17 health deficiencies
Top issue: Nursing and Physician Services (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Milan, MO
1-star overall rating with 1-star inspections with abuse icon flag with $49,897 in total fines with 17 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
52435 Infirmary Road, Milan, MO
(660) 265-4032
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Reliant Care Management
Operator or chain grouping
Approved since
1984-05-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 1 overall / 2 health / 1 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
0.24
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.49
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.53
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.26
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.73
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
1.94
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.14
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
0.21
CMS adjusted RN staffing hours
Adjusted total hours
2.01
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
59%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
8,261
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9845
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
0
Performance 7.85% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
5.69
Baseline 52.78% · Performance 40.43% · Measure score 5.69 · Achievement 5.69 · Improvement 3.92
Adjusted total nurse staffing
2.51
Baseline 1.97 hours · Performance 3.11 hours · Measure score 2.51 · Achievement 0 · Improvement 2.51
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.88% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 16% · Lower 95% interval 7.6% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 93.88% |
95.27%
1.4 pts worse
|
Numerator 46 · Denominator 49 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 49 |
| Discharge self-care score | 48.65% |
53.69%
5 pts worse
|
Numerator 18 · Denominator 37 |
| Discharge mobility score | 29.73% |
50.94%
21.2 pts worse
|
Numerator 11 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 2.04% |
2.29%
0.2 pts better
|
Numerator 1 · Denominator 49 · Adjusted rate 1.98% |
| Healthcare-associated infections requiring hospitalization | 7.85% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 72 |
| Staff flu vaccination coverage | 3.88% |
42%
38.1 pts worse
|
Numerator 5 · Denominator 129 |
| Discharge function score | 59.46% |
56.45%
3 pts better
|
Numerator 22 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 70.83% |
25.2%
45.6 pts better
|
Numerator 17 · Denominator 24 |
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 1.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.3
1 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.5% |
84.8%
6.7 pts better
|
93.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 88.9% · Q3 89.1% · Q4 94.0% · 4Q avg 91.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.8% |
90.9%
13.1 pts worse
|
95.5%
17.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 77.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
4.1%
3.5 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.2% |
14.7%
0.5 pts worse
|
11.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.3% · Q3 10.1% · Q4 50.0% · 4Q avg 15.2% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
5.5%
3.2 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 11.0% · Q3 13.6% · Q4 3.7% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.5% |
25.3%
17.2 pts worse
|
19.6%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 46.4% · Q3 41.6% · Q4 42.7% · 4Q avg 42.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 56.5% |
25.0%
31.5 pts worse
|
16.7%
39.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 57.8% · Q2 57.8% · Q3 54.9% · Q4 55.8% · 4Q avg 56.5% · 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 | 43.3% |
20.3%
23 pts worse
|
16.3%
27 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 66.4% · Q2 61.0% · Q3 20.2% · Q4 25.5% · 4Q avg 43.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 43.0% |
19.8%
23.2 pts worse
|
14.9%
28.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 46.2% · Q2 64.2% · Q3 41.2% · Q4 19.5% · 4Q avg 43.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.4%
0.5 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
2.6%
2 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
18.1%
5.4 pts worse
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 20.8% · Q3 17.9% · Q4 27.9% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
5.0%
1.7 pts worse
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 10.5% · Q3 7.1% · Q4 3.1% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.3% |
66.4%
35.1 pts worse
|
81.7%
50.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 33.3% · Q4 25.0% · 4Q avg 31.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 18.2% |
63.5%
45.3 pts worse
|
79.7%
61.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 18.2% |
Survey summary
Top issue: Nursing and Physician Services (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (7 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-04-22
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 2025-04-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-22
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-04-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-02-20
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 2023-07-20
Fire Safety
Install proper backup exit lighting.
Corrected 2023-07-20
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-07-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-07-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-20
Fire Safety
Use approved construction type or materials.
Corrected 2019-11-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-11-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-11-23
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-11-23
Inspection history
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
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 2025-07-28
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-07-28
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 2025-07-28
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-07-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-21
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 2025-04-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-22
Health
Assess the resident when there is a significant change in condition
Corrected 2025-04-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-22
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 2025-04-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-22
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-04-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-22
Health
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.
Corrected 2025-04-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-15
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-11
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-14
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-14
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-15
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-07-20
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-07-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-20
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-07-20
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-07-20
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-20
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 2023-07-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-20
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-07-20
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-07-20
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2023-07-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-20
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-07-20
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2019-11-23
Health
Provide activities to meet all resident's needs.
Corrected 2019-11-23
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 2019-11-23
Penalties and ownership
Fine · fine $49,897
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Nearby options
Unionville, MO
2-star overall rating with 3-star inspections with $125,956 in total fines with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Trenton, MO
1-star overall rating with 1-star inspections with abuse icon flag with $163,350 in total fines with 16 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Trenton, MO
2-star overall rating with 2-star inspections with abuse icon flag with $16,820 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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