Federal inspection record · CMS data as of October 1, 2026
Golden Age Nursing Home
12498 Se Highway 116, Braymer, MO · (660) 645-2243
- Certified beds
- 83
- Residents per day
- 38
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 23, 2001
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Golden Age Nursing Home carries 51 inspection points. That is fewer than 68% 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
23 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 (1)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Administration7F
- C
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
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.
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- C
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Rights4E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
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
Assure the security of all personal funds of residents deposited with the facility.
Nutrition and Dietary3E
- E
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services3E
- E
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.
- E
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.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Infection Control2F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Inspection history
2025-09-04
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2024-09-03
14 health deficiencies · 13 fire-safety deficiencies
Top issue: Administration (5 deficiencies)
2023-01-12
5 health deficiencies · 25 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 21 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 20% of registered nurses left in the past year.
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
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-03 | Payment Denial · 15 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 days0.8 pts worse | 2.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.5 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.5 pts better | 96.5% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 6.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.8 pts better | 12.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts better | 0.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts better | 25.2% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts worse | 26.1% | 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 worsened4.5 pts better | 11.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts better | 16.4% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse | 2.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts worse | 22.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts better | 1.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.6 pts better | 86.3% | 65.7% | 82.3% |
·
Who owns and runs it
16 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 |
|---|---|---|---|
| Bills, Tom | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Clevenger, Gerald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Golden Age Nursing Home District | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Golden Age Nursing Home District | Adp Of The SNF · Organization | 0% | 2 facilities |
| Hayes, Kesley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hayes, Kesley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hudson, Laurie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hudson, Laurie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kelly, Michael | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Kincaid, Karla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Murdock, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Murdock, Tammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Neely, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Neely, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pollard, Marjorie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stone, Joyce | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
42 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have an enclosure around a vertical opening shaft.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness9F
- F
Establish emergency prep training and testing.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for volunteers.
- F
Create arrangements with other facilities to receive patients.
- F
Establish roles under a Waiver declared by secretary.
- F
Provide primary/alternate means for communication.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of highly flammable decorations.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide a written emergency evacuation plan.
- E
Have simulated fire drills held at unexpected times.
Services3F
- E
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
- F
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Electrical2F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Construction1E
- E
Use approved construction type or materials.
·
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Stonebridge Chillicothe
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Livingston Manor Care Center
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