Cabool, MO

Kabul Nursing Homes Inc

5-star overall rating with 5-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1000 Main Street, Cabool, MO

(417) 962-3713

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

44

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-09

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

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.57

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.47

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.12

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.10

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.31

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

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.96

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,061

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

60.35

Composite VBP score used to determine payment impact.

Payment multiplier

1.0155

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

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

9.14

Baseline 43.40% · Performance 26.32% · Measure score 9.14 · Achievement 9.14 · Improvement 8.71

Adjusted total nurse staffing

2.93

Baseline 4.12 hours · Performance 3.91 hours · Measure score 2.93 · Achievement 2.93 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.46%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 6.19%
Discharge to community	37.33%	50.57% 13.2 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 23.33% · Lower 95% interval 23.18%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 33 · Denominator 33
Falls with major injury	3.03%	0.77% 2.3 pts worse	Numerator 1 · Denominator 33
Discharge self-care score	75%	53.69% 21.3 pts better	Numerator 18 · Denominator 24
Discharge mobility score	54.17%	50.94% 3.2 pts better	Numerator 13 · Denominator 24
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 33 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 89
Staff flu vaccination coverage	8.99%	42% 33 pts worse	Numerator 8 · Denominator 89
Discharge function score	75%	56.45% 18.5 pts better	Numerator 18 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · 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 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	2.1 1 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.3 0.7 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	57.2%	84.8% 27.6 pts worse	93.4% 36.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 57.1% · Q2 53.5% · Q3 54.1% · Q4 64.9% · 4Q avg 57.2%
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	5.9%	4.1% 1.8 pts worse	3.3% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.0% · Q3 8.1% · Q4 2.7% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	10.1%	14.7% 4.6 pts better	11.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 11.8% · Q3 9.7% · Q4 5.9% · 4Q avg 10.1%
Percentage of long-stay residents who lose too much weight	8.7%	5.5% 3.2 pts worse	5.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 15.8% · Q3 14.7% · Q4 0.0% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	38.0%	25.3% 12.7 pts worse	19.6% 18.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 37.5% · Q3 42.9% · Q4 42.4% · 4Q avg 38.0%
Percentage of long-stay residents who received an antipsychotic medication	36.7%	25.0% 11.7 pts worse	16.7% 20 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 37.9% · Q3 35.5% · Q4 36.7% · 4Q avg 36.7% · 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	30.3%	20.3% 10 pts worse	16.3% 14 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 30.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.6%	19.8% 5.8 pts worse	14.9% 10.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 30.6% · Q3 23.5% · Q4 24.2% · 4Q avg 25.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.6%	1.4% 1.2 pts worse	1.0% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 4.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.0%	2.6% 0.6 pts better	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.5%	18.1% 2.4 pts worse	19.8% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 14.9% · Q3 21.2% · Q4 25.0% · 4Q avg 20.5%
Percentage of long-stay residents with pressure ulcers	0.0%	5.0% 5 pts better	5.1% 5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine	45.2%	66.4% 21.2 pts worse	81.7% 36.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 43.8% · Q3 48.4% · Q4 51.5% · 4Q avg 45.2%
Percentage of short-stay residents who had an outpatient emergency department visit	4.2%	13.4% 9.2 pts better	12.0% 7.8 pts better	Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.2% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.3%	2.2% 0.1 pts worse	1.6% 0.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	60.6%	63.5% 2.9 pts worse	79.7% 19.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 60.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	34.7%	25.3% 9.4 pts worse	23.9% 10.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 34.7% · Observed 29.2% · Expected 20.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-14 · Fire 2025-08-14

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-06-28 · Fire 2024-06-28

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-10-14 · Fire 2022-10-14

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-14

K222 · Egress Deficiencies

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 2025-10-03

F · Potential for more than minimal harm 2025-08-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-10-03

F · Potential for more than minimal harm 2022-10-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-10-14

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-10-15

E · Potential for more than minimal harm 2022-10-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-11

E · Potential for more than minimal harm 2022-10-14

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-09

E · Potential for more than minimal harm 2022-10-14

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-11-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-14

F628 · Resident Rights Deficiencies

Health

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

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-14

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 2025-10-03

D · Potential for more than minimal harm 2025-08-14

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-14

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-14

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-10-03

D · Potential for more than minimal harm 2024-06-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-06-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-10

D · Potential for more than minimal harm 2024-06-28

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-06-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-10

D · Potential for more than minimal harm 2024-06-28

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 2024-08-02

D · Potential for more than minimal harm 2022-10-14

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-14

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2022-11-23

Penalties and ownership