Osage Beach Rehabilitation And Health Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

47.9% 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 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 27 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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 94 beds and averages 78.8 residents a day — about 84% occupied, or roughly 15 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 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.92 is at or above 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 3.21 hrs/resident/day on weekends vs 4.09 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.71 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% 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.

32 citations, most serious first. The 15 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Kcited before2023-10-03 · 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

  Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent the potential spread of Covid-19 (an acute respiratory illness in humans caused by the coronavirus, SARS-CoV-2) and other infections, when staff failed to follow acceptable infection control practices for Covid-19. The facility failed to separate three positive Covid-19 residents (Resident #1, #3 and #8) from residents who had tested negative for Covid-19 or had only been exposed to Covid-19 for five residents (Resident #2, #4, #5, #6 and #7) at an increased risk of contracting Covid-19 due to prolonged exposure. The facility census was 71. The Administrator was notified on 10/02/23 at 1:43 P.M., of an Immediate Jeopardy (IJ) which began on 09/19/23. The IJ was removed on 10/02/23 as confirmed by surveyor onsite verification. Review of the Center's for Disease Control (CDC's) Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019…

  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
• Immediate jeopardy · Kcited before2022-09-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, facility staff failed to ensure the resident environment remains as free of accident hazards as is possible, when staff failed to maintain the hot water temperature of plumbing fixtures accessible to residents on corridors A and B in a manner to prevent serious burns or scalding in a short amount of time. Additionally, facility staff failed to ensure razors and hazardous chemicals were stored in a safe manner, and failed to lock an unattended treatment cart. Facility staff also failed to propel four residents (Residents #14, #30, #57 and #59) in wheelchairs in a manner to prevent accidents. The facility census was 68. The administrator was notified on 09/20/22 at 12:45 P.M. of an Immediate Jeopardy (IJ) which began on 09/19/22. The IJ was removed on 09/20/22, as confirmed by surveyor onsite verification. 1. Review of the facility's Water Temperature Policy, undated, showed the policy directed staff to check water temperatures in the kitchen, maintenance room,…

  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 · G2026-06-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, facility staff failed to ensure one resident (Resident #2) remained free from sexual abuse, when a resident (Resident #1) entered Resident #2's room and touched his/her chest. The facility census was 81.The administrator was notified on 06/22/26 of Past Non-Compliance which occurred on 06/17/26. The Administrator and Director investigated, notified the residents' responsible parties, and in-serviced staff regarding abuse, sent Resident #1 to the hospital for evaluation, and initiated one on one monitoring. Resident #2 had additional therapy services initiated as a result of this. Staff corrected the deficient practice on 06/18/26. 1.Review of the facility's Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, revised 2/1/23, showed Sexual Abuse is defined as non-consensual sexual contact of any type with a patient that includes but is not limited to, sexual harassment, sexual…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2025-06-17 · 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, facility staff failed to provide a proper mechanical lift transfer for one resident (Resident #1) in a manner to prevent accidents when the lift hit a television mounted on the wall and the television fell and struck the resident and he/she sustained an injury to his/her head and arm. The facility census was 77. 1. Review of the Electric Portable Patient Lift owner's operator and maintenance manual, undated, showed the guide recommends two persons transfer in circumstance of combativeness, obesity, contracture etc. It is the responsibility of each facility or medical professional to determine if a one or two person transfer is more appropriate. Review of the facility's Transfers and Lifts policy, undated, showed the lift must be used with two staff members. 2. Review of Resident #1's Quarterly minimum data set (MDS), a federally mandated assessment tool, dated 6/5/25, showed staff assessed the resident as follows: -Cognitively intact; -Totally dependent for transfer assist with two or more staff; -Paraplegia (muscle weakness or paralysis on the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-05-06 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, facility staff failed to ensure residents remained free of significant medication errors when staff administered Resident #2's medication to Resident #1 which resulted in Resident #1 being transported to the hospital after an adverse reaction. The facility census was 76. The administrator was notified on 5/6/24 of past Non-Compliance, which occurred on 4/21/24 when staff administered the wrong medication to the incorrect resident. Staff assessed the resident, notified the residents physician, sent the resident to the hospital, and in-serviced nursing staff on medication administration. Staff corrected the deficient practice on 4/23/2024. 1. Review of the facility Medication Administration policy, dated 1/1/2019, showed medications are administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so. Personnel authorized to administer medications should do so only after they have been properly oriented to the facility's medication distribution system (procurement, storage,…

  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 · Past Non-Compliance
• Potential for harm · D2025-06-17 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, facility staff failed to notify the physician in a timely manner of an injury to one resident (Resident #1) when a television fell from the wall and struck the resident in the arm and head. The facility census was 77. 1. Review of the facility's change in patient status Policy, revised 3/2024, showed the charge nurse is to notify the physician. Review of the facility's Accidents and Untoward Occurrences Policy, reviewed May 2025, showed staff are directed to notify the physician and document content of discussion. 2. Review of Resident #1's Quarterly minimum data set (MDS), a federally mandated assessment tool, dated 6/5/25, showed staff assessed the resident as follows: -Cognitively intact; -Guillain-Barre syndrome (immune system attacks the nerves), Paraplegia (muscle weakness or paralysis on the lower half of the body). Review of the resident's nurse notes, late entry on 6/17/25, showed staff documented on 6/13/25 at 6:30 P.M,. Certified Nursing Assistant (CNA) A reported the TV in the residents room fell off the wall while transferring…

  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 · Fcited before2025-02-27 · tag F0880 — failed to prevent and control infections — widespread
  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, facility staff failed to provide a barrier for the glucometer (a device for monitoring blood sugars) supplies for seven residents (Resident #7, #26, #52, #55, #61, #74, and #79) out of seven sampled residents. Facility staff failed to wear gloves while administering insulin to three residents (Resident #52, #61, and #74) out of seven sampled residents. Facility staff failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (a serious type of pneumonia (lung infection) caused by Legionella bacteria, which places all residents of the facility at risk of exposure which could lead to illness).The facility census was 75. 1. Review of the facility's policy titled, Cleaning and Disinfecting Blood Glucose Meters, dated 2019, showed facility staff were directed to apply gloves before…

  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 · Ecited before2025-02-27 · tag F0658 — failed to meet professional standards of care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, facility staff failed to meet professional standards of care when staff did not document an order for code status (the level of medical interventions a resident wishes to have if their heart or breathing stops) for one Resident #9, did not document a clear order for code status for one Resident #37, and did not document clinical condition or symptoms for use of medications for three Residents (#75, #79, and #80) out of 18 sampled residents. The facility's census was 75. 1. Review of the facility's policy titled, Code Status/Advance Directives Procedure, dated [DATE], showed: -Nursing will discuss with the patient, if unable-the legal/patient representative about code status Do not Resuscitate (DNR) versus cardiopulmonary resuscitation (CPR) as well as other life sustaining measures on the Physician's Orders for Life Sustaining Treatment (POLST) Form; -The POLST Form is completed by Nursing and forwarded to Health Information Department for physician signature; -Code status…

  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 · Ecited before2025-02-27 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, facility staff failed to obtain consents for side rails and failed to complete side rail assessments for five residents (Resident #18, #43, #64, #76 and #77), out of seven sampled residents. The facility census was 75. 1. Review of the facility's Proper use of Side Rails Policy, 12/2016, showed: -An assessment will be made to determine the resident's symptoms, risk of entrapment and reason for using side rails; -When used for mobility or transfer, an assessment will include a review of the resident's: -Bed mobility; -Ability to change positions, transfer to and from bed or chair, and stand and toilet; -Risk of entrapment from the use of side rails; -That the beds dimensions are appropriate for the resident's size and weight. -Consent for using restrictive deices will be obtained from the resident or legal representative per facility protocol; -Consent for side rail use will be obtained from the resident or legal representative, after presenting potential…

  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 before2025-02-27 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, facility staff failed to ensure residents' personal information was protected when staff left the computer screen open in public areas for six residents (Resident #7, #26, #31, #61, #74 and #79) of nine sampled residents. The facility's census was 75. 1. Review of the facility's policy titled, National Healthcare Corporation (NHC) Health Insurance Portability and accountability Act (HIPAA) Privacy Program, dated 12/2024, showed: -NHC is committed to complying with the HIPAA Privacy Rule and maintaining the confidentiality of patient's Protected Health Information (PHI) through appropriate, authorized access, uses, and disclosures; -NHC creates, stores, maintains, uses, transmits, collects and disseminates PHI in an environment that promotes confidentiality and integrity without compromising PHI. 2. Observation on 02/24/25 at 7:45 A.M., showed Registered Nurse (RN) A left the computer screen open and unattended on with Resident #31 medication information visible in Hallway A. Observation showed residents and staff walked by the cart. Observation 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-27 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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, facility staff failed to document an accurate Minimum Data Set (MDS), a federally mandated assessment, when staff did not accurately code section A of the MDS for two residents (Residents #9 and #41), and section B of the MDS for one resident (Resident #43) out of 18 sampled residents. The facility's census was 75. 1. Review of the facility's policies showed staff did not provide a MDS policy. 2. Review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Manual, a guideline for staff to complete each resident's MDS, dated [DATE], showed federal regulations require the assessment accurately reflects the resident's status, and the assessment process includes direct observation, as well as communication with the resident and direct care staff on all shifts. In addition, an accurate assessment requires collecting information from multiple sources, some of which are mandated by regulations. 3. Review of Resident #9's Annual MDS, 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-06 · tag F0838 — failed to assess facility resources and resident needs — isolated
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility staff failed to conduct and document an annual facility-wide assessment to determine what resources are necessary to care for it's residents competently during both day-to-day operations and emergencies as required. The facility census was 73. 1. Review of the facility's Facility Assessment Report, dated September 2022 through August 2023, showed the assessment did not contain information on staffing for day-to-day operations and emergencies as required. During an interview on 5/6/24 at 1:14 P.M., the administrator said he/she did not have a full facility assessment completed and is aware it is required to be done annually. He/She said he/she staffs by census. MO00235022 MO00235450

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-12-14 · 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 staff failed to allow sanitized dishes to air dry prior to stacking in storage and use to prevent the growth of food-borne pathogens. Facility staff also failed to store food in a manner to prevent contamination and out-dated use. The facility census was 71. 1. Review of the facility's Machine Warewashing policy, dated November 2017, showed the policy directed staff to air dry all items and ensure all items are completely dry before stacking to prevent wet-nesting. Observation on 12/11/23 at 9:54 A.M., showed Dietary Aide (DA) I removed sanitized plates from the clean side of the mechanical dishwashing station while wet and stacked them together upside down in the plate heater. Observation showed the DA removed sanitized insulated plate holders and domed plate covers from the clean side of the station while wet and stacked them together in the upright position on a service cart. Observation on 12/11/23 at 10:25 A.M., showed DA I removed sanitized insulated plate holders and domed plate covers from the clean side of 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 · E2023-12-14 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, facility staff failed to update three residents (Resident #20, #59, and #68) care plans to include the use of oxygen. The facility census was 71. 1. Review of the facility's policies showed staff did not provide a policy for care plans. 2. Review of Resident's #20's admission Minimum Data Set (MDS), a federally mandated assessment, dated 10/16/23, showed staff assessed the resident as follows: -Cognitively intact; -Oxygen therapy; -BiPAP therapy (a device that helps with breathing which provides distinct air pressure levels for inhalation and exhalation); -Diagnoses of chronic lung disease, respiratory failure, anxiety, and heart failure. Review of the resident's care plan, dated 10/18/23, showed the care plan did not contain information for the resident use of his/her BiPAP or oxygen therapy. Review of the resident's Physicians Order Sheet (POS), dated 12/01/23, showed staff are directed to apply the BiPAP at bedtime and remove in the morning. Observation 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-12-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain adequate infection control practices to prevent the transmission of infection when staff failed to clean a suction machine for one resident (Resident #8), during perineal care and staff applied oxygen tubing directly from the floor on one resident (Resident #11). Staff failed to change and date respiratory tubing for three residents (Resident #15, #20, and #59). The facility census was 71. 1. Review of the facility's Suction Machine, Care and Use of policy, dated 2006, showed the suction machine bottle should be emptied, washed with soapy water and rinsed after each use. 2. Review of Resident #8's Annual Minimum Data Set (MDS), a federally mandated assessment tool, dated 10/18/23 showed staff assessed the resident: -Required artificial intake of greater than 51 percent (%) of fluid and calories; -Feeding tube (tube placed in the stomach to administer nutrition and/or hydration); -Required suctioning; -Diagnosis of stroke.…

  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

“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

$107,324 in federal fines across 1 penalty.

• $107,324 — penalty dated 2023-10-03

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 NATIONAL HEALTHCARE CORPORATION — 69 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.

9 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 $515K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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