Mount Vernon, MO

Lawrence County Manor

1-star overall rating with 2-star inspections with $61,609 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

915 Carl Allen Street, Mount Vernon, MO

(417) 466-2183

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

70

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-03-01

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

0.07

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.19

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

0.60

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

0.86

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.26

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

0.89

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.02

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.08

CMS adjusted RN staffing hours

Adjusted total hours

1.00

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

86%

Annual nurse turnover · state 57% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.39%
10.72%
0.3 pts better
No Different than the National Rate · Eligible stays 45 · Observed rate 8.89% · Lower 95% interval 6.77%
Discharge to community 39.65%
50.57%
10.9 pts worse
No Different than the National Rate · Eligible stays 26 · Observed rate 30.77% · Lower 95% interval 26.28%
Medicare spending per beneficiary 1.06
1.02
About the same
Drug regimen review with follow-up 95.45%
95.27%
0.2 pts better
Numerator 21 · Denominator 22
Falls with major injury 4.55%
0.77%
3.8 pts worse
Numerator 1 · Denominator 22
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 22 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 24 · 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 107
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 104
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 15 · 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 1.6
2.1
0.5 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.7 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
2.3
About the same
1.8
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 60.2%
84.8%
24.6 pts worse
93.4%
33.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 87.9% · Q2 69.7% · Q3 45.2% · Q4 36.9% · 4Q avg 60.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.8%
90.9%
4.9 pts better
95.5%
0.3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8%
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
4.1%
0.1 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.5% · Q3 4.8% · Q4 7.7% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.3%
14.7%
12.4 pts better
11.4%
9.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 2.0% · Q4 3.4% · 4Q avg 2.3%
Percentage of long-stay residents who lose too much weight 5.1%
5.5%
0.4 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 5.6% · Q4 12.7% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 40.5%
25.3%
15.2 pts worse
19.6%
20.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 39.7% · Q3 40.7% · Q4 44.6% · 4Q avg 40.5%
Percentage of long-stay residents who received an antipsychotic medication 30.7%
25.0%
5.7 pts worse
16.7%
14 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 33.3% · Q3 29.7% · Q4 31.6% · 4Q avg 30.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.4%
0.0%
0.4 pts worse
0.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents whose ability to walk independently worsened 30.0%
20.3%
9.7 pts worse
16.3%
13.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 46.1% · Q3 19.8% · Q4 19.6% · 4Q avg 30.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 27.8%
19.8%
8 pts worse
14.9%
12.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 33.3% · Q3 26.9% · Q4 20.8% · 4Q avg 27.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.4%
1.1 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 9.5%
2.6%
6.9 pts worse
1.7%
7.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.3% · Q3 8.1% · Q4 15.6% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.6%
18.1%
0.5 pts better
19.8%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 17.5% · Q3 18.6% · Q4 9.1% · 4Q avg 17.6%
Percentage of long-stay residents with pressure ulcers 4.4%
5.0%
0.6 pts better
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.7% · Q3 4.8% · Q4 5.8% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.3%
66.4%
27.1 pts worse
81.7%
42.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 44.8% · Q3 20.6% · Q4 27.6% · 4Q avg 39.3%
Percentage of short-stay residents who had an outpatient emergency department visit 0.0%
13.4%
13.4 pts better
12.0%
12 pts better
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 10.8% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 50.0%
63.5%
13.5 pts worse
79.7%
29.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 10.2%
25.3%
15.1 pts better
23.9%
13.7 pts better
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 8.7% · Expected 20.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-13 · Fire 2025-08-13

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-09-22 · Fire 2023-09-22

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-01-21 · Fire 2020-01-21

12 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-27

F · Potential for more than minimal harm 2025-08-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-27

F · Potential for more than minimal harm 2023-09-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-05

F · Potential for more than minimal harm 2020-01-21

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2020-03-06

F · Potential for more than minimal harm 2020-01-21

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-02-12

E · Potential for more than minimal harm 2020-01-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-03-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-12

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 2025-12-15

D · Potential for more than minimal harm 2025-12-12

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-12-15

K · Immediate jeopardy 2025-08-13

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 2025-09-27

F · Potential for more than minimal harm 2025-08-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-09-27

E · Potential for more than minimal harm 2025-08-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-09-27

E · Potential for more than minimal harm 2025-08-13

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-09-27

E · Potential for more than minimal harm 2025-08-13

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-09-27

D · Potential for more than minimal harm 2025-08-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-27

D · Potential for more than minimal harm 2025-08-13

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-09-27

D · Potential for more than minimal harm 2025-08-13

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 2025-09-27

D · Potential for more than minimal harm 2025-05-02

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-02

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-06-15

D · Potential for more than minimal harm 2024-05-09

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 2024-04-25

D · Potential for more than minimal harm 2023-10-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-10-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-11-24

F · Potential for more than minimal harm 2023-09-22

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

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 2023-11-05

D · Potential for more than minimal harm 2023-09-22

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-11-05

D · Potential for more than minimal harm 2023-09-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-11-05

D · Potential for more than minimal harm 2023-09-22

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2023-11-05

D · Potential for more than minimal harm 2023-09-22

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-11-05

D · Potential for more than minimal harm 2023-09-22

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 2023-11-05

C · Minimal harm 2023-09-22

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-11-05

D · Potential for more than minimal harm 2023-05-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-05-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-05-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-25

F · Potential for more than minimal harm 2020-01-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2020-03-06

E · Potential for more than minimal harm 2020-01-21

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2020-03-06

E · Potential for more than minimal harm 2020-01-21

F575 · Resident Rights Deficiencies

Health

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.

Corrected 2020-03-01

E · Potential for more than minimal harm 2020-01-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2020-03-01

E · Potential for more than minimal harm 2020-01-21

F923 · Environmental Deficiencies

Health

Have enough outside ventilation via a window or mechanical ventilation, or both.

Corrected 2020-03-06

D · Potential for more than minimal harm 2020-01-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-03-06

D · Potential for more than minimal harm 2020-01-21

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 2020-03-06

Penalties and ownership

What sits behind the stars

$43,620 2025-08-13

Fine

Fine · fine $43,620

Fine

$0 2025-08-13

Payment Denial

Payment Denial · denial start 2025-09-25 · 2 days

2 day denial

$13,762 2023-09-11

Fine

Fine · fine $13,762

Fine

$4,227 2023-03-20

Fine

Fine · fine $4,227

Fine

Ownership

Huston, Cessily

Operational/Managerial Control · Individual

0% 1 facilities 2014-04-19
Newby, Russell

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-23
Williams, Cheryl

Operational/Managerial Control · Individual

0% 5 facilities 2024-04-01
Williams, Tina

Operational/Managerial Control · Individual

0% 1 facilities 2015-12-01

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