CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 265656
- Facility type
- Nursing home
- Certified beds
- 78
- Ownership
- For profit - Limited Liability company
- County or equivalent
- Greene
- CMS area classification
- Urban
- Phone
- (417) 736-9332
- 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
- 3.16 hours
- RN hours per resident per day
- 0.30 hours
- Weekend nurse hours per resident per day
- 2.84 hours
- Weekend RN hours per resident per day
- 0.21 hours
- Nursing staff turnover
- 82.3%
- RN turnover
- 83.3%
- Administrators who left
- 3
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: 2025-04-21. Health deficiencies: 39.
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 39 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 fine. What was it for, and where can we read the related records?Why this question: CMS number of fines · 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: 2025-04-21. Health deficiencies: 39.
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 0550 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · CMS scope/severity code: D
CMS tag 0558 Resident Rights Deficiencies
CMS requirement: Reasonably accommodate the needs and preferences of each resident.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · CMS scope/severity code: D
CMS tag 0559 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · CMS scope/severity code: D
CMS tag 0561 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · CMS scope/severity code: E
CMS tag 0584 Resident Rights Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · CMS scope/severity code: D
Show 3 more citations from this date
CMS tag 0686 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · CMS scope/severity code: D
CMS tag 0804 Nutrition and Dietary Deficiencies
CMS requirement: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · CMS scope/severity code: F
CMS tag 0925 Environmental Deficiencies
CMS requirement: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-22 · 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.
- Pressure-injury care 1 CMS tag · 3 survey dates Tags 0686 · Most recent citation date
- Assessment and care planning 1 CMS tag · 5 survey dates Tags 0684 · Most recent citation date
- Family notification 1 CMS tag · 3 survey dates Tags 0580 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
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 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 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 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: , , , ,
Show 9 more tags seen on multiple 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 0688 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide 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.
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 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 0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Survey dates: ,
CMS tag 0697 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe, appropriate pain management for a resident who requires such services.
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 0755 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0686 listed on 2026-03-26, 2024-10-18, 2023-06-29, could you show us the relevant inspection reports and explain how the facility handles pressure-injury care today?
- For CMS tag 0580 listed on 2026-02-25, 2024-06-04, 2024-04-07, could you show us the relevant inspection reports and explain how the facility handles family notification 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: 1 ($52,456.00 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.