CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 265188
- Facility type
- Nursing home
- Certified beds
- 194
- Ownership
- For profit - Individual
- County or equivalent
- Greene
- CMS area classification
- Urban
- Phone
- (417) 883-4022
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 2 of 5
- Health inspection
- 1 of 5
- Staffing
- 1 of 5
- Quality measures
- 5 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
- 2.77 hours
- RN hours per resident per day
- 0.35 hours
- Weekend nurse hours per resident per day
- 2.19 hours
- Weekend RN hours per resident per day
- 0.26 hours
- Nursing staff turnover
- 56.1%
- RN turnover
- 30.0%
- 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: 2025-08-25. Health deficiencies: 24.
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.
- CMS lists 24 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 1 payment denial. What led to it, and what has changed since?Why this question: CMS number of payment denials · 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: 2025-08-25. Health deficiencies: 24.
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 0684 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-23 · CMS scope/severity code: D
CMS tag 0880 Infection Control Deficiencies
CMS requirement: Provide and implement an infection prevention and control program.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-23 · CMS scope/severity code: D
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 1 CMS tag · 5 survey dates Tags 0684 · Most recent citation date
- Infection prevention 1 CMS tag · 3 survey dates Tags 0880 · Most recent citation date
- Medication services 3 CMS tags · 4 survey dates Tags 0759, 0760, 0761 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0684 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 0693 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Survey dates: ,
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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: , ,
Show 13 more tags seen on multiple dates
CMS tag 0686 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Survey dates: , ,
CMS tag 0690 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Survey dates: ,
CMS tag 0692 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide enough food/fluids to maintain a resident's health.
Survey dates: ,
CMS tag 0698 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Survey dates: ,
CMS tag 0759 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure medication error rates are not 5 percent or greater.
Survey dates: ,
CMS tag 0760 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure that residents are free from significant medication errors.
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 0842 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Survey dates: , ,
CMS tag 0921 Environmental Deficiencies
CMS describes the regulatory requirement as: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 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 0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Respond appropriately to all alleged violations.
Survey dates: , ,
CMS tag 0761 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Survey dates: , ,
Questions you could ask on a visit
- For CMS tag 0684 listed on 2026-05-15, 2026-02-04, 2025-11-21, 2024-12-13, 2021-05-17, could you show us the relevant inspection reports and explain how the facility handles resident assessment and care planning today?
- For CMS tag 0880 listed on 2026-05-15, 2024-12-13, 2023-12-21, could you show us the relevant inspection reports and explain how the facility handles infection prevention 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: 0 ($0.00 total). Payment denials: 1.
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.