Cycle 1
Health 2025-01-30 · Fire 2025-01-30
4 health deficiencies
Top issue: Environmental (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Farmington, MO
Farmington Presbyterian Manor
4-star overall rating with 4-star inspections with $12,649 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
500 Cayce Street, Farmington, MO
(573) 756-6768
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
69
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Manors Of Mid-America
Operator or chain grouping
Approved since
1994-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 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
Hours and turnover
RN hours / resident day
0.77
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
2.48
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.61
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
4.34
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,257
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.45% · Performance 21.31% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.81
Baseline 7.05% · Performance 6.70% · Measure score 3.81 · Achievement 3.81 · Improvement 1.21
Total nurse turnover
0
Baseline 58.21% · Performance 69.14% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.57
Baseline 3.85 hours · Performance 4.38 hours · Measure score 4.57 · Achievement 4.57 · Improvement 2.25
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 10.23% · Lower 95% interval 7.39% |
| Discharge to community | 47.03% |
50.57%
3.5 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 40.91% · Lower 95% interval 36.53% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 69 · Denominator 69 |
| Falls with major injury | 1.45% |
0.77%
0.7 pts worse
|
Numerator 1 · Denominator 69 |
| Discharge self-care score | 72.92% |
53.69%
19.2 pts better
|
Numerator 35 · Denominator 48 |
| Discharge mobility score | 60.42% |
50.94%
9.5 pts better
|
Numerator 29 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 1.45% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 69 · Adjusted rate 1.58% |
| Healthcare-associated infections requiring hospitalization | 6.7% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 48 · Observed rate 4.17% · Lower 95% interval 3.62% |
| Staff COVID-19 vaccination coverage | 1.37% |
8.2%
6.8 pts worse
|
Numerator 2 · Denominator 146 |
| Staff flu vaccination coverage | 28.99% |
42%
13 pts worse
|
Numerator 49 · Denominator 169 |
| Discharge function score | 81.25% |
56.45%
24.8 pts better
|
Numerator 39 · Denominator 48 |
| 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 | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 13.89% |
25.2%
11.3 pts worse
|
Numerator 5 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.2 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.3
0.2 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.7 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
84.8%
13.1 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 96.8% · Q3 98.2% · Q4 98.4% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
90.9%
7.7 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| 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 6.8% · Q2 6.3% · Q3 3.6% · Q4 6.5% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
14.7%
13.8 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
5.5%
0.3 pts worse
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.7% · Q3 9.3% · Q4 0.0% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.6% |
25.3%
7.3 pts worse
|
19.6%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 36.5% · Q3 29.5% · Q4 27.1% · 4Q avg 32.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.3% |
25.0%
10.7 pts better
|
16.7%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 14.6% · Q3 8.1% · Q4 15.2% · 4Q avg 14.3% · 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 | 27.2% |
20.3%
6.9 pts worse
|
16.3%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 39.2% · Q3 17.1% · Q4 17.9% · 4Q avg 27.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.4% |
19.8%
1.4 pts better
|
14.9%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 29.4% · Q3 9.3% · Q4 12.8% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.4%
1 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.9% |
2.6%
3.3 pts worse
|
1.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 7.9% · Q3 3.6% · Q4 1.7% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.0% |
18.1%
11.9 pts worse
|
19.8%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 38.1% · Q3 17.3% · Q4 31.9% · 4Q avg 30.0% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
5.0%
1.9 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.0% · Q3 2.5% · Q4 1.3% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
66.4%
28.5 pts better
|
81.7%
13.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 100.0% · Q3 96.1% · Q4 92.7% · 4Q avg 94.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.4% |
13.4%
1 pts worse
|
12.0%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 12.7% · Expected 9.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.3% |
63.5%
19.8 pts better
|
79.7%
3.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.4% |
25.3%
3.1 pts worse
|
23.9%
4.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.4% · Observed 25.5% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-17 · Fire 2023-11-17
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-04-08 · Fire 2022-04-08
3 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-30
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-03-13
F · Potential for more than minimal harm
2025-01-30
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-13
F · Potential for more than minimal harm
2025-01-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-13
D · Potential for more than minimal harm
2022-04-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-10
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-01-30
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-01-30
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-01-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-01-30
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-13
D · Potential for more than minimal harm
2023-11-17
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-04
D · Potential for more than minimal harm
2023-11-17
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-01-04
J · Immediate jeopardy
2023-06-14
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 2023-06-15
D · Potential for more than minimal harm
2022-04-08
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 2022-05-10
D · Potential for more than minimal harm
2022-04-08
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 2022-05-10
Penalties and ownership
What sits behind the stars
$12,649
2023-06-14
Fine
Fine · fine $12,649
Fine
Ownership
Presbyterian Manors Inc
5% Or Greater Direct Ownership Interest · Organization
Bonney, Robert
Corporate Director · Individual
Brennecke, Gary
Corporate Director · Individual
Cook, James
Corporate Director · Individual
Goodwin, John
Corporate Director · Individual
Harris, Daniel
Corporate Director · Individual
Hind, Sherry
Corporate Officer · Individual
Hull, Jane
W-2 Managing Employee · Individual
Mckell, Elizabeth
Corporate Director · Individual
Miller, Joan
Corporate Officer · Individual
Morrison, Aaron
Corporate Director · Individual
Nelson, Eleanor
Corporate Director · Individual
Owens, Melanie
Corporate Officer · Individual
Presbyterian Manors Of Mid-America Inc
Operational/Managerial Control · Organization
Shogren, Bruce
Corporate Officer · Individual
Taylor, William
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Southbrook Nursing Center
Farmington, MO
4-star overall rating with 4-star inspections with 10 recent health deficiencies
#2
Camelot Nursing And Rehabilitation Center
Farmington, MO
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Community Manor
Farmington, MO
3-star overall rating with 4-star inspections with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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