 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 3.30 hrs/resident/day on weekends vs 3.69 on weekdays — 11% thinner on weekends. RN hours go from 0.42 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below 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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · E2025-09-05 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 three of 15 sampled residents reviewed for unnecessary medications (Resident #1, #2 and #34), and/or their representative were informed of the risks and benefits of taking psychotropic medications, this included anti-depressant medications, anti-anxiety medications, hypnotic medications (sleep aid), and anti-psychotic medications (for the treatment of mood and behaviors associated with mental health conditions). This failure prevented the resident and/or their representative from knowing the risks and the benefits of using psychotropic medications. The facility census was 62. Review of the facility's policy for Psychotropic Medications, revised July 2022, included Psychotropic medications may be considered for residents with dementia only after medical, physical, functional, psychological, emotional, psychiatric, social and environmental causes of behavioral symptoms have been identified and addressed. Residents, families and/or the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-05 · tag F0569 — pattern
  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 provide personal funds and a final accounting within thirty days upon discharge for three residents (Resident #68, #69, and #70) and failed to notify one resident (Resident #21) when they were within $200.00 of the Supplemental Security Income (SSI) resources limit. This affected four of 15 residents sampled. Facility census was 62. Request for a policy covering resident funds upon discharge was not provided by the facility.1. Review of the facility's accounts receivable aging report, dated [DATE], showed the following residents had money in the facility's operating account: - Resident #68 discharged on [DATE], with a credit balance of $4,422.14 in the Private Pay account;- Resident #69 discharged on [DATE], with a credit balance of $4,981,98 in the Private Pay account;- Resident #70 discharged on [DATE], with a credit balance of $2,923.04 in the Private Pay account.During an interview on [DATE] at 1:35 P.M., the Business Office Manager said:- The…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-05 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  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 a medication rate under five percent for two sampled residents (Resident #32 and #44) when there were four missed opportunities out of 25, leaving a medications error rate of 16%. The facility census was 62 residents. Review of the facility Medication Administration policy, updated on 7/15/21, showed all resident shall receive medications on a timely basis and in accordance with established policies. Medication orders are to be followed exactly per the physician. If there is any concern regarding the order the physician should be contacted prior to administering the medication. 1.Review of Resident #32 POS (Physician Order Sheet), dated September 2025, showed an order for Psyllium Husk Powder, give 17gm daily for constipation. Instructions read: Mix in 8oz of liquid.in the A.M. Observation and interview on 9/3/25 at 8:30 A.M., showed:-CMT (Certified Medication Technician) A said, Metamucil was in package and is to be mixed with a cup of water. CMT A did not realize the cup of water was short by 3…

  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 · E2025-09-05 · tag F0761 — failed to label and store drugs safely — pattern
  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 and interview, the facility failed to discard expired medications and biologicals stored within the medication cart, failed to ensure medication was not wedged behind the drawer of the medication cart, which affected four of 15 sampled residents (Resident #33, #20, #71 and #56), and failed to ensure there were no loose pills in the medication cart. The facility census was 62. Record review of the facility's undated policy for Storage of Medications showed:- The purpose of this procedure is to ensure that medications are stored in a safe, secure and orderly manner.- Medications are bubble packaged when they are received. Over the counter may be in a bottle with the label intact and the date the bottle is opened.- Drug containers having soiled, illegible, worn, makeshift, incomplete, damaged or missing labels should be returned to the pharmacy. - No discontinued, outdated, or deteriorated medications are available for use in this facility. All such medications are to be destroyed. - Medications are stored in an orderly manner in cabinets, drawers or carts. 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to store, prepare and serve food in accordance with professional standards of food service safety when staff failed to discard expired food items in the dry storeroom and leftovers in the refrigerator, failed to date and label food items in a refrigerator, and failed to properly date incoming food products stored in the dry storeroom. This had the potential to affect all residents by putting them at risk for a food borne illness. The facility census was 62. Record review of the facility's policy Food Receiving and Storage, revised November 2022, showed;- Dry foods that are stored in bins are removed from original packaging, labeled and dated (use by date).- All foods stored in the refrigerator are covered, labeled, and dated (use by date).- Refrigerated foods are labeled, dated, and monitored so they are used by their use by date or discarded. Record review of the facility's policy Dietary Food Storage, dated 10/1/21, showed:Refrigerator…

  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 · D2025-09-05 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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 an alternative appealing option of similar nutritive value to one resident (Resident #35) who refused food being served. This affected one resident of 15 residents sampled. The facility's census was 62.Record review of facility policy Resident Food Preferences, revised July 2017, showed the food services department will offer a variety of foods at each scheduled meal and substitutions with the same nutritive value Record review of meal substitutes for lunch, dated 9/2/25, showed: Hot dogs, chicken noodle soup, cheese puffs, ice cream, side salad, diced pears, yogurt or chips.1. Record review of Resident #35's Quarterly Minimum Data Set (MDS), a federally mandated assessment tool completed by facility staff, dated 7/8/25, showed:- The resident was severely cognitively impaired;- The resident had moderate difficulty hearing;- The resident had clear speech and he/she was usually understood and usually understands communications;- The resident was independent in eating;- Diagnosis: coronary 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-05 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  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 prepared foods per the prescribed therapeutic diet needs of individual residents when they did not ensure the main entree for a resident was mechanically altered with accompanying gravy or broth for one resident (Resident #1) out of 15 sampled. The facility census was 62.The facility did not provide the requested policies on therapeutic diets and pureed food preparation. Record review of Resident #1's Annual Minimum Data Set (MDS), a federally mandated assessment tool completed by facility staff, dated 7/1/25, showed:- Resident was cognitively intact;- Resident dependent on staff for set up assistance for eating;- Diagnosis: heart failure, kidney disease, diabetes, and anxiety disorder, dysphagia, oropharyngeal phase (difficulty or inability to move food from the mouth through the throat into the esophagus);- Mechanically altered diet.Record review of the resident's Care Plan, dated 7/7/25, showed the resident required a mechanical soft diet per resident request.Record review of the 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 observations, interviews, and facility policy review, the facility failed to ensure food stored in the main kitchen was labeled, dated, disposed of upon expiration, and the thermometer was properly sanitized in-between taking temperatures of the food. These failures had the potential to increase the prevalence and spread of foodborne illnesses and infection for all 60 facility residents. Findings include: Review of the facility's undated policy titled, Handling Leftover Foods, indicated that leftover foods will be properly handled, cooled, and stored to ensure food safety. Review of the facility's undated policy titled, Monitoring Food Temperatures, indicated that the probe should be washed, rinsed, and sanitized with an alcohol wipe and re-sanitized after each use. During an observation of the kitchen on 09/02/24 at 8:48 AM, the following items were observed in reach-in refrigerator one and verified by Dietary Aide (DA) 1 during the initial kitchen tour: -One carton of Almond Milk opened, with no open date with manufacturer's instructions (written on the carton) to use…

  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 · Dcited before2024-09-05 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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 observations, interviews, record review, and facility policy review, the facility failed to ensure the sit to stand mechanical lift was functioning properly before use for one of three residents (Resident (R) 5) who utilized the sit to stand lift; ensure the air conditioning unit for two of two residents (R51 and R17) was sealed to prevent pests from entering the rooms; ensure the laundry room floor was a cleanable surface; and ensure the northeast shower room was clean and safe for the residents utilizing the room of 28 sample residents. This failure had the potential to affect the 60 residents' right to reside in a safe, clean, and comfortable environment. Findings include: Review of the facility's policy titled MECHANICAL LIFT _ MANUAL OR BATTERY OPERATED, dated 06/24/24 and revealed the procedure as: 1. Assemble the equipment and supplies to perform the procedure. 2. Identify yourself and tell the resident what you are going to be doing. 3. Wash hands before beginning. 1. Review of R5's Face Sheet…

  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 · D2024-09-05 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 coordinate resident care with other health care providers who provide care for one of three residents (Resident (R) 32) with care provided by an outside health care agency of 28 sample residents. The facility's failure to provide ongoing communication with the outside health care provider places the resident at risk for inadequate or inappropriate care. Findings include: Review of the undated Face Sheet located in the electronic medical record (EMR) under the Census tab for R32 revealed an admission date of 03/11/21 with diagnosis including end-stage renal disease. Review of the admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/23/24 revealed R32 was dependent on one to two staff for activities of daily living (ADL) and a Brief Interview for Mental Status (BIMS) score of five out of 15 which indicated R32 was severely cognitively impaired. Review of R32's Care Plan located under the Care Plan tab of the EMR and updated 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

“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

$24,235 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $24,235 — penalty dated 2025-09-05
• Medicare payment denial — starting 2025-10-16 for 3 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 JUCKETTE FAMILY HOMES — 6 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 35 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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 $178K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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