4 health deficiencies
Top issue: Administration (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Braymer, MO
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
12498 Se Highway 116, Braymer, MO
(660) 645-2243
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
83
Certified beds
Average residents
38
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-05-23
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
RN hours / resident day
0.50
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.45
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.38
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
2.79
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
4.86
CMS adjusted total nurse staffing hours
Case-mix index
0.95
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
3,038
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9996
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
6.54
Baseline 93.55% · Performance 45.16% · Measure score 6.54 · Achievement 4.53 · Improvement 6.54
Adjusted total nurse staffing
2.71
Baseline 3.64 hours · Performance 3.85 hours · Measure score 2.71 · Achievement 2.71 · Improvement 0.47
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 3.57% |
8.2%
4.6 pts worse
|
Numerator 2 · Denominator 56 |
| Staff flu vaccination coverage | 7.02% |
42%
35 pts worse
|
Numerator 4 · Denominator 57 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.1
About the same
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.3 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.3
1.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
84.8%
10.6 pts better
|
93.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 97.3% · Q3 97.3% · Q4 94.6% · 4Q avg 95.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
4.1%
0.8 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 0.0% · Q3 0.0% · Q4 5.4% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
14.7%
10.6 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.7% · Q3 5.6% · Q4 5.7% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.5%
5.5 pts better
|
5.4%
5.4 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 who received an antianxiety or hypnotic medication | 22.0% |
25.3%
3.3 pts better
|
19.6%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 22.6% · Q3 18.2% · Q4 22.6% · 4Q avg 22.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.7% |
25.0%
3.3 pts better
|
16.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 20.0% · Q3 16.7% · Q4 23.3% · 4Q avg 21.7% · 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 | 11.8% |
20.3%
8.5 pts better
|
16.3%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 8.9% · Q4 17.0% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
19.8%
1.2 pts better
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 10.3% · Q3 23.3% · Q4 24.1% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.6% |
1.4%
4.2 pts worse
|
1.0%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.3% · Q3 6.2% · Q4 5.8% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 16.4% |
18.1%
1.7 pts better
|
19.8%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 11.9% · Q3 11.8% · Q4 11.6% · 4Q avg 16.4% |
| Percentage of long-stay residents with pressure ulcers | 1.2% |
5.0%
3.8 pts better
|
5.1%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2% |
66.4%
26.8 pts better
|
81.7%
11.5 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 93.2% |
Survey summary
Top issue: Administration (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Administration (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
25 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-17
Fire Safety
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
Corrected 2025-10-17
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-10-25
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-10-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-25
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-25
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-10-25
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-10-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-25
Fire Safety
Use approved construction type or materials.
Corrected 2024-10-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-25
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-26
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-02-26
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-02-26
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-02-26
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-02-26
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-02-26
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-02-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-26
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-02-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-26
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-03-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-26
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-02-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-26
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-26
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-02-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-26
Inspection history
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-17
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-10-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-13
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-10-13
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-10-13
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-10-13
Health
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.
Corrected 2024-10-13
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-10-13
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 2024-10-13
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-10-13
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-10-13
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-10-13
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-10-13
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-10-13
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-13
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-26
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-02-26
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-26
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-02-26
Penalties and ownership
Payment Denial · denial start 2024-10-10 · 15 days
15 day denial
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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Chillicothe, MO
1-star overall rating with 2-star inspections with $114,365 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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