Federal inspection record · CMS data as of October 1, 2026

Mary, Queen And Mother Center

7601 Watson Road, Shrewsbury, MO · (314) 961-8000

CMS overall rating

3 of 5

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Certified beds
217
Residents per day
79
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 5, 1982

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Mary, Queen And Mother Center carries 129.75 inspection points. That is fewer than 27% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 129.75 pts · 2★

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

41 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 18 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 2 0 pts

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)

  1. K

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 24, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected April 25, 2025

Everything else, by area of care

Resident Rights8E
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    November 4, 2025 · Complaint · F580 · Corrected December 19, 2025

  2. E

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

    October 18, 2021 · Standard · F550 · Corrected December 3, 2021

  3. E

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    October 18, 2021 · Standard · F568 · Corrected December 3, 2021

  4. E

    Assure the security of all personal funds of residents deposited with the facility.

    October 18, 2021 · Standard · F570 · Corrected December 3, 2021

  5. E

    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

    October 18, 2021 · Standard · F620 · Corrected December 3, 2021

  6. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    October 18, 2021 · Standard · F577 · Corrected December 3, 2021

  7. B

    Honor the resident's right to manage his or her financial affairs.

    October 18, 2021 · Standard · F567 · Corrected December 3, 2021

  8. B

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    October 18, 2021 · Standard · F623 · Corrected December 3, 2021

Quality of Life and Care8E
  1. D

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

    November 4, 2025 · Complaint · F684 · Corrected December 19, 2025

  2. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    March 24, 2025 · Standard · F698 · Corrected May 5, 2025

  3. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 8, 2024 · Standard · F677 · Corrected February 23, 2024

  4. D

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

    January 8, 2024 · Standard · F684 · Corrected February 23, 2024

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 8, 2024 · Standard · F689 · Corrected February 23, 2024

  6. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 18, 2021 · Standard · F689 · Corrected December 3, 2021

  7. E

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 18, 2021 · Standard · F690 · Corrected December 3, 2021

  8. D

    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.

    October 18, 2021 · Standard · F688 · Corrected December 3, 2021

Pharmacy Service7E
  1. D

    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.

    March 24, 2025 · Standard · F758 · Corrected April 25, 2025

  2. D

    Ensure that residents are free from significant medication errors.

    March 24, 2025 · Standard · F760 · Corrected April 25, 2025

  3. D

    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.

    March 24, 2025 · Standard · F761 · Corrected May 5, 2025

  4. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    October 18, 2021 · Standard · F756 · Corrected December 3, 2021

  5. 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.

    October 18, 2021 · Standard · F761 · Corrected December 3, 2021

  6. D

    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.

    October 18, 2021 · Standard · F758 · Corrected December 3, 2021

  7. D

    Ensure medication error rates are not 5 percent or greater.

    October 18, 2021 · Standard · F759 · Corrected December 3, 2021

Nursing and Physician Services4E
  1. E

    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.

    January 8, 2024 · Standard · F727 · Corrected October 1, 2023

  2. E

    Observe each nurse aide's job performance and give regular training.

    January 8, 2024 · Standard · F730 · Corrected February 23, 2024

  3. E

    Observe each nurse aide's job performance and give regular training.

    October 18, 2021 · Standard · F730 · Corrected December 3, 2021

  4. C

    Post nurse staffing information every day.

    October 18, 2021 · Standard · F732 · Corrected December 3, 2021

Resident Assessment and Care Planning4E
  1. D

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

    January 8, 2024 · Standard · F658 · Corrected February 23, 2024

  2. E

    Ensure each resident receives an accurate assessment.

    October 18, 2021 · Standard · F641 · Corrected December 3, 2021

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 18, 2021 · Standard · F656 · Corrected December 3, 2021

  4. D

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

    October 18, 2021 · Standard · F658 · Corrected December 3, 2021

Nutrition and Dietary3F
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    January 8, 2024 · Standard · F804 · Corrected February 23, 2024

  2. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    October 18, 2021 · Standard · F804 · Corrected December 3, 2021

  3. D

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    October 18, 2021 · Standard · F807 · Corrected December 3, 2021

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    January 8, 2024 · Standard · F880 · Corrected February 23, 2024

  2. E

    Provide and implement an infection prevention and control program.

    October 18, 2021 · Standard · F880 · Corrected December 3, 2021

Freedom from Abuse, Neglect, and Exploitation2E
  1. E

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

    October 18, 2021 · Standard · F607 · Corrected December 3, 2021

  2. D

    Respond appropriately to all alleged violations.

    October 18, 2021 · Standard · F610 · Corrected December 3, 2021

Environmental1E
  1. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    December 19, 2025 · Complaint · F919 · Corrected March 6, 2026

Administration1E
  1. E

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    October 18, 2021 · Standard · F838 · Corrected December 3, 2021

Inspection history

  1. 2025-03-24

    8 health deficiencies · 5 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

  2. 2024-01-08

    8 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2021-10-18

    25 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Rights (7 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 22 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 22 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 57% of nursing staff and 29% 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

$19,133 in federal fines on record over the past three years.

DatePenaltyAmount
2025-11-04Payment Denial · 30 day denial$0
2025-03-24Fine$19,133
2025-03-24Payment Denial · 9 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts worse2.62.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better0.72.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better92.7%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better92.1%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better3.9%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms16.3 pts better3.7%20.0%13.5%
Percentage of long-stay residents who lose too much weight4.4 pts worse9.5%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts better20.2%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.9 pts worse34.4%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1 pts better14.8%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.2 pts better11.2%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better0.0%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.2 pts better0.0%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.7 pts better6.4%17.1%18.3%
Percentage of long-stay residents with pressure ulcers2 pts better2.4%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts worse64.8%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.1 pts better4.3%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better1.6%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.2 pts better65.6%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.6 pts better15.1%25.7%23.4%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Klingerman, KevinCorporate Director · Individual0%1 facilities
Lyons, JamieW-2 Managing Employee · Individual0%1 facilities
Wesley, Sister SuzanneCorporate Director · Individual0%1 facilities

·

Fire safety

22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 24, 2025 · K353 · Corrected April 25, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 8, 2024 · K353 · Corrected February 23, 2024

  3. E

    Provide properly protected cooking facilities.

    January 8, 2024 · K324 · Corrected February 23, 2024

  4. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    October 18, 2021 · K345 · Corrected December 3, 2021

  5. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 18, 2021 · K321 · Corrected December 3, 2021

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    October 18, 2021 · K353 · Corrected December 3, 2021

  7. E

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

    October 18, 2021 · K355 · Corrected December 3, 2021

Gas, Vacuum, and Electrical Systems5F
  1. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    March 24, 2025 · K914 · Corrected May 5, 2025

  2. E

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

    March 24, 2025 · K918 · Corrected April 25, 2025

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    January 8, 2024 · K914 · Corrected February 23, 2024

  4. E

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

    January 8, 2024 · K918 · Corrected February 23, 2024

  5. E

    Have proper medical gas storage and administration areas.

    January 8, 2024 · K923 · Corrected February 23, 2024

Miscellaneous4F
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    March 24, 2025 · K761 · Corrected April 25, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    January 8, 2024 · K712 · Corrected February 23, 2024

  3. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    January 8, 2024 · K741 · Corrected February 23, 2024

  4. F

    Have simulated fire drills held at unexpected times.

    October 18, 2021 · K712 · Corrected December 3, 2021

Emergency Preparedness3F
  1. F

    Establish staff and initial training requirements.

    January 8, 2024 · E37 · Corrected February 23, 2024

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    January 8, 2024 · E4 · Corrected February 23, 2024

  3. F

    Conduct risk assessment and an All-Hazards approach.

    January 8, 2024 · E6 · Corrected February 23, 2024

Egress2F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    March 24, 2025 · K291 · Corrected April 25, 2025

  2. 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.

    October 18, 2021 · K222 · Corrected December 3, 2021

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    October 18, 2021 · K511 · Corrected December 3, 2021

·

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