Lawson, MO
1-star overall rating with 2-star inspections with abuse icon flag with $78,430 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
210 West 8th Terrace, Lawson, MO
(816) 580-3269
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Circle B Enterprises
Operator or chain grouping
Approved since
1997-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars
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
RN hours / resident day
0.41
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.07
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.03
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.94
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.32
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
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
79%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
12,267
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
0
Baseline 57.78% · Performance 87.72% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.62
Baseline 3.06 hours · Performance 3.82 hours · Measure score 2.62 · Achievement 2.62 · Improvement 2.30
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.48% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 26 · Observed rate 15.38% · Lower 95% interval 7.43% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 12 · 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 48 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 91 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 11 · 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 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
| 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 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 12.4% |
84.8%
72.4 pts worse
|
93.4%
81 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 18.4% · Q3 10.8% · Q4 13.2% · 4Q avg 12.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 70.5% |
90.9%
20.4 pts worse
|
95.5%
25 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 70.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.8% |
4.1%
3.7 pts worse
|
3.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.3% · Q3 10.8% · Q4 10.5% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.5% |
14.7%
15.8 pts worse
|
11.4%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 29.7% · Q3 36.4% · Q4 40.0% · 4Q avg 30.5% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
5.5%
0.5 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 10.0% · Q3 3.3% · Q4 3.1% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
25.3%
7.4 pts better
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 16.1% · Q3 16.7% · Q4 21.2% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 36.5% |
25.0%
11.5 pts worse
|
16.7%
19.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.8% · Q2 36.4% · Q3 40.0% · Q4 23.1% · 4Q avg 36.5% · 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 | 33.9% |
20.3%
13.6 pts worse
|
16.3%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 38.9% · 4Q avg 33.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 38.4% |
19.8%
18.6 pts worse
|
14.9%
23.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 44.8% · Q3 33.3% · Q4 40.6% · 4Q avg 38.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.4%
0.9 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.7% |
2.6%
4.1 pts worse
|
1.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 5.4% · Q3 2.7% · Q4 10.8% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.2% |
18.1%
14.1 pts worse
|
19.8%
12.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 34.9% · Q3 31.4% · Q4 31.8% · 4Q avg 32.2% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
5.0%
1.1 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 6.5% · Q3 3.7% · Q4 3.3% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 8.7% |
66.4%
57.7 pts worse
|
81.7%
73 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 13.8% · Q3 4.0% · Q4 4.0% · 4Q avg 8.7% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.7% |
2.2%
1.5 pts worse
|
1.6%
2.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.3% |
63.5%
20.2 pts worse
|
79.7%
36.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 43.3% |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Rights (12 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
21 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-07-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-04-26
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-04-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-26
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-04-26
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-26
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-04-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-26
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-01-19
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-01-19
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-19
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-01-19
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-01-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-01-19
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 2023-01-19
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2023-01-19
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-01-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-19
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-01-19
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-01-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-19
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-19
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-01-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-19
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-01-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-19
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-02-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-13
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 2026-02-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-21
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-07-21
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2025-07-21
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-07-21
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-07-21
Health
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.
Corrected 2024-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-20
Health
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.
Corrected 2024-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2024-11-15
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-20
Health
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.
Corrected 2024-04-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-26
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-26
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-04-26
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-04-26
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2024-04-26
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-04-26
Health
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.
Corrected 2024-04-26
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-04-26
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-26
Health
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.
Corrected 2024-04-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-26
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-26
Health
Provide activities to meet all resident's needs.
Corrected 2024-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-26
Health
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.
Corrected 2024-04-26
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-26
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 2024-04-26
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-26
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-04-26
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-26
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-04-26
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-04-26
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-12-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-21
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2023-12-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-21
Health
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.
Corrected 2023-01-19
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-01-19
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-19
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-01-19
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-02-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-01-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-19
Health
Provide activities to meet all resident's needs.
Corrected 2023-01-19
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-01-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-19
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-01-19
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-01-19
Penalties and ownership
Fine · fine $78,430
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
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2-star overall rating with 2-star inspections with 24 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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2-star overall rating with 3-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Plattsburg, MO
1-star overall rating with 2-star inspections with abuse icon flag with $33,135 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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