Sylvia G Thompson Residence Center, INC

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.

Staffing

How full it usually is: this home is certified for 120 beds and averages 114.3 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.00 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 2.91 hrs/resident/day on weekends vs 3.85 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.29 to 0.08 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% 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.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-03-29 · 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 interview and record review, facility staff failed to properly assess two residents', (Resident #1 and #2) capacity to consent to sexual activity and failed to ensure residents with severe cognitive impairment remained free from sexual abuse when staff found Resident #2 holding Resident #1's hand to perform a sexual act. The facility census was 117. The administrator was notified on 3/22/24 at 5:09 P.M., of an Immediate Jeopardy (IJ) which began on 3/19/24. The IJ was removed on 3/29/24 as confirmed by the surveyor's onsite verification. Review of the facility's Abuse Prohibition Policy, dated August 4, 2023, showed it is the policy of this facility to investigate any incident or allegation of suspected abuse, injury of unknown origin, neglect or misappropriation of resident's property. Our facility will not permit residents to be subjected to abuse by anyone, including staff members, other residents, consultants, volunteers, staff of other agencies serving the resident, family members, legal guardians,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-08-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, facility staff failed to provide appropriate care and services per facility policy to maintain the highest practicable physical and psychosocial well-being for one resident (Resident #1) when staff failed to safely administer a warm pack for pain, which resulted in a burn injury to the resident's left arm and shoulder area. The facility census was 115.1. Review of the facility's Policy and Procedure for Using a Warm and Cool Pack, dated 08/2024, showed if a resident requests a warm or cool pack, one will be provided that will return to room temperature without intervention. This would consist of rice packs, gel packs, or warm/cool cloths that will return to room temperature on their own. Warm packs are not to be microwaved unless manufacturer recommends. Hot water may be utilized only out of facility faucets to ensure temperature is not too hot. Staff should check periodically to see if resident has relief from the issue that requires the use of the pack. 2. Review of Resident #1's Quarterly Minimum Data Set (MDS), a federally…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-29 · tag F0728 — failed to protect against nurse-aide misconduct — pattern
  Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
  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 five nurse aides ((NA) NA A, NA B, NA C, NA D, and NA E) out of six sampled NA's, completed the nurse aid training program within four months of their facility hire date. The facility census was 116.1. Review of the facility provided policies did not contain a policy to direct staff on timeframe for the completion of nurse aide training program.2. Review of NA A's personnel file showed a hire date of 11/01/25. The file did not contain documentation NA A completed the nurse aide training program.During an interview on 04/29/26 at 2:42 P.M., NA A said he/she has worked as an NA since 2025. He/She said he/she is supposed to be done with the CNA class now but waiting on an email to be able to take the test. He/She said that he/she works the floor by himself/herself and performs resident cares.3. Review of NA B's personnel file showed a hire date of 10/31/25. The file did not contain documentation NA B completed the nurse aide training program.4. Review of NA C's personnel file showed a hire date of 10/31/25. The file…

  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 · F2025-10-09 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 staff failed to follow their Facility Assessment to ensure the facility staffed enough staff to meet the needs of the residents. Staff failed to provide a sufficient number of direct care staff members to ensure call lights were answered in timely manner. The facility census was 112. 1. Review of the facility assessment tool, dated 08/28/25, showed: -Average census of 117 residents;-Goal staffing is one to eight ratio for Certified Nursing Assistants (CNAs), the day-to-day average is one to ten for CNAs;-Days: Five Registered Nurses (RNs), two Licensed Practical Nurses (LPNs), and 17 CNAs;-Evenings: One RN, one LPN, and 14 CNAs;-Nights: Two LPNs and eight CNAs;-Weekend days: One RN, one LPN, and other direct care hours remain the same.2. Review of the facility census sheet, dated 08/30/25, showed the facility census at 117.Review of the employee schedule, dated 08/30/25, showed: -Eight CNAs on evening shift;-Seven CNAs on night shift.3. Review of the facility…

  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 · Fcited before2025-10-09 · 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 and interview facility staff failed to ensure two of three ice machines, used to supply ice to residents, drained through an air gap to prevent cross-contamination. Facility staff failed to ensure one ice machine was free of materials to prevent ice contamination. The facility census was 112.1. Observation on 10/08/25, during the Life Safety Code tour showed:-the ice machine located in the clean utility room contained two small white plastic tubes which drained from the rear of the ice machine into a larger white plastic floor drain and did not contain an air gap. Observation showed the white plastic above the ice storage bin contained a black speckled substance;-the nurse station 2 dining room ice machine contained a black drain hose which ran into a white plastic drain and did not contain an air gap.During an interview on 10/09/25 at 11:35 A.M., the Safety Coordinator said the facility's contracted vendor was responsible for cleaning the ice machines, but he/she did not know how often. The safety coordinator said maintenance staff were responsible for…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-09 · 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, the facility staff failed to meet professional standards of care when they failed to document they administered treatments for three residents (Resident #46, #110, and #112) of 28 sampled resident treatments. The facility census was 112.1. Review of the facility's policy titled, Wound Care, revised October 2010, showed the purpose of this procedure is to provide guidelines for the care of wounds to promote healing. The following information is be recorded in the resident's medical record:-The type of wound care given;-The date and time the wound care was given;-If the resident refused the treatment and the reason(s) why;-Staff are directed to notify the supervisor is the resident refuses the wound care. 2. Review of Resident #46's admission Minimum Data Set (MDS), a federally mandated assessment tool, dated 08/08/25, showed staff assessed the resident as:-Severe cognitive impairment;-Rejection of care not exhibited;-At risk of Ulcers/injuries;-Surgical wound.Review 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-09 · 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 provide a safe mechanical lift transfer for two residents (Resident #21 and #90) when staff failed to open the legs of the mechanical lift during transfers and failed to position the resident's wheelchair to prevent bumping the mechanical lift during the transfer. The facility census was 112. 1. Review of the facility's policy titled, Safe Lifting and Movement of Residents, dated July 2017, showed the following:-In order to protect the safety and well-being of staff and residents, and to promote quality care, this facility uses appropriate techniques and devices to lift and move residents;-Staff responsible for direct resident care will be trained in the use of manual and mechanical lifting devices;-Staff will be observed for competency in using mechanical lifts and observed periodically for adherence to policies and procedures regarding use of equipment and safe lifting techniques;-Safe lifting and movement of residents is part of an…

  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 · E2025-10-09 · 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 assess residents for the use of bed rails on a quarterly basis for six residents (Resident #2, #3, #10, #11, #29, and #112) of 28 sampled residents. The facility census was 112. 1. Review of the facility's policy titled, Bed Safety and Bed Rails, dated August 2022, showed the use of bed rails is prohibited unless the criteria for use of bed rails have been met, including attempts to use alternatives, interdisciplinary evaluation, and resident assessment.2. Review of Resident #2's Quarterly minimum data (MDS), a federally mandated assessment tool, dated 09/26/25, showed staff assessed the resident as follows:-Severe cognitive impairment;-Required substantial/maximal assistance with toileting, showering, personal hygiene; -Bed rails not used as a restraint in bed.Review of the resident's medical record showed the record did not contain a quarterly side rail assessment.Observation on 10/07/25 at 1:20 P.M., showed the resident in bed with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-09 · tag F0728 — failed to protect against nurse-aide misconduct — pattern
  Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
  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 Nurse Aide's ((NA) NA H, NA J, NA P, NA Q, and NA S) of 24 completed the nurse aide training program within four months of his/her employment in the facility. The census was 112.1.Review of the facility's Nurse Aide Qualifications and Training Requirements policy, revised 08/2022, showed nursing assistants failing to successfully complete the required training program within the first four (4) months of their date of employment may be terminated from employment or may be reassigned to non-nursing related services.2. Review of NA H's CNA report, showed a hire date of 03/24/25. Review showed the NA's file did not contain documentation the NA completed a nurse aide training program.3 Review of NA J's CNA report, showed a hire date of 04/28/25. Review showed the NA's file did not contain documentation the NA completed a nurse aide training program.During an interview on 10/17/25 at 10:40 A.M., NA J said he/she started back with the facility in April. He/She has taken the classes online through the facility but has yet…

  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 · Ecited before2025-10-09 · 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, facility staff failed to ensure a medication error rate of less than five percent (5%) out of 25 opportunities observed, nine errors occurred, resulting in a 36% error rate, which affected two residents (Resident #48 and #62) out of seven sampled residents. The facility's census was 112.1. Review of the facility's policy titled, Administering Medications, revised April 2019, showed staff: -Medications are administered in a safe and timely manner, and as prescribed;-Medications are administered within one hour of their prescribed time, unless otherwise specified (for example, before and after meal orders);-The individual administering the medication checks the label THREE times to verify the right resident, right medication, right dosage, right time, and right method (route) of administration before giving the medication;-Medication errors are documented, reported, and reviewed by the QAPI committee to inform process changes and or the need for additional staff training.Review of the facility's Medication Pass times, provided by 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 before2025-10-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, facility staff failed to label and store medications in a safe and effective manner in one of two sampled medication storage rooms and one of two sampled medication carts. Staff failed to ensure medications were properly stored during medication administration to residents. The facility census was 112.1. Review of the facility's policy titled, Storage of Medication, revised 11/2020, showed:-The facility stores all drugs and biologicals in a safe, secure, and orderly manner;-Drug containers that have missing, incomplete, or incorrect labels are returned to the pharmacy for proper labeling before storing;-Discontinued, outdated, or deteriorated drugs or biologicals are returned to the dispensing pharmacy or destroyed;-Schedule II-V (two to five) controlled medications are stored in separately locked, permanently affixed compartments.Review of the facility's policy titled, Administering Medications, revised 04/2019, showed when opening a multi-dose container, 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 · D2025-08-26 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility staff failed to review and revise the plan of care to address individualized physical and functional care needs for three residents (Resident #1, #2, and #3) out of four sampled residents. The facility's census was 115.1. Review of the facility's Comprehensive Care Plans Policy, revised 03/2022, showed a comprehensive, person-centered care plan will include measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Assessments of residents are ongoing, and care plans are revised as information about the residents' condition change. Review showed the policy did not address timeframes for revising a resident's care plan after an injury or change in functional care needs. 2. Review of Resident #1's Quarterly Minimum Data Set (MDS), a federally mandated assessment, dated 05/29/25, showed staff assessed the resident as cognitively intact, occasional pain, and did not…

  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

“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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in MO