Federal inspection record · CMS data as of October 1, 2026
Lakeview Health Care & Rehabilitation Center
1450 Ashley Road, Boonville, MO · (660) 882-7007
- Certified beds
- 59
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- Circle B Enterprises
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 8, 1993
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★−1 star
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Lakeview Health Care & Rehabilitation Center carries 52 inspection points. That is fewer than 67% 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
34 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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights6E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 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.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Quality of Life and Care6E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- C
Provide activities to meet all resident's needs.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning5E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary3F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services3F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
- D
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.
Pharmacy Service2E
- E
Ensure medication error rates are not 5 percent or greater.
- 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.
Administration1D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspection history
2026-01-08
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-09-12
12 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-06-27
15 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 27 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% 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
$49,335 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-01 | Fine | $49,335 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1 pts worse | 83.0% | 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 injury8.9 pts worse | 12.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms66.5 pts worse | 86.5% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight7.7 pts worse | 12.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts worse | 26.5% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.7 pts worse | 34.2% | 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 worsened12.9 pts worse | 28.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts worse | 25.9% | 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 infection0.4 pts better | 1.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.6 pts worse | 21.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts better | 68.1% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
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Who owns and runs it
25 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 |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 29 facilities |
| Agh1 LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Agh1 LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Anderson, Todd | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Anderson, Todd | Adp Of The SNF · Individual | 0% | 6 facilities |
| Ballanger, Shawna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ballanger, Shawna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Barnes, Eric | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Barnes, Eric | Adp Of The SNF · Individual | 0% | 8 facilities |
| Beaird, Todd | Corporate Officer · Individual | 0% | 37 facilities |
| Beaird, Todd | Adp Of The SNF · Individual | 0% | 37 facilities |
| Bedell, Bryan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 36 facilities |
| Bedell, Donald | Corporate Director · Individual | 0% | 37 facilities |
| Bedell, Donald | Corporate Officer · Individual | 0% | 37 facilities |
| Bedell, Donald | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Dcb Real Estate Partnership LP | Adp Of The SNF · Organization | 0% | 25 facilities |
| Fg LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Fizer, Kimberly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fizer, Kimberly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Lake View Development Properties LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mid States Inc | Adp Of The SNF · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Van De Ven LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems3F
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Emergency Preparedness2F
- F
Develop a communication plan.
- F
Provide primary/alternate means for communication.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- 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.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
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Other homes nearby
-
Ashley Manor Health & Rehabilitation
Boonville, MO · Mo Op Holdco, LLC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0
-
Riverdell Care Center
Boonville, MO · Circle B Enterprises
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
Katy Manor
Pilot Grove, MO
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0