22 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cape Girardeau, MO
1-star overall rating with 1-star inspections with $149,578 in total fines with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
365 South Broadview Street, Cape Girardeau, MO
(573) 335-2086
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
91
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1982-11-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.51
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.22
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
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.82
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
12,172
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.58
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
1.11
Baseline 20.34% · Performance 20.92% · Measure score 1.11 · Achievement 1.11 · Improvement 0
Healthcare-associated infections
0
Baseline 8.81% · Performance 8.65% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.58
Baseline 72.59% · Performance 57.89% · Measure score 2.58 · Achievement 1.42 · Improvement 2.58
Adjusted total nurse staffing
1.74
Baseline 4.05 hours · Performance 3.57 hours · Measure score 1.74 · Achievement 1.74 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.33% |
10.72%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 221 · Observed rate 16.74% · Lower 95% interval 10.16% |
| Discharge to community | 53.03% |
50.57%
2.5 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 46.67% · Lower 95% interval 45.2% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 96.03% |
95.27%
0.8 pts better
|
Numerator 121 · Denominator 126 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 1 · Denominator 126 |
| Discharge self-care score | 70.18% |
53.69%
16.5 pts better
|
Numerator 40 · Denominator 57 |
| Discharge mobility score | 61.4% |
50.94%
10.5 pts better
|
Numerator 35 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 3.17% |
2.29%
0.9 pts worse
|
Numerator 4 · Denominator 126 · Adjusted rate 2.47% |
| Healthcare-associated infections requiring hospitalization | 8.66% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 153 · Observed rate 11.76% · Lower 95% interval 5.69% |
| Staff COVID-19 vaccination coverage | 1.53% |
8.2%
6.7 pts worse
|
Numerator 2 · Denominator 131 |
| Staff flu vaccination coverage | 12.96% |
42%
29 pts worse
|
Numerator 21 · Denominator 162 |
| Discharge function score | 70.18% |
56.45%
13.7 pts better
|
Numerator 40 · Denominator 57 |
| Transfer of health information to provider | 98.36% |
95.95%
2.4 pts better
|
Numerator 60 · Denominator 61 |
| Transfer of health information to patient | 91.18% |
96.28%
5.1 pts worse
|
Numerator 31 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 64.58% |
25.2%
39.4 pts better
|
Numerator 31 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.5 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
84.8%
7.6 pts better
|
93.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 95.5% · Q3 87.2% · Q4 90.8% · 4Q avg 92.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.3% |
90.9%
2.6 pts worse
|
95.5%
7.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
4.1%
2 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.3% · Q3 1.3% · Q4 1.3% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.4% |
14.7%
10.3 pts better
|
11.4%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.3% · Q3 1.4% · Q4 11.6% · 4Q avg 4.4% |
| Percentage of long-stay residents who lose too much weight | 11.6% |
5.5%
6.1 pts worse
|
5.4%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 13.3% · Q3 4.1% · Q4 7.4% · 4Q avg 11.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.2% |
25.3%
2.9 pts worse
|
19.6%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 25.9% · Q3 28.0% · Q4 29.6% · 4Q avg 28.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
25.0%
12 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 13.0% · Q3 11.5% · Q4 15.8% · 4Q avg 13.0% · 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 | 9.8% |
20.3%
10.5 pts better
|
16.3%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 13.8% · Q3 3.7% · Q4 8.7% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.9% |
19.8%
10.9 pts better
|
14.9%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 14.8% · Q3 10.0% · Q4 4.5% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.4%
0.7 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 20.1% |
18.1%
2 pts worse
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 20.6% · Q3 21.7% · Q4 17.7% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 9.5% |
5.0%
4.5 pts worse
|
5.1%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.1% · Q3 9.0% · Q4 5.4% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.6% |
66.4%
16.8 pts worse
|
81.7%
32.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 70.2% · Q2 66.4% · Q3 37.1% · Q4 27.5% · 4Q avg 49.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.0% |
13.4%
9.6 pts worse
|
12.0%
11 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 27.0% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
2.2%
0.5 pts better
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 1.5% · Q4 2.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.3% |
63.5%
11.2 pts worse
|
79.7%
27.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
25.3%
0.5 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 34.2% · Expected 31.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
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 2025-08-13
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 2025-08-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-13
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 2024-04-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-11-11
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 2022-11-11
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-11-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-11
Inspection history
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-14
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 2025-07-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-02
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-02
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-07-02
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-07-02
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-07-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-02
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-02
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2025-07-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-02
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 2025-07-02
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-02
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-07-02
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 2025-07-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-02
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-02
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2025-07-02
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 2024-11-12
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-05-07
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-07
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-24
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-12-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-26
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-18
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-04-18
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 2024-04-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-18
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 2024-04-18
Health
Implement a program that monitors antibiotic use.
Corrected 2024-04-18
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-04-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-11
Health
Dispose of garbage and refuse properly.
Corrected 2022-11-11
Penalties and ownership
Fine · fine $81,955
Fine
Payment Denial · denial start 2025-07-25 · 19 days
19 day denial
Fine · fine $17,345
Fine
Fine · fine $30,030
Fine
Fine · fine $20,248
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Cape Girardeau, MO
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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4-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Cape Girardeau, MO
3-star overall rating with 4-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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