Lacoba Homes Inc ratings, inspections, staffing, and fines

1

How this home got 5 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

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Lacoba Homes Inc carries 17 inspection points. That is fewer than 92% 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

10 health citations on record since 2022. 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 1 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts

E 0 8 pts

F 1 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.

Harm and immediate-jeopardy citations (1)

G

Ensure that residents are free from significant medication errors.

February 14, 2025 · Complaint inspection · Pharmacy Service · F760 · Corrected March 21, 2025

Everything else, by area of care

Quality of Life and Care3D

D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 15, 2026 · Standard · F689 · Corrected February 25, 2026
D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
June 15, 2022 · Standard · F678 · Corrected July 14, 2022
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
June 15, 2022 · Standard · F690 · Corrected June 30, 2022

Infection Control2D

D
Provide and implement an infection prevention and control program.
January 15, 2026 · Standard · F880 · Corrected February 25, 2026
D
Provide and implement an infection prevention and control program.
June 15, 2022 · Standard · F880 · Corrected July 29, 2022

Nutrition and Dietary2F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
April 11, 2024 · Standard · F812 · Corrected May 11, 2024
D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
April 11, 2024 · Standard · F805 · Corrected May 11, 2024

Freedom from Abuse, Neglect, and Exploitation1D

D
Protect each resident from the wrongful use of the resident's belongings or money.
October 4, 2023 · Complaint · F602 · Corrected September 7, 2023

Resident Rights1D

D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
June 15, 2022 · Standard · F625 · Corrected June 23, 2022

Inspection history

2026-01-15
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-04-11
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-06-15
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 53 min of nursing staff time a day, 35 min of it from a registered nurse.

This home

3 h 53 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 48% of nursing staff and 25% of registered nurses left in the past year, along with 1 administrator.

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.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better	1.3	2.0	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better	1.4	2.2	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better	100.0%	84.0%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7 pts better	97.8%	90.8%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better	3.5%	4.0%	3.2%
Percentage of long-stay residents who have depressive symptoms14.4 pts better	5.6%	20.0%	13.5%
Percentage of long-stay residents who lose too much weight1.3 pts better	3.8%	5.1%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts better	17.0%	25.6%	19.5%
Percentage of long-stay residents who received an antipsychotic medication22.8 pts better	0.7%	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 worsened1.1 pts better	14.7%	15.8%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5 pts better	12.4%	17.4%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better	0.0%	0.9%	0.7%
Percentage of long-stay residents with a urinary tract infection1 pts better	1.2%	2.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts worse	21.2%	17.1%	18.3%
Percentage of long-stay residents with pressure ulcers0.2 pts worse	4.6%	4.4%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.8 pts better	92.5%	65.7%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8 pts worse	21.4%	13.4%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better	2.0%	2.1%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine33.5 pts better	94.9%	61.4%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission11.4 pts better	14.3%	25.7%	23.4%

·

Who owns and runs it

40 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
Aegis Therapies, Inc.	Adp Of The SNF · Organization	0%	35 facilities
Barnes, Scott	Managing Control - Governing Body · Individual	0%	1 facilities
Barnes, Scott	Operational/Managerial Control · Individual	0%	1 facilities
Barton, Susan	Adp Of The SNF · Individual	0%	1 facilities
Bickford, Tammy	Operational/Managerial Control · Individual	0%	1 facilities
Bickford, Tammy	Adp Of The SNF · Individual	0%	1 facilities
Bower, Jacob	Operational/Managerial Control · Individual	0%	1 facilities
Bower, Jacob	Adp Of The SNF · Individual	0%	1 facilities
Burton, Charles	Managing Control - Governing Body · Individual	0%	2 facilities
Cavero, Fernando	Adp Of The SNF · Individual	0%	5 facilities
Crouch, Ronnie	Managing Control - Governing Body · Individual	0%	1 facilities
Crouch, Ronnie	Corporate Officer · Individual	0%	1 facilities
Crouch, Ronnie	Operational/Managerial Control · Individual	0%	1 facilities
Dba Dietary Consultants Of Southwest Missouri	Adp Of The SNF · Organization	0%	1 facilities
Faucett, Kaitlin	Managing Control - Governing Body · Individual	0%	1 facilities
Forvis Mazars Llp	Adp Of The SNF · Organization	0%	295 facilities
Garoutte, Helen	Managing Control - Governing Body · Individual	0%	1 facilities
Hendrix, Ashley	Operational/Managerial Control · Individual	0%	1 facilities
Hendrix, Ashley	Adp Of The SNF · Individual	0%	1 facilities
Herndon, Debi	Managing Control - Governing Body · Individual	0%	1 facilities
Herndon, Debi	Operational/Managerial Control · Individual	0%	1 facilities
Hood, Phillip	Managing Control - Governing Body · Individual	0%	1 facilities
Hood, Phillip	Operational/Managerial Control · Individual	0%	1 facilities
Justus, Joel	Managing Control - Governing Body · Individual	0%	1 facilities
Justus, Joel	Operational/Managerial Control · Individual	0%	1 facilities
Pauda, Danielle	Operational/Managerial Control · Individual	0%	1 facilities
Pauda, Danielle	Adp Of The SNF · Individual	0%	1 facilities
Ribbing, Jerry	Managing Control - Governing Body · Individual	0%	1 facilities
Ribbing, Jerry	Operational/Managerial Control · Individual	0%	1 facilities
Rice, Tim	Managing Control - Governing Body · Individual	0%	1 facilities
Rice, Tim	Operational/Managerial Control · Individual	0%	1 facilities
Rogers, Wade	Managing Control - Governing Body · Individual	0%	1 facilities
Rogers, Wade	Operational/Managerial Control · Individual	0%	1 facilities
Tippett, Gary	Managing Control - Governing Body · Individual	0%	1 facilities
Tippett, Gary	Operational/Managerial Control · Individual	0%	1 facilities
Webb, Melissa	Operational/Managerial Control · Individual	0%	1 facilities
Webb, Melissa	Adp Of The SNF · Individual	0%	1 facilities
West, Wanda	Adp Of The SNF · Individual	0%	1 facilities
Wiese, Paul	Managing Control - Governing Body · Individual	0%	1 facilities
Wiese, Paul	Operational/Managerial Control · Individual	0%	1 facilities

·

Fire safety

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

Smoke1E

E
Install an approved automatic sprinkler system.
June 15, 2022 · K351 · Corrected June 16, 2022

·

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