Federal inspection record · CMS data as of October 1, 2026
Estates Of Perryville, LLC, The
430 North West Street, Perryville, MO · (573) 547-1011
- Certified beds
- 156
- Residents per day
- 100
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 14, 2000
1
How this home got 1 star
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.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Estates Of Perryville, LLC, The carries 108 inspection points. That is fewer than 35% 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
43 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.
Harm and immediate-jeopardy citations (6)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Everything else, by area of care
Resident Assessment and Care Planning11D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights7D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- 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
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Assure the security of all personal funds of residents deposited with the facility.
Quality of Life and Care7E
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- D
Provide activities to meet all resident's needs.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care or services that was trauma informed and/or culturally competent.
Nutrition and Dietary4F
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
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.
Pharmacy Service3D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
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.
Infection Control2F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Environmental2F
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-03-11
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-12-06
23 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-09-28
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 1 h 23 min of nursing staff time a day, 5 min of it from a registered nurse.
This home
1 h 23 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 75% of nursing staff and 0% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$306,992 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-10 | Fine | $17,627 |
| 2025-06-10 | Fine | $155,548 |
| 2025-06-10 | Payment Denial · 57 day denial | $0 |
| 2025-03-11 | Fine | $133,817 |
| 2025-03-11 | Payment Denial · 6 day denial | $0 |
6
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 days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days5.7 pts worse | 7.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.7 pts better | 99.7% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts worse | 88.2% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 3.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms37.9 pts worse | 57.9% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 6.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication31.9 pts worse | 57.5% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication30.3 pts worse | 53.8% | 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 worsened4 pts better | 11.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.1 pts better | 9.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.8 pts better | 8.3% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts worse | 5.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27 pts better | 92.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse | 14.6% | 13.4% | 11.8% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.5 pts worse | 60.9% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 21.8% | 25.7% | 23.4% |
·
Who owns and runs it
6 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 |
|---|---|---|---|
| Rosenberg, Zev | 5% Or Greater Direct Ownership Interest · Individual | 60% | 8 facilities |
| Haque, Zahirul | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Haque, Zahirul | Adp Of The SNF · Individual | 0% | 2 facilities |
| Huff, Devon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Huff, Devon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Medallion Healthcare Systems LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install an approved automatic sprinkler system.
Egress4F
- F
Have properly located and lighted "Exit" signs.
- D
Have exits that are accessible at all times.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems4F
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
- F
Ensure proper usage of power strips and extension cords.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
·
Other homes nearby
-
Independence Care Center Of Perry County
Perryville, MO
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 56 min
- Fines
- $0
-
Three Springs Sr Living & Rhab
Chester, IL · Wlc Management Firm
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 52 min
- Fines
- $0
-
Riverview At The Park Care And Rehabilitation Cent
Sainte Genevieve, MO · Shafiq Malik
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 59 min
- Fines
- $0