19 health deficiencies
Top issue: Resident Rights (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cedar Hill, MO
1-star overall rating with 2-star inspections with $32,665 in total fines with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
6400 The Cedars Court, Cedar Hill, MO
(636) 274-1777
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vertical Health Services
Operator or chain grouping
Approved since
1990-05-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 2 overall / 2 health / 1 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.34
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.72
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.83
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.11
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.30
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
2.22
CMS adjusted total nurse staffing hours
Case-mix index
1.74
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.25% · Performance 21.69% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.49% · Performance 9.02% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
0
Baseline 2.46 hours · Performance 2.37 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.48% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 70 · Observed rate 17.14% · Lower 95% interval 8.27% |
| Discharge to community | 40.14% |
50.57%
10.4 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 28.07% · Lower 95% interval 27.31% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.14% |
95.27%
1.9 pts better
|
Numerator 34 · Denominator 35 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 35 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 12 · Denominator 20 |
| Discharge mobility score | 35% |
50.94%
15.9 pts worse
|
Numerator 7 · Denominator 20 |
| Pressure ulcers or injuries, new or worsened | 8.57% |
2.29%
6.3 pts worse
|
Numerator 3 · Denominator 35 · Adjusted rate 6.32% |
| Healthcare-associated infections requiring hospitalization | 9.02% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 19.35% · Lower 95% interval 4.92% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 116 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 45% |
56.45%
11.5 pts worse
|
Numerator 9 · Denominator 20 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
84.8%
10.9 pts better
|
93.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 95.6% · Q3 97.5% · Q4 93.6% · 4Q avg 95.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.7% |
90.9%
3.8 pts better
|
95.5%
0.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
4.1%
1.7 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.4% · Q3 7.4% · Q4 7.7% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 74.8% |
14.7%
60.1 pts worse
|
11.4%
63.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.8% · Q2 79.0% · Q3 81.7% · Q4 74.0% · 4Q avg 74.8% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
5.5%
About the same
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 4.1% · Q3 6.0% · Q4 3.1% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.6% |
25.3%
13.3 pts worse
|
19.6%
19 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 38.2% · Q3 36.6% · Q4 40.6% · 4Q avg 38.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.3% |
25.0%
1.7 pts better
|
16.7%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.7% · Q2 20.8% · Q3 23.4% · Q4 20.5% · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.7% |
20.3%
9.6 pts better
|
16.3%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 11.9% · Q3 3.5% · Q4 0.0% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
19.8%
7.6 pts better
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 14.9% · Q3 7.7% · Q4 4.7% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.4%
1.1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.6%
1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.1% · Q3 0.0% · Q4 2.7% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.0% |
18.1%
0.9 pts worse
|
19.8%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 18.5% · Q3 20.7% · Q4 19.5% · 4Q avg 19.0% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
5.0%
0.7 pts worse
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 6.3% · Q3 3.9% · Q4 4.3% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 44.9% |
66.4%
21.5 pts worse
|
81.7%
36.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.6% · Q2 52.8% · Q3 45.2% · Q4 28.6% · 4Q avg 44.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.6% |
13.4%
8.8 pts better
|
12.0%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.6% · Observed 5.7% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.2%
1.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.2% |
63.5%
16.3 pts worse
|
79.7%
32.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.8% |
25.3%
7.5 pts better
|
23.9%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 22.9% · Expected 30.7% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-05-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-21
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-08
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-07-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-20
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-01-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-06
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-01-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-20
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-20
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-05-21
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-05-21
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-05-21
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-05-21
Health
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.
Corrected 2025-05-21
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-21
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-05-21
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-05-21
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-05-21
Health
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.
Corrected 2025-05-21
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-05-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-21
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-05-21
Health
Keep all essential equipment working safely.
Corrected 2025-05-21
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-05-21
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-05-21
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-23
Health
Provide activities to meet all resident's needs.
Corrected 2025-05-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-07
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-13
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-10-04
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2024-10-04
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-10-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-08
Health
Dispose of garbage and refuse properly.
Corrected 2024-07-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-08
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-07-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-24
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-09-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-20
Health
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.
Corrected 2023-01-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-01-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-20
Health
Put firmly secured handrails on each side of hallways.
Corrected 2023-01-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-20
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-01-20
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-01-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-20
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-01-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-20
Health
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.
Corrected 2023-01-20
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-01-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-01-20
Health
Post nurse staffing information every day.
Corrected 2023-01-20
Health
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.
Corrected 2023-01-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-01-20
Penalties and ownership
Fine · fine $17,141
Fine
Payment Denial · denial start 2023-11-09 · 15 days
15 day denial
Fine · fine $3,176
Fine
Fine · fine $2,823
Fine
Fine · fine $6,351
Fine
Fine · fine $3,174
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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Pacific, MO
1-star overall rating with 3-star inspections with 10 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Eureka, MO
2-star overall rating with 2-star inspections with $77,664 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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