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Stonecrest Healthcare

2 Highway Y, Viburnum, MO 65566 · For profit - Corporation · 60 certified beds · (573) 244-3171 Medicare & Medicaid certified

Call the home — (573) 244-3171 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Jul 2025Resident-funds citation (F0570)Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0570)
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • about 21% of its spending goes to commonly-owned related companies

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2 Viburnum Center Rd · (573) 244-5590 · Call to confirm hours
Pharmacy
1 Viburnum Center Rd · (573) 244-3784 · Call to confirm hours
Grocery
62 County Road 65 · (573) 319-1185 · Call to confirm hours
Park
30 City Park Rd · (573) 244-5520 · Typically dawn to dusk
Place of worship
1 N Highway Y · (573) 241-2304

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.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased26.6%18.1%15.4%worse
Long-stay residents who lose too much weight3.2%5.3%5.4%better
Long-stay residents with a catheter left in their bladder0.8%1.1%0.9%typical
Long-stay residents with a urinary tract infection1.8%2.3%2.0%typical
Long-stay residents with depressive symptoms68.8%18.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury0.0%4.1%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened25.4%17.4%16.1%worse
Long-stay residents on antianxiety or hypnotic medication40.4%25.6%18.9%worse
Long-stay residents given the seasonal flu vaccine96.5%90.9%95.3%typical
Long-stay residents with pressure ulcers3.1%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control16.3%17.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table82.9%23.5%17.1%check this — see note marked dagger below the table
Long-stay hospitalizations per 1,000 resident days0.472.111.67better
Long-stay outpatient ER visits per 1,000 resident days2.402.331.80worse

* 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.

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. 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.

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.

0.15U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.59
RN hours/ resident / day
0.21
LPN hours/ resident / day
1.77
Aide hours/ resident / day
2.57
Total nurse hours/ resident / day
0.29
RN hoursweekends
50.0%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 55.7 residents a day — about 93% 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 2.57 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.35 hrs/resident/day on weekends vs 2.67 on weekdays — 12% thinner on weekends. RN hours go from 0.71 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

11
deficiencies at the latest standard inspection (2025-07-31)
6
at the previous standard inspection (2024-03-29)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Fcited before2025-07-31 · 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 store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 54.Review of the facility's policy titled, Dietary - Receiving and Storing Food and Supplies, revised June 2023, showed: Do not accept and return to the supplier, any item that is: Not what was ordered, dented, rusty, damaged cans;Dented or bulging cans shall be placed on Damaged Goods Shelf and returned for credit;All products shall be dated upon receipt or when they are prepared, use date shall be marked on all food containers according to the timetable in the Dry, Refrigerated and Freezer Storage Chart found in this section;Storage area shall be easily accessible for receiving new items, the walls, ceiling, and floor shall be maintained in good repair and regularly cleaned, the area should be well lit and ventilated, the temperature shall be in the range of 50 degrees Fahrenheit ( F) to 70 F;Shelving shall be sturdy…

    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 · F2025-07-31 · tag F0881 — failed to use antibiotics responsibly — widespread
    Implement a program that monitors antibiotic use.
    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 an Infection Prevention and Control Program (IPCP) that included an antibiotic stewardship program to include and infection surveillance program and antibiotic use protocols. This deficient practice had the potential to affect all residents in the facility. The facility census was 54Review of the facility's policy titled, Antibiotic Stewardship Program, last reviewed 06/29/23, showed:-To optimize antibiotic use in our nursing home and reduce unnecessary use of laboratory tests and antibiotics using a systematic approach;-This Facility Antibiotic Stewardship Program (ASP) will comply with all State and federal laws and regulations;-The Facility will track and monitor antibiotic prescribing practices and resistance patterns among its residents;-The Facility Antibiotic Steward will review and generate the Infection Log in the Point Click Care (PCC - an electronic medical record and charting program);-The Facility Antibiotic Steward will review and audit the Infection Log weekly in PCC and ensure that each field 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-31 · tag F0570 — pattern
    Assure 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 the surety bond (a purchased bond for security of residents' personal funds) for at least one and one half times the average monthly balance of the residents' personal funds for the last twelve consecutive months from July 2024 to June 2025. The facility census was 54.Review of the facility's policy titled Resident Trust, revised 06/12/25, showed:-The facility shall provide assurance of financial security by means of a surety bond;-The bond shall be in an amount equal to at least one and one half times the average total of the reconciled monthly balances;-A copy of the current bond shall be kept in a file in the facility by the Resident Trust Clerk.Review on 07/30/25 of the Residents' Personal Funds Account for the last twelve consecutive months from July 2024 to June 2025 showed:-The facility's current approved bond amount equaled $52,000.00;-The average monthly balance for the residents' personal funds equaled $127,499.59;-An average monthly balance of $127,499.59 required a bond of at least $190,500.During an…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-31 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to use proper infection control techniques during incontinent care for three residents (Residents #2, #3, and #39) out of three sampled residents, and during catheter (a flexible tube inserted into the bladder to drain urine) care for two residents (Residents # 4 and #5) out of two sampled residents. The facility failed to provide appropriate documentation of tuberculosis (TB - an infectious bacterial disease that affects the lungs) testing for five residents (Residents #1, #2, #7, #10, and #45) out of five sampled residents. The facility census was 54. Review of the facility's policy titled, Infection Prevention and Control Program, dated 06/26/24, showed: The purpose is to have established and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections; Hand hygiene shall be performed in…

    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 · E2025-07-31 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to control the insect population in the facility. The facility census was 54.Review of the facility's policy titled, Pest Control Program Policy, revised 05/14/24, showed:It is the policy of this facility to maintain an effective pest control program (measures to eradicate and contain common household pests (e.g., bed bugs, lice, roaches, ants, mosquitoes, flies, mice and rats) that eradicates and contains common household pests and rodents;Facility will maintain a written agreement with a qualified outside pest service to provide comprehensive pest control services on a regular and scheduled basis;Facility will ensure that appropriate chemicals are used to control pests but can be used safely inside the building without compromising resident health;Facility will maintain a report system of issues that may arise in between scheduled visits with the outside pest service and treat as…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-31 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    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 the correct Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) forms and failed to complete and notify in the proper time frame, at least two calendar days before services ended, for the SNF ABN and the Notice of Medicare Non-Coverage (NOMNC) forms for two residents (Residents #9 and #11) out of three sampled residents whose Medicare services ended and remained in the facility. The facility census was 54. The facility did not provide a policy regarding SNFABN. 1. Review of Resident #9's medical record showed:- The resident discharged from Medicare skilled services on 02/28/25, and remained in the facility;- The facility provided the resident with the ABN and the NOMNC forms on 02/28/25;- The facility failed to issue the correct SNFABN form to the resident;- The facility failed to provide the SNFABN and the NOMNC to the resident at least two calendar days before the skilled Medicare services ended. 2. Review of Resident #11's medical record showed:- The resident discharged from Medicare skilled services…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-31 · tag F0605 — failed to not use drugs as a restraint — isolated
    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

    Based on interview and record review, the facility failed to limit the use of an as needed (PRN) psychotropic (medications that affect mental processes and behaviors) medication orders for 14 days unless specific duration and clinical rationale were provided for two residents (Residents #2 and #6) out of two sampled residents. The facility census was 54. Review of the facility's policy titled, Use of Psychotropic Medication Policy, dated 06/26/24, showed:- Residents are not given psychotropic drugs unless the medication is necessary to treat a specific condition, as diagnosed and documented in the clinical record, and the medication is beneficial to the resident, as demonstrated by monitoring and documentation of the resident's response to the medication(s);- PRN orders for all psychotropic drugs shall be used only when the medication is necessary to treat a diagnosed specific condition that is documented in the clinical record, and for a limited duration (i.e. 14 days)- If the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be…

    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 · D2025-07-31 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 written information to the resident and/or the resident's representative for the ombudsman (resolves complaints for residents of long term care facilities) contact information, the contact information for the agency responsible for protective and advocacy of individuals with mental disorders, contact information for the protection and advocacy of individuals with development disabilities, and appeal information for two residents (Residents #20 and #45) out of two sampled residents. The facility's census was 54.Review of the facility’s policy titled, “Resident Transfer/Discharge, Immediate Discharge, and Therapeutic Leave, dated 04/25/25, showed: Purpose is to establish a policy and procedure regarding the transfer/discharge of residents. To ensure no inappropriate discharges are made and that no discharges are made in an unsafe manner; Residents who are sent emergently to the hospital are considered transfers because the resident’s return is…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-31 · 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 ensure staff utilized safe transfer techniques for two residents (Residents #4 and #39) when staff failed to use a Hoyer lift (a mechanical device used to move or transfer a person) out of three sampled residents and to use a gait belt (a canvas belt placed around the resident's waist to assist with ambulation and transfers) appropriately when transferring one resident (Resident #39) out of one sampled resident. The facility failed to ensure quarterly smoking assessments were completed per facility policy for one resident (Resident #39) out of two sampled residents. The facility census was 54. Review of the facility's policy titled Precautionary Measures for Gait Belt Application and Usage, Revised 06/29/23, showed: The purpose of this policy is to ensure precautionary and safe measures are taken during the application and use of gait belts; Safe usage of a gait belt can prevent potential risk of injury to residents that could be caused by…

    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 · D2025-07-31 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide 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 a urinary indwelling catheter (a tube inserted into the bladder to drain urine) drainage bag was maintained in the proper position of above the bladder for two residents (Residents #4 and #5) and the facility failed to ensure a catheter drainage bag had a privacy cover for one resident (Resident #5) out of two sampled residents. The facility also failed to ensure one resident (Resident #3) received appropriate treatment and services after an incontinent episode which left the resident in a urine saturated brief with a strong urine odor out of three sampled residents who were incontinent of bladder. The facility census was 54. Review of the facility's policy titled, Catheter Care, revised 06/26/27, showed:It is the policy of this facility to ensure that residents with indwelling catheters receive appropriate catheter care and maintain their dignity and privacy when indwelling catheters are in use;Catheter care will be performed…

    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
Show the remaining 11 citations
  • Potential for harm · D2025-07-31 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain an error rate of less than five percent (%) when medications were administered. There were 32 opportunities with two errors made, for an error rate of 6.25%. This practice affected two residents (Residents #7 and #15) of five sampled residents. The facility census was 54.Review of the facility's policy titled, Medication Administration, last revised 06/26/24, showed: Medications are administered by licensed nurses, or staff who are legally authorized to do so in this state, as ordered by the physician, and in accordance with professional standards of practice;Compare medication source with medication administration record (MAR) to verify resident name, medication name, form, dose, route, and time;Report and document any adverse side effects or refusals;Correct any discrepancies and report to nurse manager. 1. Review of Resident #7's medical record showed:- Diagnoses of chronic obstructive pulmonary disease (COPD - condition caused by damage to the airways or other parts of the lung), nontraumatic…

    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 · Fcited before2024-03-29 · 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 store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This deficient practice had the potential to affect all residents. The facility census was 60. Review of the facility's policy titled, Resident Food Storage, revised 07/05/23, showed: - The purpose of this policy is to ensure that resident's food storage is safe with sanitary, handling and consumption; - Food items will be dated after opening. Observations made on 03/26/24 at 9:44 A.M. and 03/26/24 at 11:47 A.M. of the kitchen standup freezers, showed: - A large opened bag of frozen rolls/biscuits undated and not labeled; - Three bags of miscellaneous frozen breaded patties undated and not labeled; - A large opened bag of frozen egg omelets undated; - A large bag of frozen meatballs undated; - A large opened bag of frozen cinnamon rolls undated; - A large bag of pepperoni slices undated. During an interview on 03/26/24 at 11:02 A.M., the Dietary Manager (DM) said he/she would expect all…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-29 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS, a federally mandated assessment to be completed by the facility staff) for two residents (Resident #28 and #46) out of the 15 sampled residents. The facility census was 60. Review of the facility's policy titled, MDS 3.0 Care Assessment Summary and Individualized Care Plans, dated 11/06/23, showed: - The purpose is to understand the changes presented by CMS for the MDS 3.0, to define the intent of each section of the MDS 3.0, and to ensure the MDS 3.0 sections are completed accurately and in a timely manner by the assigned responsible parties; - Section N is to be completed by nursing staff. This section focuses on the medications the resident has received in the last 7 days or since admission or re-entry if less than 7 days; - It is used to record the number of days that the resident receives any type of injection insulin and/or specific oral medications. 1. Review of Resident #28's medical record…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-29 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 implement a baseline care plan upon admission with specific interventions for two residents (Residents #34 and #163 ) out of 15 sampled residents and three residents (Resident #50, #52, and #213) outside the sample. The facility census was 60. Review of the facility's policy titled, Comprehensive Care Plan and Baseline Care Plans, revised 01/19/22, showed: - A licensed nurse will coordinate each assessment with the appropriate participation of health professionals, the Interdisciplinary Team (Social Services, Dietary, Physical Therapy, Occupational Therapy, Speech Therapy, Activities and various staff of Nursing); - The Baseline Care plan must be started upon admission and completed within 48 hours of admission; - The Baseline Care plan must include: Resident Information, Allergies, Alarms, Bowel and Bladder needs, Cognition, Communication, Diet and Dining Needs, Discharge Planning, Hearing needs, Mood and Behavior, Resident Risks, Medications, Safety,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-29 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 limit the use of an as needed (PRN) order for antipsychotic medication (a medication to treat a mental disorder characterized by a disconnection from reality) to 14 days for one resident (Resident #10) out of 15 sampled residents. The facility census was 60. Review of the facility's policy titled, PRN Antipsychotic and Psychotropic Medications, dated 06/29/2023, showed: - The purpose of the policy and guidelines regarding the use of prn medications orders for psychotropic and antipsychotic drug classifications; - PRN orders for Anti-psychotic drugs are limited to 14 days and cannot be renewed unless the attending physician or prescribing practitioner evaluates the resident for the appropriateness of that medication; - Antipsychotic drugs must receive a new order by attending physician or prescribing practitioner every 14 days if they wish to continue the order; - IF they wish to write a new order for an antipsychotic they must evaluate the resident to determine if the new order for the PRN antipsychotic is…

    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 · D2024-03-29 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 and document that residents received or declined appropriate immunizations and failed to provide and document pertinent education to residents or resident's representative regarding benefits, side effects or warnings of those immunizations for four residents (Residents #3, #18, #28, and #163) out of the five sampled residents. The facility's census was 60. Review of the facility's policy titled, Influenza and Pneumococcal Immunizations, revised on 6/30/23, showed: - The purpose of this policy is to ensure that all residents residing in the facility are offered influenza and pneumococcal immunizations to prevention infection and the spread of communicable diseases; - The resident or resident representative will be provided education on benefits and potential side effects of both the Influenza and Pneumococcal Immunization; - The resident or representative will be told the Influenza Immunizations are provided yearly (between October 1 and March 31) unless the immunization is medially contraindicated; - The resident…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-29 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to conduct at least twelve hours of nurse aide in-service education per year, failed to provide the required annual competencies of Dementia Care (care of a resident with an impaired ability to remember, think, or make decisions) or Abuse Prevention for one out of two nurse aides sampled. The facility census was 60. 1. Review of the facility's 2023 in-service records showed: - Certified Nurse Aide (CNA) F with a hire date of 01/09/2022; - CNA F attended a total of one hour and 15 minutes of in-services; - CNA F did not attend an annual competency in-service on Dementia Care or Abuse and Neglect. During an interview on 03/28/2024 at 10:26 A.M., the Director of Nursing (DON) said he would be responsible for monitoring the in-services for all staff. The facility did not provide a policy.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-19 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to complete comprehensive Minimum Data Set assessments (MDS-a federally mandated assessment tool) within the required time frames for five residents (Resident #15, #18, #43, #48, and #58) out of 15 sampled residents and one resident (Resident #50) outside of the sample. The facility census was 58. 1. Record review of Resident #15's medical record showed: - An admission date of 9/26/17; - A comprehensive Significant Change in Status MDS assessment, dated 10/2/21, with a completion date of 11/24/21; - No comprehensive Significant Change in Status MDS assessment by the 14th calendar day after the determination that a significant change had occurred. 2. Record review of Resident #18's medical record showed: - An admission date of 4/19/22; - A comprehensive admission MDS assessment with a completion date of 5/6/22; - No comprehensive admission MDS assessment within 14 calendar days of admission. 3. Record review of Resident #43's medical record showed: - An admission date of 8/10/17; - An annual comprehensive MDS assessment, dated…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-19 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to electronically transmit significant change and quarterly Minimum Data Set assessments (MDS - a federally mandated assessment instrument completed by the facility) in a timely manner and in accordance with guidelines for four residents (Resident #15, #27, #43, and #58) of 15 sampled residents. The facility's census was 58. Record review of the MDS 3.0 Resident Assessment Instrument (RAI) Manual for assessment transmission showed the following: - Comprehensive assessments must be transmitted electronically within 14 days of the care plan completion date (V0200C2+14 days); - All other MDS assessments must be submitted within 14 days of the MDS completion date (Z0500B+14 days). Record review of the facility's policy titled MDS 3.0, Care Assessment Summary and Individualized Care Plans, revised 2/26/21, showed: - MDS's must be kept current and up to date; - MDS's must be transmitted weekly with validation reports printed out and kept within the MDS office…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-19 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to document a complete and accurate Minimum Data Set (MDS, a federally mandated assessment completed by the facility) assessments for two residents (Resident #17 and #39) out of 15 sampled residents. The facility's census was 58. Record review of the facility's policy titled MDS 3.0, Care Assessment Summary and Individualized Care Plans Policy, revised 2/26/21, showed: - MDS 3.0 sections are to be completed accurately and in a timely manner by the assigned responsible parties. 1. Record review of Resident #17's medical record showed: - An admission date of 11/22/2011; - Diagnosis of atherosclerotic heart disease (build-up of cholesterol plaque in the walls of arteries causing obstruction of blood flow). Record review of the resident's Physician's Order Sheet (POS), dated October 2022, showed: - An order for Plavix (an antiplatelet medication used to prevent platelets in the blood from sticking together to form blood clots) 75 milligrams (mg)…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-19 · tag F0728 — failed to protect against nurse-aide misconduct — isolated
    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure two nurse aides (NA) completed a nurse aide training program within four months of his/her employment in the facility. This deficient practice had the potential to affect all residents in the facility. The facility census was 58. 1. Record review of a Certified Nurse aide (CNA) training report, showed: - NA A hire date of 2/15/22; - NA A classroom and on the job training hours completed on 9/21/22; - NA A approved for CNA final examination and not completed; - The facility failed to ensure the completion of the program within four months of the hire date. Observation on 10/16/22 from 11:00 A.M. through 4:00 P.M. showed: - NA A on the memory unit assisting residents with lunch trays; - NA A observed on memory unit assisting residents with care needs. Observations on 10/19/22 from 8:00 A.M. through 1:00 P.M. showed: - NA A assisting residents with care needs on the 200 hall. 2. Record review of a CNA training report, showed: - NA B hire date of 10/01/20; - NA B classroom and on the job training record is incomplete…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to RELIANT CARE MANAGEMENT — 34 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 51.2+0.8 vs chain
Health inspection 3 of 51.6+1.4 vs chain
Staffing 1 of 51.0≈ chain avg
Quality measures 3 of 52.4+0.6 vs chain
The other 33 homes this chain runs (chain average 1.2★, per CMS)
1 of 5Bernard Care CenterSaint Louis, MO 1 of 5Bridgewood Health Care CenterKansas City, MO 1 of 5Brookfield Health Care CenterBrookfield, MO 1 of 5Brunswick Health Care CenterBrunswick, MO 1 of 5Carrie Elligson Gietner Health Care CenterSaint Louis, MO 1 of 5Cassville Health Care CenterCassville, MO 1 of 5Chariton Park Health Care CenterSalisbury, MO 1 of 5Crestwood Health Care CenterFlorissant, MO 1 of 5Eastview Manor Care CenterTrenton, MO 1 of 5Edgewood Manor Health Care CenterRaytown, MO 1 of 5Fair View Health Care CenterSedalia, MO 1 of 5Four Seasons Living CenterSedalia, MO 1 of 5Grand Manor Health Care CenterSaint Louis, MO 1 of 5Gregory Ridge Health Care CenterKansas City, MO 1 of 5Heritage Care CenterSaint Louis, MO 1 of 5Hidden Lake Health Care CenterSaint Louis, MO 1 of 5Holton Health Care CenterHolton, KS 1 of 5Legendary Health Care CenterMarshall, MO 1 of 5Milan Health Care CenterMilan, MO 1 of 5Nathan Richard Health Care CenterNevada, MO 1 of 5Nick's Health Care CenterPlattsburg, MO 1 of 5North Village ParkMoberly, MO 1 of 5Odessa Health Care CenterOdessa, MO 1 of 5Parkway Health Care CenterKansas City, MO 1 of 5Rest Haven Health Care CenterSedalia, MO 1 of 5Sarcoxie Health Care CenterSarcoxie, MO 1 of 5South County Health Care CenterArnold, MO 1 of 5Wellsville Health Care CenterWellsville, MO 1 of 5Westview Nursing HomeCenter, MO 2 of 5St Elizabeth Care CenterSaint Elizabeth, MO 3 of 5Greenville Health Care CenterGreenville, MO 3 of 5Portageville Health Care CenterPortageville, MONot rated (Special Focus)Hillside Health Care CenterSaint Louis, MO

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
DESTEFANE, RICHARDIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2018
RELIANT CARE MANAGEMENT COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/13/2025
ARSHAD, ABDULLAHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/15/2024
GREENE, JULIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/27/2024
BKY PROPERTIES VIBURNUM LLCOrganizationADP OF THE SNFsince 10/01/2010
RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTOrganizationADP OF THE SNFsince 03/01/2018
TLG II LLPOrganizationADP OF THE SNFsince 10/01/2010

CMS files one row per role, so the 12 rows in the source record cover these 7 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.

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

Follow the money — this home’s finances

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

$3.4M
Net patient revenuemost recent cost report
-14.9%
Operating marginrevenue minus expenses
$821K
Related-party expense21% of expenses
Who pays — share of resident-days
Medicaid 83%Medicare 2%Other / private 15%

About 83% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $821K paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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

$225per resident / day
operating cost
$6,828per month
≈ monthly operating cost
$195per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Missouri
$6,741/mo
Nursing home (semi-private)
$7,604/mo
Nursing home (private)
$5,400/mo
Assisted living

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 265582. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-31, 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.

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