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

Gower Convalescent Center, Inc

323 South Highway 169, Gower, MO · (816) 424-6483

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
82
Residents per day
68
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 2006

1

How this home got 3 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

    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.

  3. Quality measures

    no change

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

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Gower Convalescent Center, Inc carries 65 inspection points. That is fewer than 59% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 65 pts · 3★

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

27 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 4 4 pts
E 20 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 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

Quality of Life and Care6E
  1. E

    Provide safe and appropriate respiratory care for a resident when needed.

    May 21, 2026 · Standard · F695 · Corrected July 1, 2026

  2. D

    Honor each resident's preferences, choices, values and beliefs.

    May 21, 2026 · Standard · F675 · Corrected July 1, 2026

  3. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 21, 2025 · Standard · F684 · Corrected April 5, 2025

  4. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 21, 2025 · Standard · F689 · Corrected April 5, 2025

  5. E

    Provide safe and appropriate respiratory care for a resident when needed.

    February 21, 2025 · Standard · F695 · Corrected April 5, 2025

  6. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    October 26, 2023 · Standard · F700 · Corrected December 27, 2023

Resident Assessment and Care Planning6E
  1. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 21, 2025 · Standard · F657 · Corrected April 5, 2025

  2. E

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

    February 21, 2025 · Standard · F658 · Corrected April 5, 2025

  3. E

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    October 26, 2023 · Standard · F655 · Corrected December 27, 2023

  4. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 26, 2023 · Standard · F656 · Corrected December 27, 2023

  5. E

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

    October 26, 2023 · Standard · F658 · Corrected December 27, 2023

  6. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 26, 2023 · Standard · F657 · Corrected December 27, 2023

Resident Rights5E
  1. E

    Ensure that residents are fully informed and understand their health status, care and treatments.

    May 21, 2026 · Standard · F552 · Corrected July 1, 2026

  2. E

    Honor the resident's right to manage his or her financial affairs.

    May 21, 2026 · Standard · F567 · Corrected July 1, 2026

  3. E

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

    May 21, 2026 · Standard · F568 · Corrected July 1, 2026

  4. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 21, 2025 · Standard · F550 · Corrected April 5, 2025

  5. E

    Keep residents' personal and medical records private and confidential.

    February 21, 2025 · Standard · F583 · Corrected April 5, 2025

Nutrition and Dietary3F
  1. F

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

    May 21, 2026 · Standard · F812 · Corrected July 1, 2026

  2. F

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

    February 21, 2025 · Standard · F812 · Corrected April 5, 2025

  3. F

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

    October 26, 2023 · Standard · F812 · Corrected December 27, 2023

Pharmacy Service2E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    February 21, 2025 · Standard · F759 · Corrected April 5, 2025

  2. E

    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.

    February 21, 2025 · Standard · F761 · Corrected April 5, 2025

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    February 21, 2025 · Standard · F880 · Corrected April 5, 2025

  2. E

    Provide and implement an infection prevention and control program.

    October 26, 2023 · Standard · F880 · Corrected December 27, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 17, 2025 · Complaint · F600 · Corrected April 18, 2025

Nursing and Physician Services1E
  1. E

    Ensure that paid feeding assistants have the training they need.

    February 21, 2025 · Standard · F948 · Corrected April 5, 2025

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.

    October 26, 2023 · Standard · F909 · Corrected December 27, 2023

Inspection history

  1. 2026-05-21

    6 health deficiencies · 10 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  2. 2025-02-21

    13 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-10-26

    8 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 38 min of nursing staff time a day, 13 min of it from a registered nurse.

This home

3 h 38 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 25% of nursing staff and 0% 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

$6,351 in federal fines on record over the past three years.

DatePenaltyAmount
2023-10-23Fine$6,351

6

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 days0.5 pts better1.52.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts better0.62.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts better99.6%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better97.0%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better2.7%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 weight4.6 pts better0.5%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts worse25.8%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.4 pts better18.1%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 worsened0.2 pts worse16.0%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2 pts worse19.4%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse2.0%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.4 pts worse4.6%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts worse19.8%17.1%18.3%
Percentage of long-stay residents with pressure ulcers3.1 pts worse7.5%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.7 pts worse41.0%65.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.7 pts worse4.8%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.1 pts worse58.3%61.4%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Gower Convalescent Center Inc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Ingle, JerryCorporate Director · Individual0%1 facilities
Ingle, JerryCorporate Officer · Individual0%1 facilities
Johnson, BarbaraCorporate Director · Individual0%4 facilities
Johnson, BarbaraCorporate Officer · Individual0%4 facilities
Moore, AmberlyW-2 Managing Employee · Individual0%1 facilities
Moore, AmberlyCorporate Director · Individual0%1 facilities
Moore, AmberlyAdp Of The SNF · Individual0%1 facilities
Perry, JasonCorporate Officer · Individual0%1 facilities
Snyder, CharlesCorporate Director · Individual0%1 facilities
Snyder, CharlesCorporate Officer · Individual0%1 facilities
Spaeth, LindaCorporate Officer · Individual0%1 facilities
West, NatalieCorporate Officer · Individual0%2 facilities

·

Fire safety

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

Smoke9F
  1. F

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

    May 21, 2026 · K345 · Corrected July 1, 2026

  2. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    May 21, 2026 · K354 · Corrected July 1, 2026

  3. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    May 21, 2026 · K374 · Corrected July 1, 2026

  4. E

    Provide properly protected cooking facilities.

    May 21, 2026 · K324 · Corrected July 1, 2026

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 21, 2026 · K353 · Corrected July 1, 2026

  6. E

    Install corridor and hallway doors that block smoke.

    May 21, 2026 · K363 · Corrected July 1, 2026

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 21, 2025 · K353 · Corrected April 4, 2025

  8. F

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    October 26, 2023 · K342 · Corrected December 27, 2023

  9. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 26, 2023 · K353 · Corrected November 27, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure proper usage of power strips and extension cords.

    May 21, 2026 · K920 · Corrected July 1, 2026

  2. F

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

    February 21, 2025 · K918 · Corrected April 4, 2025

  3. F

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

    October 26, 2023 · K918 · Corrected December 27, 2023

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    May 21, 2026 · K712 · Corrected July 1, 2026

  2. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    May 21, 2026 · K741 · Corrected July 1, 2026

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    May 21, 2026 · K511 · Corrected July 1, 2026

Construction1F
  1. F

    Use approved construction type or materials.

    February 21, 2025 · K161 · Corrected April 4, 2025

Egress1F
  1. F

    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.

    October 26, 2023 · K222 · Corrected November 27, 2023

·

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