Cycle 1
Health 2025-09-11 · Fire 2025-09-11
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Osage Beach, MO
Lake Regional Health Systems
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
54 Hospital Drive, Osage Beach, MO
(573) 348-8275
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
16
Certified beds
Average residents
9
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-05-16
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
3.99
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.77
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
7.84
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
5.77
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
7.12
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
3.14
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.32
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
3.88
CMS adjusted RN staffing hours
Adjusted total hours
7.61
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,129
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.58
Composite VBP score used to determine payment impact.
Payment multiplier
1.0060
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.48% · Performance 21.92% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
9.22
Baseline 4.75% · Performance 5.08% · Measure score 9.22 · Achievement 9.22 · Improvement 0
Total nurse turnover
6.26
Performance 38.09% · Measure score 6.26 · Achievement 6.26 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.25% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 179 · Observed rate 10.61% · Lower 95% interval 8.62% |
| Discharge to community | 65.26% |
50.57%
14.7 pts better
|
Better than the National Rate · Eligible stays 151 · Observed rate 68.21% · Lower 95% interval 58.6% |
| Medicare spending per beneficiary | 0.6 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 97.92% |
95.27%
2.7 pts better
|
Numerator 94 · Denominator 96 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 96 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 42 · Denominator 70 |
| Discharge mobility score | 45.71% |
50.94%
5.2 pts worse
|
Numerator 32 · Denominator 70 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 3 · Denominator 96 · Adjusted rate 5.17% |
| Healthcare-associated infections requiring hospitalization | 5.08% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 84 · Observed rate 0% · Lower 95% interval 3.02% |
| Staff COVID-19 vaccination coverage | 1.08% |
8.2%
7.1 pts worse
|
Numerator 1 · Denominator 93 |
| Staff flu vaccination coverage | 89.47% |
42%
47.5 pts better
|
Numerator 17 · Denominator 19 |
| Discharge function score | 72.86% |
56.45%
16.4 pts better
|
Numerator 51 · Denominator 70 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 70 · Denominator 70 |
| Resident COVID-19 vaccinations up to date | 17.95% |
25.2%
7.2 pts worse
|
Numerator 7 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
66.4%
33.4 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.2% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
13.4%
0.7 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 13.4% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short 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 who were assessed and appropriately given the seasonal influenza vaccine | 98.9% |
63.5%
35.4 pts better
|
79.7%
19.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% |
25.3%
3.9 pts worse
|
23.9%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 23.2% · Expected 18.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-26 · Fire 2024-11-26
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-01-18 · Fire 2024-01-18
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-11
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-10-03
F · Potential for more than minimal harm
2025-09-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-03
F · Potential for more than minimal harm
2025-09-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-03
F · Potential for more than minimal harm
2024-01-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-30
F · Potential for more than minimal harm
2024-01-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-08
F · Potential for more than minimal harm
2024-01-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-18
F · Potential for more than minimal harm
2024-01-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-08
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-01-18
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-07
E · Potential for more than minimal harm
2024-01-18
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-02-07
C · Minimal harm
2024-01-18
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-02-05
Penalties and ownership
What sits behind the stars
Ownership
Lake Regional Health System
5% Or Greater Direct Ownership Interest · Organization
Hasty, Jessica
Operational/Managerial Control · Individual
Hunter, Melissa
Corporate Officer · Individual
Littleton, Paula
Corporate Officer · Individual
Mcroberts, Kevin
Operational/Managerial Control · Individual
Mcroberts, Kevin
Corporate Officer · Individual
Oneil, Patrick
Operational/Managerial Control · Individual
Prenger, Kristen
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Ozark Rehabilitation & Health Care Center
Osage Beach, MO
1-star overall rating with 2-star inspections with $23,224 in total fines with 5 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Arrowhead Senior Living Community
Osage Beach, MO
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Osage Beach Rehabilitation And Health Care Center
Osage Beach, MO
4-star overall rating with 3-star inspections with $107,324 in total fines with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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