24 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cassville, MO
2-star overall rating with 2-star inspections with $46,303 in total fines with 24 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
812 Old Exeter Road, Cassville, MO
(417) 847-2184
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.57
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.47
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.77
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.81
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.04
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
4.50
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
2,868
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.27
Composite VBP score used to determine payment impact.
Payment multiplier
1.0008
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
3.70
Baseline 6.16% · Performance 6.73% · Measure score 3.70 · Achievement 3.70 · Improvement 0
Total nurse turnover
5.87
Baseline 55.07% · Performance 39.68% · Measure score 5.87 · Achievement 5.87 · Improvement 4.59
Adjusted total nurse staffing
4.61
Baseline 4.31 hours · Performance 4.39 hours · Measure score 4.61 · Achievement 4.61 · Improvement 0.04
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.26% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 17.78% · Lower 95% interval 8.06% |
| Discharge to community | 56.74% |
50.57%
6.2 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 58.06% · Lower 95% interval 43.03% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 6.73% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 3.42% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 93 |
| Staff flu vaccination coverage | 23.08% |
42%
18.9 pts worse
|
Numerator 27 · Denominator 117 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.1
0.1 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.3 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.3
1.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
84.8%
14.7 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.6% |
90.9%
3.7 pts better
|
95.5%
0.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
4.1%
0.5 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.8% · Q3 5.6% · Q4 5.7% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.4% |
14.7%
3.7 pts worse
|
11.4%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.1% · Q2 24.5% · Q3 1.9% · Q4 0.0% · 4Q avg 18.4% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
5.5%
2.4 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.1% · Q3 0.0% · Q4 2.1% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.7% |
25.3%
5.4 pts worse
|
19.6%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 30.0% · Q3 30.6% · Q4 33.3% · 4Q avg 30.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.7% |
25.0%
0.7 pts worse
|
16.7%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 28.6% · Q3 24.4% · Q4 25.0% · 4Q avg 25.7% · 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 | 20.3% |
20.3%
About the same
|
16.3%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 18.9% · Q3 27.6% · Q4 18.1% · 4Q avg 20.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.5% |
19.8%
6.3 pts better
|
14.9%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 16.3% · Q3 17.0% · Q4 6.7% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.4%
1.4 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
2.6%
1.2 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 13.2% · Q4 1.9% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.4% |
18.1%
5.7 pts better
|
19.8%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 10.2% · Q3 11.7% · Q4 18.9% · 4Q avg 12.4% |
| Percentage of long-stay residents with pressure ulcers | 8.3% |
5.0%
3.3 pts worse
|
5.1%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.8% · Q3 9.3% · Q4 13.0% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
66.4%
27.6 pts better
|
81.7%
12.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 90.0% · Q3 96.4% · Q4 100.0% · 4Q avg 94.0% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.4% |
63.5%
13.9 pts better
|
79.7%
2.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.4% |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Infection Control (2 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-04-15
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-04-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-15
Fire Safety
Install an approved automatic sprinkler system.
Not marked corrected
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-15
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-04-15
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-04-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-15
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Not marked corrected
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-04-15
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-02-07
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-02-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-02-07
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-07-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-18
Fire Safety
Use approved construction type or materials.
Corrected 2019-07-18
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-04
Health
Provide or obtain dental services for each resident.
Corrected 2024-04-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-15
Health
Implement a program that monitors antibiotic use.
Corrected 2024-04-15
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-04-15
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-04-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-15
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 2024-04-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-15
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-04-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-15
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 2024-04-15
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 2024-04-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-04-15
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-04-15
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-04-15
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-15
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 2024-04-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-15
Health
Honor the resident's right to manage his or her financial affairs.
Not marked corrected
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 2022-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-08
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 2022-01-24
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-01-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-01-24
Health
Provide activities to meet all resident's needs.
Corrected 2022-01-24
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-01-24
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2022-01-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-01-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-18
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2019-07-18
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 2019-07-18
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-07-18
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-07-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-07-18
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2019-07-18
Penalties and ownership
Fine · fine $41,716
Fine
Fine · fine $4,587
Fine
Nearby options
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