CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 265149
- Facility type
- Nursing home
- Certified beds
- 239
- Ownership
- For profit - Corporation
- County or equivalent
- Pettis
- CMS area classification
- Rural
- Phone
- (660) 826-8803
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 1 of 5
- Health inspection
- 1 of 5
- Staffing
- 1 of 5
- Quality measures
- 1 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 1.57 hours
- RN hours per resident per day
- 0.07 hours
- Weekend nurse hours per resident per day
- 1.42 hours
- Weekend RN hours per resident per day
- 0.05 hours
- Nursing staff turnover
- 71.1%
- RN turnover
- 60.0%
- Administrators who left
- 0
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2025-12-08. Health deficiencies: 26.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- The CMS record displays an abuse icon. Could you show us the related inspection findings and explain what changed afterward?Why this question: CMS abuse icon · CMS data processed 2026-08-01
- CMS lists 26 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
- CMS lists 2 fines. What were they for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2025-12-08. Health deficiencies: 26.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0760 Pharmacy Service Deficiencies
CMS requirement: Ensure that residents are free from significant medication errors.
CMS correction field: Past Non-Compliance · Correction date in file: Not recorded · CMS scope/severity code: G
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Assessment and care planning 2 CMS tags · 7 survey dates Tags 0641, 0657 · Most recent citation date
- Nursing coverage and training 1 CMS tag · 2 survey dates Tags 0725 · Most recent citation date
- Abuse prevention and reporting 1 CMS tag · 2 survey dates Tags 0609 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0657 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Survey dates: , , , , , ,
-
CMS tag 0725 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Survey dates: ,
-
CMS tag 0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Survey dates: ,
-
CMS tag 0641 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure each resident receives an accurate assessment.
Survey dates: ,
Show 12 more tags seen on multiple dates
CMS tag 0550 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Survey dates: ,
CMS tag 0584 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Survey dates: , ,
CMS tag 0677 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide care and assistance to perform activities of daily living for any resident who is unable.
Survey dates: ,
CMS tag 0689 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey dates: , ,
CMS tag 0804 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Survey dates: ,
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Survey dates: , ,
CMS tag 0880 Infection Control Deficiencies
CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.
Survey dates: , ,
CMS tag 0580 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Survey dates: , ,
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure services provided by the nursing facility meet professional standards of quality.
Survey dates: , , , ,
CMS tag 0679 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide activities to meet all resident's needs.
Survey dates: ,
CMS tag 0576 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Ensure residents have reasonable access to and privacy in their use of communication methods.
Survey dates: ,
CMS tag 0586 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0657 listed on 2026-05-26, 2026-04-03, 2025-12-08, 2025-08-01, 2025-07-23, 2024-09-25, 2023-07-28, could you show us the relevant inspection reports and explain how the facility handles resident assessment and care planning today?
- For CMS tag 0725 listed on 2026-05-26, 2025-02-06, could you show us the relevant inspection reports and explain how the facility handles nursing coverage and staff training today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 2 ($25,605.00 total). Payment denials: 0.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-24
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.