Rogersville, MO

Copper Rock Healthcare

1-star overall rating with 2-star inspections with 19 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

712 Copper Rock Drive, Rogersville, MO

(417) 202-4606

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

78

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2019-10-03

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

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.37

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.63

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.58

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.95

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.21

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

78%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,110

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

8.30

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.36% · Performance 21.35% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.61

Baseline 5.56% · Performance 7.65% · Measure score 0.61 · Achievement 0.61 · Improvement 0

Total nurse turnover

0

Performance 83.49% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.71

Baseline 3.98 hours · Performance 3.85 hours · Measure score 2.71 · Achievement 2.71 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.37%
10.72%
0.4 pts better
No Different than the National Rate · Eligible stays 48 · Observed rate 8.33% · Lower 95% interval 6.38%
Discharge to community 42.25%
50.57%
8.3 pts worse
No Different than the National Rate · Eligible stays 39 · Observed rate 33.33% · Lower 95% interval 31.92%
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up 97.5%
95.27%
2.2 pts better
Numerator 39 · Denominator 40
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 40
Discharge self-care score 40.63%
53.69%
13.1 pts worse
Numerator 13 · Denominator 32
Discharge mobility score 31.25%
50.94%
19.7 pts worse
Numerator 10 · Denominator 32
Pressure ulcers or injuries, new or worsened 7.5%
2.29%
5.2 pts worse
Numerator 3 · Denominator 40 · Adjusted rate 5.95%
Healthcare-associated infections requiring hospitalization 7.65%
7.12%
0.5 pts worse
No Different than the National Rate · Eligible stays 38 · Observed rate 10.53% · Lower 95% interval 4.5%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 124
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 40.63%
56.45%
15.8 pts worse
Numerator 13 · Denominator 32
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 17 · 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 19.05%
25.2%
6.1 pts worse
Numerator 4 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
2.1
0.4 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.8 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
2.3
0.9 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
84.8%
8.4 pts better
93.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 82.0% · Q2 97.1% · Q3 97.2% · Q4 94.7% · 4Q avg 93.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2%
90.9%
6.3 pts better
95.5%
1.7 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of long-stay residents experiencing one or more falls with major injury 5.4%
4.1%
1.3 pts worse
3.3%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.9% · Q3 5.6% · Q4 7.9% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.6%
14.7%
13.1 pts better
11.4%
9.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 3.0% · Q4 1.5% · 4Q avg 1.6%
Percentage of long-stay residents who lose too much weight 4.5%
5.5%
1 pts better
5.4%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 3.5% · Q3 0.0% · Q4 5.3% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.5%
25.3%
6.2 pts worse
19.6%
11.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 34.5% · Q3 34.4% · Q4 28.3% · 4Q avg 31.5%
Percentage of long-stay residents who received an antipsychotic medication 8.2%
25.0%
16.8 pts better
16.7%
8.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 12.0% · Q3 4.3% · Q4 8.5% · 4Q avg 8.2% · 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 16.9%
20.3%
3.4 pts better
16.3%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 22.3% · Q3 16.1% · Q4 21.1% · 4Q avg 16.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.0%
19.8%
6.8 pts better
14.9%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 12.5% · Q3 17.5% · Q4 10.3% · 4Q avg 13.0% · 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 2.6%
2.6%
About the same
1.7%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.9% · Q3 2.9% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.5%
18.1%
10.4 pts worse
19.8%
8.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 30.0% · Q3 36.4% · Q4 30.2% · 4Q avg 28.5%
Percentage of long-stay residents with pressure ulcers 4.1%
5.0%
0.9 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.5% · Q3 3.1% · Q4 4.5% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 63.1%
66.4%
3.3 pts worse
81.7%
18.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 68.3% · Q3 75.0% · Q4 80.6% · 4Q avg 63.1%
Percentage of short-stay residents who had an outpatient emergency department visit 12.5%
13.4%
0.9 pts better
12.0%
0.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 12.1% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.4%
2.2%
1.2 pts worse
1.6%
1.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.7% · Q3 0.0% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 19.0%
63.5%
44.5 pts worse
79.7%
60.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 19.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.5%
25.3%
6.8 pts better
23.9%
5.4 pts better
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 18.2% · Expected 23.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-01-25 · Fire 2024-01-25

19 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2021-10-07 · Fire 2021-10-07

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-10-03 · Fire 2019-10-03

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-01-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-11

F · Potential for more than minimal harm 2024-01-25

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-03-11

F · Potential for more than minimal harm 2024-01-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-03-11

F · Potential for more than minimal harm 2021-10-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-11-09

F · Potential for more than minimal harm 2021-10-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-11-09

F · Potential for more than minimal harm 2021-10-07

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-11-09

E · Potential for more than minimal harm 2021-10-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-11-09

E · Potential for more than minimal harm 2021-10-07

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2021-11-09

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-11

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Not marked corrected

D · Potential for more than minimal harm 2025-08-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-26

D · Potential for more than minimal harm 2025-04-04

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-04

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-05-16

G · Actual harm 2024-08-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-01-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-11

F · Potential for more than minimal harm 2024-01-25

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-01-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-01-25

F756 · Pharmacy Service Deficiencies

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 2024-03-11

E · Potential for more than minimal harm 2024-01-25

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-01-25

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F625 · Resident Rights Deficiencies

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 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F688 · Quality of Life and Care Deficiencies

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 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F690 · Quality of Life and Care Deficiencies

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 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F758 · Pharmacy Service Deficiencies

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 2024-03-11

D · Potential for more than minimal harm 2024-01-25

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-03-11

D · Potential for more than minimal harm 2023-12-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-01-26

D · Potential for more than minimal harm 2023-12-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-26

D · Potential for more than minimal harm 2023-04-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-05-19

D · Potential for more than minimal harm 2021-10-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-11-09

D · Potential for more than minimal harm 2021-10-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-11-09

Penalties and ownership

What sits behind the stars

Ownership

Alter, Shirley

Corporate Officer · Individual

0% 3 facilities 2019-07-01
Gregory, Mary

Corporate Officer · Individual

0% 1 facilities 2004-05-24
Miller, Sherry

Corporate Officer · Individual

0% 3 facilities 1994-10-16
Pace, Roy

Corporate Officer · Individual

0% 2 facilities 2018-07-20
Pace, Roy

W-2 Managing Employee · Individual

0% 2 facilities 2020-09-01

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Fines
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