Putnam County Care Center
1814 Oak Street, Unionville, MO 63565 · Government - County · 60 certified beds · (660) 947-2492 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- it has a citation for mishandling residents’ money or property (F0570)
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $72,664 in federal fines (most recent 2025-08-28)
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.4% | 18.1% | 15.4% | better |
| Long-stay residents who lose too much weight | 7.5% | 5.3% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 1.8% | 1.1% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 1.9% | 2.3% | 2.0% | typical |
| Long-stay residents with depressive symptoms | 0.0% | 18.5% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.3% | 4.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 10.1% | 17.4% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 27.2% | 25.6% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 91.4% | 90.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.4% | 4.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 8.2% | 17.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 22.0% | 23.5% | 17.1% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.87 | 2.11 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.99 | 2.33 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Staffing
How full it usually is: this home is certified for 60 beds and averages 56.4 residents a day — about 94% occupied, or roughly 4 beds typically open. It runs fairly full. 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 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.66 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 2.85 hrs/resident/day on weekends vs 3.77 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.58 to 0.19 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 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.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
24 citations, most serious first. The 13 most serious are shown; the remaining 11 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-10-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 provide oversight and prevent injury for one resident (Resident #1), who was dependent on staff for transfers and bed mobility and had a history of falls from bed on 8/25/24 and 10/1/24, in a review of 12 sampled residents. On 10/7/24, staff failed to ensure interventions to prevent falls from the bed were in place when staff left the resident's bedside while in the resident's room. The resident rolled out of bed and hit his/her head. The resident sustained an intraventricular hemorrhage (bleeding inside the brain) and left hip fracture, which resulted in his/her death. The facility census was 56. The administrator was notified of the Immediate Jeopardy (IJ) on 10/16/24 at 5:10 P.M., which began on 10/7/24. The IJ was removed on 10/7/24 as confirmed by surveyor onsite verification. Review of the facility policy, Safety and Supervision of Residents, revised July 2017, showed the following: -The facility strives to make the environment as free from accident hazards as possible; -Resident safety and supervision and assistance…
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.
- Actual harm · Gcited before2025-08-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, the facility failed to provide safe transfers for one resident (Resident #7), in a review of eleven sampled residents. Resident #7 was unable to use his/her left arm due to a stroke. Staff failed to protect the resident's left arm during transfers which caused repeated skin tears and bruising to his/her left arm that required wound care treatment within the facility. The facility census was 57.Review of the facility policy 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, the facility uses appropriate techniques and devices to lift and move residents;-Resident safety, dignity, comfort and medical condition will be incorporated into goals and decisions regarding the safe lifting and moving of residents;-Nursing staff, in conjunction with the rehabilitation staff, shall assess individual residents'' needs for transfer assistance on an ongoing basis. Staff will document resident transferring and lifting needs…
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.
- Actual harm · G2024-06-26 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record, review the facility failed to ensure one resident (Resident #4), in a review of nine sampled residents, who staff identified required an indwelling urinary catheter (a sterile tube inserted into the urethra to drain urine from the body related to urinary retention and enlarged prostate (gland around the urethra), and history of urinary tract infection, received treatment and care in accordance with professional standards of practice to meet the resident's physical, mental and psychosocial needs. Staff failed to notify the physician and assess and document the resident's urinary status following an episode of urinary retention that required changing the indwelling urinary catheter (removing and inserting a new urinary catheter) with tea colored urine and foul urine odor noted. The resident was admitted to the hospital seven days later with urosepsis (a type of sepsis, systemic life-threatening infection, when a urinary tract infection spreads to the kidneys and bloodstream). 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.
- Potential for harm · D2025-08-28 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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 interview and record review, the facility failed to notify one of eleven sampled resident's (Resident #4's), physician when the resident returned from a hospital stay with a urinary catheter (a sterile tube inserted into the bladder to drain the bladder of urine) and failed to notify the physician and obtain orders for discontinuation of the urinary catheter. Staff also failed to notify the physician the resident had not urinated for two days following removal of the urinary catheter and failed to notify the physician before inserting a straight catheter (inserted a temporary urinary catheter and removal and then removing for the purpose of draining the bladder and determine the residual urine quantity). Staff failed to notify the resident's family the resident's urinary catheter was discontinued, the resident had not urinated for two days, or staff performed a straight catheterization procedure. The facility census was 57.Review of the facility policy Change in a Resident's condition or Status, dated February 2021, showed the following:-The facility promptly notified 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.
- Potential for harm · Dcited before2025-08-28 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
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 maintain one of 11 sampled residents' (Resident #4's) private health information when the Administrator shared the resident's change in code status (CPR -cardiopulmonary resuscitation (CPR), vs DNR- do not resuscitate), with members of the public who were not privileged to that information. The facility census was 57.Review of the facility policy, Resident Rights, dated February 2021, showed the following:-Federal and state laws guarantee certain basic rights to all residents of the facility including the resident's right to a dignified existence, privacy and confidentiality;-The unauthorized release, access or disclosure of resident information is prohibited. All release, access or disclosure of resident information must be in accordance with current laws governing privacy of information issues. All inquiries concerning the release of resident information should be directed to the Health Insurance Portability and Accountability Act (HIPAA, a federal…
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.
- Potential for harm · Dcited before2025-08-28 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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
Based on interview and record review, the facility failed to provide care according to professional standards of practice for one resident (Resident #4) in a review of eleven sampled residents when staff failed to obtain physician orders for removal of the resident's urinary catheter (a sterile tube inserted into the bladder to drain the bladder of urine) that was in place on re-admission from an outside hospital and failed to obtain orders for straight catheterization when the resident was unable to urinate for two days. The facility census was 57.Review of the facility policy, Urinary Catheter Care dated August 2022, showed the following:-The purpose was to prevent urinary catheter-associated complications, including urinary tract infections;-Review and document the clinical indications for catheter use prior to inserting;-Nursing and the interdisciplinary team should assess and document the ongoing need for a catheter that is in place;-Observe the resident for complications associated with urinary catheters. Report unusual findings to the physician or supervisor immediately if…
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.
- Potential for harm · Dcited before2025-04-03 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 utilized appropriate infection control technique when providing care for two residents, (Resident #1 and #2) who had indwelling urinary catheters, in a review of five sampled residents, to prevent infection. The facility census was 52. Review of the facility policy, Catheter Care, Urinary,, last revised 8/2022, showed the following: -Purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections; -Wash and dry hands thoroughly; -Use a clean washcloth with warm water and soap or bathing wipe to cleanse and rinse the catheter from insertion site to approximately four inches outward. Review of the facility policy, Handwashing/Hand Hygiene, last revised 10/2023, showed the following: -Hand hygiene is the primary means to prevent the spread of healthcare-associated infections; -All personnel are expected to adhere to hand hygiene policies and practices to help prevent 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.
- Potential for harm · E2024-09-12 · tag F0570 — patternAssure the security of all personal funds of residents deposited with the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to maintain a surety bond (an amount equal to at least one and one half times the average monthly balance of the residents' personal funds) sufficient to ensure protection of all personal funds the facility held for 15 residents in the resident fund account. The facility census was 55. Review of the facility undated policy, Surety Bond, showed the following: -The facility has a current surety bond to assure the security of all residents' personal funds deposited with the facility; -A surety bond is an agreement between the facility, the insurance company, and the resident or the State acting on behalf of the resident, wherein the facility and the insurance company agree to compensate the resident for any loss of residents' funds that the facility holds, accounts for, safeguards, and manages; -This facility holds a surety bond to guarantee the protection of residents' funds managed by the facility on behalf of its residents; -All funds (including refundable deposits) entrusted to the facility for a resident are covered 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.
- Potential for harm · Ecited before2024-09-12 · tag F0583 — failed to protect personal privacy — patternKeep residents' personal and medical records private and confidential.
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 personal privacy for multiple residents when one resident (Resident #51), who had diagnoses of dementia and identified as a wanderer, wandered in and out of other residents' rooms. The facility census was 55. 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' private space and property are respected at all times; -Staff promote, maintain, and protect resident privacy. Review of the facility policy, Resident Rights, revised February 2021, showed Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to privacy. 1. Review of Resident #51's Face Sheet showed he/she was admitted to the facility on [DATE]. Review of the resident's Wander…
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.
- Potential for harm · E2024-09-12 · tag F0656 — failed to write and follow a full care plan — patternDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop a person-centered comprehensive care plan specific to the resident, for three residents (Resident #22, #31 and #47), in a review of 20 sampled residents. The facility census was 55. Review of the facility's policy, Care Plans, Comprehensive Person-Centered, revised March 2022 showed the following: -A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident; -The interdisciplinary team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident; -The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment; -Assessment of residents are ongoing and care plans are revised as information about the residents and…
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.
- Potential for harm · E2024-09-12 · tag F0657 — failed to keep the care plan current — patternDevelop 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 interview and record review, the facility failed to update interventions in the resident's care plan to reflect current care needs for four residents (Resident #26, #38, #44, #48), in a review of 20 sampled residents. The facility census was 55. Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised March 2022 showed the following: -A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident; -The interdisciplinary team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident; -The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment; -Assessment of residents are ongoing and care plans are revised as information about the residents and…
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.
- Potential for harm · Ecited before2024-09-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 supervision for one resident (Resident #51), in a review of 20 sampled residents. Resident #51 had dementia and wandered into other resident rooms causing two other residents (Resident #36 and Resident #37), to be upset and fearful, while another resident (Resident #35) expressed wanting to harm Resident #51 because of his/her behavior. The facility also failed to provide supervision when the resident was wandering by an unlocked and unattended treatment cart and attempting to gain access to the medication room. The census was 55. Review of the facility policy, Wandering and Elopement, last revised 03/2019 showed the following: -The facility will identify residents who are at risk of unsafe wandering and strive to prevent them from harm while maintaining the least restrictive environment for residents; -If identified as at risk for wandering, elopement, or other safety issues, the resident's care plan will include strategies and…
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.
- Potential for harm · E2024-09-12 · tag F0728 — failed to protect against nurse-aide misconduct — patternEnsure 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, the facility failed to ensure eight nurse aides (NA) (NA B, NA D, NA N, NA R, NA S, NA T, NA U and NA V) completed a nurse aide training program within four months of their employment in the facility. The facility census was 55. Review of the facility policy titled Nurse Aide Qualifications and Training Requirements revised August 2022 showed the following: -Nurse aides must undergo a state-approved training program; -The facility will not employ any individual as a nurse aide for more than four months full-time, temporary, per diem, or otherwise unless: -That individual is competent to provide designated nursing care and nursing related services; -That individual has completed a training program and competency evaluation program, or a competency evaluation program approved by the state; or -That individual has been deemed competent as provided in 483.150 (a) and (b) of the requirements of participation; -Nursing assistants failing to successfully complete the required training program within the first four months of their date of employment may…
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.
Show the remaining 11 citations
- Potential for harm · E2024-09-12 · tag F0809 — failed to serve meals on a reasonable schedule — patternEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to offer a bedtime snack to all residents. The facility census was 55. Review of the facility policy titled Serving Snacks (Between Meals and Bedtime) revised September 2010 showed the following: -The purpose of this procedure is to provide the resident with adequate nutrition; -Review the resident's care plan and provide for any special needs of the resident. 1. During a group interview on 09/09/2024 a 2:10 P.M., 20 out of 20 residents said the following: -Bedtime snacks were not offered; -Staff do not come around to offer snacks in the evenings or at bedtime; -Sometimes there were snacks available at the nurse's station on a cart. Observation on 9/12/24 at 2:45 P.M. in the room beside the nurses' station showed a rolling cart filled with chocolate pudding, a carafe of coffee, [NAME] buddy bars, cereal, cheese crackers, popcorn and hot chocolate mix. During an interview on 9/9/24 at 12:48 P.M. Resident #6 said the following: -Staff do 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.
- Potential for harm · E2024-09-12 · tag F0880 — failed to prevent and control infections — patternProvide 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 ensure proper infection control practices were utilized for respiratory care supplies for two residents (Resident #9 and Resident # 19) out of 20 sampled residents when staff did not store nasal cannula oxygen tubing in a bag per policy instruction, when not in use and when the tubing had been on the floor and then later placed in the resident's nares. The facility failed to adhere to proper hand washing techniques and proper use of personal protective equipment while providing care for five resident's (Residents #38, #48, #47, #39 and #34) and failed to ensure a urinary drainage system did not touch the floor for one resident (Resident #37). The facility failed to ensure all procedures were implemented to address prevention, development, and transmission of Tuberculosis (TB) as directed by facility policy. The facility failed to ensure Tuberculin Skin Tests (TST; a small injection in the top layer of skin in the forearm that contains…
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.
- Potential for harm · Dcited before2024-09-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure staff followed infection control practices to prevent urinary tract infections for one resident (Resident #47), who had urinary catheter, in a review of 20 sampled residents. The facility identified six residents with urinary catheters. The facility census was 55. Review of the facility policy, Urinary Catheter Care, last revised 8/2022, showed the following: -The purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections. -Be sure the catheter tubing and drainage bag are kept off the floor. 1. Review of Resident #47's urine culture report, dated 5/18/24, showed the following: -Greater than 100,000 colony forming unit (CFU) /milliliter (ml) of pseudomonas aeruginosa (bacteria); -50,000-100,000 CFU/ml of proteus mirabilis (bacterium). Review of a physician fax, dated 5/20/24, showed an order for rocephin (antibiotic) one gram plus 2 ml of lidocaine (anesthetic effect) 1% intramuscular (injection into the muscle) daily times ten days. Review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-09-12 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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, the facility failed to store medication in a locked compartment while left unattended and failed to return or destroy outdated medications. The facility census was 55. Review of the facility policy, Medication Labeling and Storage, revised February 2023, showed the following: -The facility stores all medications and biologicals in locked compartments under proper temperature, humidity, and light controls. Only authorized personnel have access to keys; -The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner; -If the facility has discontinued, outdated, or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items; -Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing medications and biologicals are locked when not in use, and trays or carts used 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.
- Potential for harm · Dcited before2023-12-28 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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
Based on interview and record review, facility staff failed to maintain professional standards of practice when staff failed to notify the physician of a change in condition in a timely manner. On 12/15/23 at approximately 1:00 A.M. one resident (Resident #2) exhibited mental status changes and direct care staff reported to the charge nurse that the resident was acting high or under the influence of drugs. The resident had a history of drug abuse. The resident tested positive for tetrahydrocannabinol (also known as THC or the substance that's primarily responsible for the affects of marijuana on a person's mental state) and methamphetamine (a synthetic stimulant that is addictive and can cause considerable health adversities that can sometimes result in death) on 12/15/23. The facility census was 52. Review of the facility policy, Change in a Resident's Condition or Status, dated February 2021, showed the following: -The facility promptly notifies the resident, his or her attending physician and the resident representative of changes in the resident's medical/mental condition and or…
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.
- Potential for harm · Ecited before2023-03-30 · tag F0761 — failed to label and store drugs safely — patternEnsure 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 expired medications were removed from the medication cart for hallway 1 and 2. The facility failed to discard medication for one additional resident (Resident #25), according to the pharmacy label. The facility failed to label insulin pens when opened for one resident (Resident #5), in a review of 13 sampled residents and one additional resident (Resident #9). The facility failed to label two antidiabetic medication pens when opened for one resident (Resident #4) and two additional residents (Residents #11 and #20). The facility census was 46. Review of the facility's policy for Administering Medications, revised April 2019, showed the expiration/beyond use date on the medication label is checked prior to administering. When opening a multi dose container, the date opened is recorded on the container; Review of the facility's policy for Storage of Medication, revised November 2020, showed discontinued, outdated or deteriorated drugs or biologicals are returned to the dispensing pharmacy or destroyed.…
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.
- Potential for harm · E2023-03-30 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to maintain an air gap between the floor and the drain to one of two ice machines in the facility to prevent possible backflow from the drain back into the ice machine. The facility also failed to refrigerate opened containers of food as specified by the manufacturer, and failed to label and date opened food and beverage items located in a resident-accessible unit refrigerator to prevent staff and residents from using out-dated food items that have the potential to cause food-borne illness. The facility census was 46. 1. Review of the Food and Drug Administration Food Code, dated 2013, showed an air gap between the water supply inlet and the flood level rim of the plumbing fixture or equipment shall be at least twice the diameter of the water supply inlet and may not be less than one inch. Observation on 03/27/23 at 11:17 A.M. and 03/28/23 at 11:38 A.M. showed the drain to the ice machine located in the facility dining room did not have an air gap.…
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.
- Potential for harm · D2023-03-30 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 restorative therapy services for one resident (Resident #13), in a review of 13 sampled residents, and for one additional resident (Resident #15), who had limited range of motion (ROM), which resulted in a reduction of their physical ability to perform activities of daily living. The facility census was 46. Review of the facility policy, Rehabilitative Nursing Care, revised August 2007, showed the following: -Rehabilitative nursing care is provided for each resident admitted ; -Policy Interpretation and Implementation: -1. General rehabilitative nursing care is that which does not require the use of a Qualified Professional Therapist to render such care; -2. Nursing personnel are trained in rehabilitative nursing care. Our facility has an active program of rehabilitative nursing which is developed and coordinated through the resident's care plan; -3. The facility's rehabilitative nursing care program is designed to assist each…
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.
- Potential for harm · D2023-03-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 implement oxygen interventions according to facility policy by failure to ensure that humidification and oxygen tubing were changed per facility policy and physician's orders for one resident (Resident #8), in a review of 13 sampled residents, and for two additional residents (Residents #10 and #20). The facility census was 46. Review of the facility's policy and procedure for respiratory therapy prevention of infection, last revised in November 2010, showed the following: -The purpose of the procedure was to guide prevention of infection associated with respiratory therapy tasks and equipment; -Check water level of any pre-filled humidification (used to reduce sensations of dryness in the upper airways) reservoir every 48 hours; -Change pre-filled humidifier when the water level becomes low; -Change the oxygen cannulas and tubing every seven days or as needed (PRN); -Keep oxygen cannulas and tubing used PRN in a plastic bag when not in use; -Wash filters from oxygen concentrators every seven days with soap…
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.
- No harm found · B2023-03-30 · tag F0623 — patternProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 provide a written notice of transfer to three residents (Residents #13, and #26, and #447) and/or their representatives, in a review of 13 sampled resident when they were transferred to the hospital. The facility census was 46. During an interview on 3/30/23 at 3:55 P.M., the Administrator said that she could not find a transfer/discharge policy for the facility. 1. Review of Resident #13's face sheet showed his/her family member was his/her responsible party. Review of the resident's progress notes, dated 2/17/23 at 3:04 P.M., showed the resident received an order for direct admit to the hospital. Review of the resident's progress notes, dated 2/20/23 at 2:06 P.M., showed the resident's family member came to the facility to visit and did not know that the resident was sent to the hospital and the administrator apologized for not contacting him/her. Review of the resident's medical record showed no documentation the facility staff informed 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.
- No harm found · B2023-03-30 · tag F0625 — patternNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 a written notice of bed hold with required information to the resident and/or resident representative when the facility initiated a transfer to the hospital for three residents (Residents #13, 26, and 447), in a review of 13 sampled residents. The facility census was 46. During an interview on 3/30/23 at 3:55 P.M., the Administrator said that she could not find a bed hold policy for the facility. 1. Review of Resident #13's face sheet showed his/her family member was his/her responsible party. Review of the resident's progress notes, dated 2/17/23 at 3:04 P.M., showed the resident received an order for direct admit to the hospital. Review of the resident's progress notes, dated 2/20/23 at 2:06 P.M., showed the resident's family member came to the facility to visit and did not know that the resident was sent to the hospital and the administrator apologized for not contacting him/her. Review of the resident's medical record showed no…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$72,664 in federal fines across 3 penalties.
- $38,243 — penalty dated 2025-08-28
- $9,753 — penalty dated 2024-09-12
- $24,668 — penalty dated 2024-06-26
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
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| HARLAN, CASSADREA | Individual | W-2 MANAGING EMPLOYEE | since 09/29/2014 |
| WYANT, PASSION | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 06/17/2008 |
| CROSSGROVE, DAVID | Individual | CORPORATE DIRECTOR | since 04/01/2004 |
| KERBY, JANET | Individual | CORPORATE DIRECTOR | since 04/08/2014 |
| MORROW, RICHARD | Individual | CORPORATE DIRECTOR | since 07/17/2014 |
| MUNDEN, SHERRY | Individual | CORPORATE DIRECTOR | since 04/16/2018 |
| REXROAT, JANE | Individual | CORPORATE DIRECTOR | since 09/29/2014 |
| SIMMONS, JUSTIN | Individual | CORPORATE DIRECTOR | since 04/15/2019 |
CMS files one row per role, so the 9 rows in the source record cover these 8 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.
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 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MO
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Missouri Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 265826. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-12, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.