Federal inspection record · CMS data as of October 1, 2026
Meyer Care Center
1201 West 19th Street, Higginsville, MO · (660) 584-4224
- Certified beds
- 56
- Residents per day
- 48
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1997
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Meyer Care Center carries 146 inspection points. That is fewer than 22% 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
52 health citations on record since 2022. 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights8E
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
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.
- D
Give residents a notice of rights, rules, services and charges.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E
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.
- D
Honor the resident's right to manage his or her financial affairs.
Quality of Life and Care8E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide routine and 24-hour emergency dental care for each resident.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control6F
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning6D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service5F
- F
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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nursing and Physician Services4F
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
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.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Environmental3E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- C
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration3F
- D
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.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
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.
Inspection history
2026-04-02
15 health deficiencies · 16 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-07-18
22 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2022-09-29
15 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
4 h 12 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
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 days0.7 pts better | 1.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.6 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.8 pts better | 98.8% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.8 pts better | 97.6% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.6% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.8 pts better | 9.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 6.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.7 pts better | 13.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.8 pts better | 12.7% | 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 worsened34.1 pts worse | 49.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts worse | 25.9% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts worse | 3.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts worse | 22.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 2.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.3 pts better | 100.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts worse | 18.0% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 3.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine37.3 pts better | 98.7% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts worse | 29.6% | 25.7% | 23.4% |
·
Who owns and runs it
31 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 |
|---|---|---|---|
| George J & Hilda Meyer Foundation Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Alumbaugh, Michelle | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Alumbaugh, Michelle | Corporate Director · Individual | 0% | 1 facilities |
| Alumbaugh, Michelle | Corporate Officer · Individual | 0% | 1 facilities |
| Briscoe, Mary Susan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Briscoe, Mary Susan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fredrickson, Douglas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fredrickson, Douglas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gassen, Kenneth | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Gassen, Kenneth | Corporate Director · Individual | 0% | 1 facilities |
| George J & Hilda Meyer Foundation Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| George J & Hilda Meyer Foundation Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Goetz, Tiffany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Goetz, Tiffany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kirchhoff, Sarah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kirchhoff, Sarah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pulliam, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pulliam, David | Adp Of The SNF · Individual | 0% | 1 facilities |
| Schmidt, David | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Schmidt, David | Corporate Director · Individual | 0% | 2 facilities |
| Schmidt, David | Corporate Officer · Individual | 0% | 2 facilities |
| Sherman, Patricia | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Smith, Thomas | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Smith, Thomas | Adp Of The SNF · Individual | 0% | 9 facilities |
| Spire, Shanda | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Spire, Shanda | Corporate Director · Individual | 0% | 1 facilities |
| Treloar, Morgan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Treloar, Morgan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Urfer, Jimmy | Corporate Director · Individual | 0% | 1 facilities |
| Ward, Melinda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ward, Melinda | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
37 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Provide properly protected cooking facilities.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness7F
- F
Address subsistence needs for staff and patients.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
List the names and contact information of those in the facility.
- F
Address subsistence needs for staff and patients.
Gas, Vacuum, and Electrical Systems6F
- F
Meet requirements for the installation and maintenance of electrical systems.
- E
Meet requirements for the use of electrical equipment.
- F
Meet requirements for the installation and maintenance of electrical systems.
- E
Have proper medical gas storage and administration areas.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the use of electrical equipment.
Egress4F
- E
Have exits that are accessible at all times.
- E
Have properly located and lighted "Exit" signs.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have exits that are accessible at all times.
Miscellaneous3F
- E
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction2E
- D
Use approved construction type or materials.
- E
Use approved construction type or materials.
Services2F
- D
Meet other general requirements that are deficient.
- F
Meet other general requirements that are deficient.
·
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 34 min
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-
Lutheran Nursing Home
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- Nursing / resident / day
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-
Odessa Health Care Center
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- Nursing / resident / day
- 1 h 48 min
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