Federal inspection record · CMS data as of October 1, 2026

Gasconade Manor Nursing Home

1910 Nursing Home Road,, Owensville, MO · (573) 437-4101

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
79
Residents per day
62
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1993

1

How this home got 4 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Gasconade Manor Nursing Home carries 38 inspection points. That is fewer than 76% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 38 pts · 4★

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

21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 2 4 pts
E 9 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 6 0 pts

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

Infection Control6F
  1. F

    Provide and implement an infection prevention and control program.

    July 31, 2025 · Standard · F880 · Corrected August 13, 2025

  2. E

    Provide and implement an infection prevention and control program.

    February 24, 2023 · Standard · F880 · Corrected March 22, 2023

  3. E

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    February 24, 2023 · Standard · F882 · Corrected March 21, 2023

  4. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    February 24, 2023 · Standard · F883 · Corrected March 29, 2023

  5. C

    Implement a program that monitors antibiotic use.

    February 24, 2023 · Standard · F881 · Corrected March 21, 2023

  6. C

    Ensure staff are vaccinated for COVID-19

    February 24, 2023 · Standard · F888 · Corrected March 23, 2023

Resident Rights5D
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 31, 2025 · Standard · F628 · Corrected August 13, 2025

  2. C

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    February 24, 2023 · Standard · F575 · Corrected March 21, 2023

  3. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    February 24, 2023 · Standard · F577 · Corrected March 28, 2023

  4. C

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    February 24, 2023 · Standard · F585 · Corrected March 28, 2023

  5. B

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    February 24, 2023 · Standard · F568 · Corrected March 21, 2023

Freedom from Abuse, Neglect, and Exploitation2E
  1. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    July 31, 2025 · Standard · F607 · Corrected August 13, 2025

  2. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    February 24, 2023 · Standard · F607 · Corrected March 20, 2023

Nutrition and Dietary2F
  1. F

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

    May 31, 2024 · Standard · F812 · Corrected June 4, 2024

  2. F

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

    February 24, 2023 · Standard · F812 · Corrected March 17, 2023

Quality of Life and Care2E
  1. E

    Provide activities to meet all resident's needs.

    May 31, 2024 · Standard · F679 · Corrected June 5, 2024

  2. E

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

    February 24, 2023 · Standard · F677 · Corrected March 28, 2023

Environmental1E
  1. 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.

    July 31, 2025 · Standard · F909 · Corrected August 13, 2025

Resident Assessment and Care Planning1D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    July 31, 2025 · Standard · F658 · Corrected August 13, 2025

Pharmacy Service1E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    May 31, 2024 · Standard · F759 · Corrected June 5, 2024

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    May 31, 2024 · Standard · F732 · Corrected June 25, 2024

Inspection history

  1. 2025-07-31

    5 health deficiencies · 1 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

  2. 2024-05-31

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

  3. 2023-02-24

    12 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 37 min of nursing staff time a day, 19 min of it from a registered nurse.

This home

2 h 37 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.82.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better1.52.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts better91.4%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine16.2 pts worse74.6%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts better3.0%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms20 pts better0.0%20.0%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better3.6%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.5 pts worse35.1%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication13.4 pts better10.1%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5 pts better10.8%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better14.1%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder3 pts worse3.9%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.5 pts worse4.7%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.4 pts better3.7%17.1%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts better2.8%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33.2 pts better98.9%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better10.9%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission14.9 pts better10.8%25.7%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Gasconade Manor Nursing Home District5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Bossaller, CynthiaManaging Control - Governing Body · Individual0%1 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Gasconade Manor Nursing Home DistrictOperational/Managerial Control · Organization0%1 facilities
Gasconade Manor Nursing Home DistrictAdp Of The SNF · Organization0%1 facilities
Hesemann, LynnManaging Control - Governing Body · Individual0%1 facilities
Jett, RogerManaging Control - Governing Body · Individual0%1 facilities
Kemper, WayneManaging Control - Governing Body · Individual0%1 facilities
Legends BankAdp Of The SNF · Organization0%1 facilities
Powerback Rehabilitation LLCOperational/Managerial Control · Organization0%23 facilities
Powerback Rehabilitation LLCAdp Of The SNF · Organization0%23 facilities
Ray, CrystalOperational/Managerial Control · Individual0%1 facilities
Ray, CrystalAdp Of The SNF · Individual0%1 facilities
Strothkamp, AlexusOperational/Managerial Control · Individual0%1 facilities
Strothkamp, AlexusAdp Of The SNF · Individual0%1 facilities
Thorton, MargieManaging Control - Governing Body · Individual0%1 facilities
Warbritton, DustinOperational/Managerial Control · Individual0%2 facilities
Warbritton, DustinAdp Of The SNF · Individual0%2 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 31, 2024 · K353 · Corrected June 10, 2024

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 24, 2023 · K345 · Corrected April 3, 2023

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 24, 2023 · K353 · Corrected July 31, 2023

  4. F

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

    February 24, 2023 · K372 · Corrected March 21, 2023

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    July 31, 2025 · K712 · Corrected August 13, 2025

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 31, 2024 · K918 · Corrected June 10, 2024

Emergency Preparedness1F
  1. F

    Establish roles under a Waiver declared by secretary.

    February 24, 2023 · E26 · Corrected March 21, 2023

·

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