Federal inspection record · CMS data as of October 1, 2026
Macon Health Care Center
29612 Kellogg Avenue,, Macon, MO · (660) 385-5797
- CMS high-performer trophy
- Certified beds
- 84
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- National Healthcare Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 3, 1982
1
How this home got 5 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.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Macon Health Care Center carries 31 inspection points. That is fewer than 83% 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
21 health citations on record since 2019. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning5E
- E
Ensure each resident receives an accurate assessment.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 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.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-04-02
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-07-27
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2019-11-21
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
3 h 43 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 14% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 87.6% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 97.3% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury6.2 pts worse | 10.2% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.7 pts better | 3.3% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 5.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts worse | 37.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts worse | 25.3% | 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 worsened8 pts better | 7.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better | 14.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.9% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 19.3% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 1.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28 pts worse | 37.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts worse | 18.7% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.2 pts worse | 47.2% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts worse | 29.3% | 25.7% | 23.4% |
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Who owns and runs it
24 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 |
|---|---|---|---|
| Blackrock Inc | Adp Of The SNF · Organization | 0% | 85 facilities |
| Crawford, Jodi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dimensional Fund Advisors LP | Adp Of The SNF · Organization | 0% | 35 facilities |
| Dodson, Vicki | Operational/Managerial Control · Individual | 0% | 65 facilities |
| Dodson, Vicki | Adp Of The SNF · Individual | 0% | 65 facilities |
| Kidd, Brian | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Kidd, Brian | Adp Of The SNF · Individual | 0% | 66 facilities |
| Mcdowell, James | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mcdowell, James | Adp Of The SNF · Individual | 0% | 2 facilities |
| Midwest Physical Therapy Pc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Morgan Stanley | Adp Of The SNF · Organization | 0% | 39 facilities |
| Morgan Stanley Institutional Advisors LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| National Health Corporation | Adp Of The SNF · Organization | 0% | 59 facilities |
| National Healthcare Corporation | Operational/Managerial Control · Organization | 0% | 61 facilities |
| National Healthcare Corporation | Adp Of The SNF · Organization | 0% | 61 facilities |
| Nhc-Op LP | Adp Of The SNF · Organization | 0% | 62 facilities |
| Nhc/Delaware Inc | Indirect Ownership Interest · Organization | 0% | 46 facilities |
| Rector, Melvin | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Rector, Melvin | Corporate Director · Individual | 0% | 9 facilities |
| Rector, Melvin | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Richardson, Rachel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Richardson, Rachel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ussery, Robert | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Vanguard Group Inc | Adp Of The SNF · Organization | 0% | 84 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
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Loch Haven
Macon, MO
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $77,841
-
Clarence Care Center
Clarence, MO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 44 min
- Fines
- $0
-
La Plata Nursing Home
La Plata, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0