Baptist Homes Of Shelbina

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.

39.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.0% 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 30 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 0.18 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 58.5 residents a day — about 49% occupied, or roughly 62 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 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.65 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 3.61 hrs/resident/day on weekends vs 3.49 on weekdays — about the same on weekends as weekdays. RN hours go from 0.55 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 unchanged from the previous inspection. 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.

35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-07-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide protective oversight to ensure one additional resident (Resident #33), followed facility policies regarding smoking. Resident #33, who utilized oxygen, was assessed by the facility to be a safe smoker and could smoke independently. Observation on 06/24/25 at 12:30 P.M., showed the resident outside smoking a cigarette. His/Her portable oxygen concentrator (a device that delivers oxygen) was turned on and running at three liters per minute. The resident had removed his/her oxygen tubing from his/her nose and laid the tubing across the right armrest of his/her wheeled walker. The resident held a lit cigarette in his/her right hand, approximately six inches from the oxygen tubing connected to the portable oxygen concentrator located under the seat of the wheeled walker. Another resident, Resident #52, sat in a metal chair next to Resident #33 with a lit cigarette. Facility staff failed to follow facility policy when two residents…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-02-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure staff transferred one resident (Resident #6), in a review of seven sampled residents, who required staff assistance and use of a gait belt (belt used to help safely transfer a person from a bed to a wheelchair, assist with sitting and standing, and ambulation). Both staff and the resident fell. The resident had a history of falls and a left hip fracture. The resident sustained a skin tear, muscle/ligament tears, and had increased pain after the fall. The facility census was 59. Review of the facility policy Gait Belt for Transfer dated 10/10/12 showed gait belts are provided to assist staff to safely transfer or ambulate residents. 1. Review of Resident #6's hospital discharge orders dated 12/8/23 showed the following: -Fracture of left hip; -Past medical history of stroke; -Discharge activity included non-weight bearing to left hand. Can use platform walker and bear weight on the forearm. 75% weight bearing to the left leg. Review of the resident's admission Minimum Data Set (MDS), a federally mandated assessment…

  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 · G2024-02-22 · 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, the facility failed to ensure one resident (Resident #7). in a review of seven sampled residents, remained free of significant medication error. The resident had an order for a Fentanyl patch (a powerful opiod medication for pain control). The resident became nauseated and unresponsive requiring two doses of Narcan (a medication used to reverse opioid overdose) before becoming responsive again. The resident was then transferred to the hospital for evaluation where hospital records showed the resident had two Fentanyl (narcotic pain medication) patches on the resident's skin (the resident's physician order was for one patch). The facility census was 59. The facility did not provide a policy for following physician's orders. Review of www.drugs.com showed the following regarding Fentanyl patch usage: -Opioid medication can slow or stop breathing, and death may occur. Seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up; -Remove the skin patch and call your physician at once…

  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 · E2026-06-08 · tag F0557 — pattern
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure staff treated four residents (Residents #4, #2, #6, and #3), in a review of 10 sampled residents, with dignity and respect when Certified Medication Assistant (CMT) A spoke to the residents with a harsh and demeaning tone and with aggressive actions that resulted in the residents feeling they were being scolded and/or treated like children. The facility census was 61. Review of the facility policy, Dignity, dated 2001, showed the following: -Each resident shall be cared for in a manner that promotes and enhances his/her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem; -Residents are treated with dignity and respect at all times; -The facility culture supports dignity and respect for residents by honoring goals, choices, preferences, values, and beliefs. This begins with the initial admission and continues throughout the resident's facility stay; -Residents' private space and property are respected…

  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 · F2025-07-01 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to maintain one ice machine to be free of an accumulation of debris and failed to ensure the ice machine was equipped with an air gap. The facility also failed to ensure food items were labeled, dated, covered and discarded when expired. The facility census was 56. 1.Observation on 6/23/25 at 9:12 A.M. of the ice machine located in the facility kitchen showed pink-colored debris inside the unit on the white plastic shield over the accumulated ice below. The ice machine drain was not equipped with an appropriate air gap below the unit. During an interview on 6/23/25 at 3:05 P.M., the Dietary Manager said dietary staff was responsible for wiping down the outside of the ice machine daily. The unit was deep cleaned by maintenance staff monthly. The ice machine was new and the facility just got the unit last month. During an interview on 6/23/25 at 3:47 P.M., the Maintenance Director said the ice machine in the kitchen had been replaced approximately one month ago. The vendor was contracted to clean and descale 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 · Fcited before2025-07-01 · 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, the facility failed to develop specific control parameters for addressing Legionella (a bacterium that can cause a serious type of pneumonia in persons at risk), based on Center for Disease Control (CDC) and American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) standards. The facility did not fully implement the facility's Legionella Water Management Program policy which instructed staff how to monitor residents for Legionnaire's disease, have a water management team as described, follow ASHRAE guidelines, and have a detailed water flow map. The facility failed to ensure staff performed appropriate hand hygiene and changed gloves during the provision of care for three residents (Residents #9, #42, and #38), in a review of 16 sampled residents. The facility failed to implement Enhanced Barrier Precautions for two sampled residents (Residents #9 and #42). The facility failed to ensure proper infection control practices were utilized…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-01 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 staff treated three residents (Resident #15, #46 and #38), in a review of 16 sampled residents, with dignity and respect when a staff member (Certified Medication Technician (CMT)/Certified Nurse Aide (CNA) N spoke to residents in a harsh, stern, and hurried manner. The facility census was 56. Review of the facility policy, Dignity, revised February 2021, showed the following:-Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem;-Residents are always treated with dignity and respect;-The facility culture supports dignity and respect for residents by honoring resident goals, choices, preferences, values, and beliefs. This begins with the initial admission and continues throughout the resident's stay;-Residents may exercise their rights without interference, coercion, discrimination or reprisal from any person or entity…

  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 · E2025-07-01 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a system to consistently communicate code status for two residents (Resident #15 and #206), in a review of 16 sampled residents, and one additional resident (Resident #49). The facility census was 56.Review of the facility policy, Advance Directives, dated [DATE], showed the resident has the right to formulate an advance directive, including the right to accept or refuse medical or surgical treatment. Advance directives are honored in accordance with state law and facility policy.Review of the facility policy, Cardiopulmonary Resuscitation (CPR) (an emergency procedure used during cardiac or respiratory arrest that involves chest compressions, often combined with artificial ventilation, to preserve brain function and maintain circulation until spontaneous breathing and heartbeat can be restored), dated [DATE] showed the following:-Residents who have Full Code status will be given CPR in the absence of vital signs;-Resident code…

  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 · E2025-07-01 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 an appropriate diagnosis for the use of psychotropic medications (medications that alter the levels of chemicals in the brain that influence mood, behavior and perception) for three residents (Residents #8, #50, #53) in a review of sixteen sampled residents. The facility failed to ensure one resident's physician (Resident #50) was made aware of a pharmacy recommendation to reduce his/her antipsychotic and failed to ensure gradual dose reductions (GDRs) were attempted, or documented as clinically contraindicated, for two resident (Residents #50 and #53). The facility census was 56. Review of the facility's policy, Psychotropic Medication Use, revised July 2022, showed the following:-Residents will not receive medications that are not clinically indicated to treat a specific condition;-A psychotropic medication is any medication that affects brain activity associated with mental processes and behavior;-Drugs in the following categories are…

  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
• Potential for harm · Ecited before2025-07-01 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure staff performed complete perineal care for three residents (Residents #7, #38 and #106), in a review of 16 sampled residents, who had been incontinent. The facility census was 56. Review of the facility policy, Guidelines for Providing Resident Care, dated 01/01/2025, showed the following:-To provide an optimum level of care for our residents;-All residents unable to adequately do Activities of Daily Living (ADL) are to have assistance with washing peri-area (genitals) each morning;-Residents who are bedfast must be given peri care and turned every two hours or more often if assessment warrants. Review of the facility policy, Urinary Continence and Incontinence-Assessment and Management, last revised 8/2022, showed the following:-A check and change strategy involves checking the resident's continence status at regular intervals and using incontinence devices or garments;-The primary goals are to maintain dignity and comfort and to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-01 · 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, interview and record review, the facility failed to ensure safe and secure storage of narcotic medications when staff failed to secure the narcotic medications behind two locks. The facility also failed to remove and destroy expired stock medications (over-the-counter medications used for more than one resident) from medication carts and the medication room and failed to destroy medication for one resident (Resident #23), in a review of 16 sampled residents and three discharged residents (Resident #300, #301 and #302). The facility census was 56. Review of the facility policy titled, Storage of Medications, revised November 2020 showed the following:-The facility stores all drugs and biologicals in a safe, secure, and orderly manner;-Drugs and biologicals used in the facility are stored in locked compartments;-Nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner;-Discontinued, outdated, or deteriorated drugs or biologicals are returned to the dispensing pharmacy or destroyed;-Compartments…

  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 · E2025-07-01 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  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 offer a bedtime snack to all residents. The facility census was 56. Review of the undated facility Bedtime Snack Policy showed the following:Policy Purpose:-To ensure that all residents of the facility receive a safe, nutritionally appropriate, and person-centered bedtime snack option consistent with their care plan, dietary needs and preferences;Policy Statement:-The facility is committed to providing bedtime snacks to residents who desire them, as part of a holistic approach to nutrition, comfort, and individualized care. Snacks are offered daily and will meet nutritional, therapeutic, and safety standards;1. Availability of Bedtime Snacks:-Bedtime snacks will be offered to residents between bedtime medication pass unless residents request a different time;-Snacks may include but are not limited to: graham crackers, pudding, yogurt, cheese, fruit, milk, and juice or anything requested by the resident. 1.During a group interview on 06/24/25 at 3:22 P.M., six of the six residents said staff come around 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-01 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to update care plans to reflect current care needs for two residents (Residents #6 and #8), in a review of 16 sampled residents. The facility census was 56. Review of the facility's undated policy, Care Plan Policy, showed the following:-Care plans will be updated by nursing and administrative staff as needed for each resident;-Within seven days after every quarterly and annual Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, the resident and/or durable power of attorney (DPOA) will be offered a meeting with the facility administrative staff to discuss changes and concerns;-Within that same seven-day time frame, the care plan will be updated, and the next review target date will be triggered. Review of the facility's policy, Care Plans, Comprehensive Person-Centered, revised March 2022, showed the following:-Assessments of residents are ongoing and care plans are revised as information about the residents and the resident's condition change;-The IDT reviews and updates the care…

  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

$20,695 in federal fines across 1 penalty.

• $20,695 — penalty dated 2025-07-01

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.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 9 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.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

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