Federal inspection record · CMS data as of October 1, 2026
Chateau Girardeau
3120 Independence Street, Cape Girardeau, MO · (573) 335-1281
- Certified beds
- 75
- Residents per day
- 56
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 23, 1982
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Chateau Girardeau carries 31 inspection points. That is fewer than 83% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights8D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Resident Assessment and Care Planning4D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assess the resident when there is a significant change in condition
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2D
- D
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.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Environmental1E
- E
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.
Quality of Life and Care1D
- D
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.
Inspection history
2026-04-10
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-01-23
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-11-16
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 10 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
4 h 10 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 2.2 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.2 pts better | 99.2% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine23.3 pts worse | 67.5% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 4.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.6 pts better | 3.4% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 1.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17.3 pts worse | 42.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.9 pts better | 17.6% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened40.4 pts worse | 56.2% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.6 pts worse | 31.0% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse | 3.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.5 pts worse | 5.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.7 pts worse | 32.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.8 pts better | 98.5% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts worse | 15.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 2.1% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine34.7 pts worse | 26.7% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 26.6% | 25.7% | 23.4% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cape Retirement Community, Inc. | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Boeller, Keith | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Boeller, Keith | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Boeller, Keith | Corporate Director · Individual | 0% | 1 facilities |
| Boeller, Keith | Corporate Officer · Individual | 0% | 1 facilities |
| Boeller, Keith | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cape Retirement Community, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Carins, Paul | Corporate Director · Individual | 0% | 1 facilities |
| Edmonds, Chris | Corporate Officer · Individual | 0% | 1 facilities |
| Eudy, Debra | Corporate Director · Individual | 0% | 1 facilities |
| Fadler, Jeannette | Corporate Officer · Individual | 0% | 1 facilities |
| Herbst, Charlie | Corporate Officer · Individual | 0% | 1 facilities |
| Kasten, Vernon | Corporate Officer · Individual | 0% | 1 facilities |
| Kinder, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Klein, John | Corporate Director · Individual | 0% | 1 facilities |
| Mattingly, Nancy | Corporate Director · Individual | 0% | 1 facilities |
| Reeves, Dean | Corporate Director · Individual | 0% | 1 facilities |
| Schade, Kevin | Corporate Officer · Individual | 0% | 1 facilities |
| Sides, Chris | Corporate Director · Individual | 0% | 1 facilities |
| Tanner, Roger | Corporate Director · Individual | 0% | 1 facilities |
| Taylor, Steve | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3F
- F
Have proper medical gas storage and administration areas.
- F
Have proper medical gas storage and administration areas.
- F
Have proper medical gas storage and administration areas.
Smoke1F
- F
Provide properly protected cooking facilities.
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Other homes nearby
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Life Care Center Of Cape Girardeau
Cape Girardeau, MO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 57 min
- Fines
- $149,578
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Lutheran Home, The
Cape Girardeau, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 24 min
- Fines
- $0
-
Fountainbleau Lodge
Cape Girardeau, MO · Shafiq Malik
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 43 min
- Fines
- $8,827