Federal inspection record · CMS data as of October 1, 2026
Nodaway Healthcare
22371 State Highway 46, Maryville, MO · (660) 562-2876
- Certified beds
- 60
- Residents per day
- 29
- Ownership
- For-Profit
- Chain
- Blue Sky Basin, LLC
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2010
1
How this home got 1 star
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
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Nodaway Healthcare carries 109 inspection points. That is fewer than 35% 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
41 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights11E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
The resident has the right to receive notices in a format and a language he or she understands.
- E
Keep residents' personal and medical records private and confidential.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care9E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide activities to meet all resident's needs.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- E
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- D
Perform COVID19 testing on residents and staff.
- D
Ensure staff are vaccinated for COVID-19
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Pharmacy Service3E
- 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
Nutrition and Dietary3F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2F
- 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
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.
Administration2E
- E
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.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Environmental1D
- D
Put firmly secured handrails on each side of hallways.
Inspection history
2025-08-07
17 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2024-10-10
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2022-03-21
22 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 47 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: 76% of nursing staff and 60% 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 days0.8 pts worse | 2.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3 pts worse | 5.2 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.8 pts better | 91.8% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury10.8 pts worse | 14.8% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.6 pts better | 10.4% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 2.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts worse | 26.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.8 pts better | 15.7% | 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 worsened18.6 pts worse | 34.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.6 pts worse | 29.0% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.2 pts worse | 3.1% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.3 pts worse | 7.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.4 pts worse | 32.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better | 67.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
6 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 |
|---|---|---|---|
| Gateway Mo2 LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Sloans Lake Trust | 5% Or Greater Indirect Ownership Interest · Organization | 63% | 4 facilities |
| Berger, Eliot | Corporate Director · Individual | 0% | 4 facilities |
| Kleiner, David | General Partnership Interest · Individual | 0% | 4 facilities |
| Perlow, Bernard | Corporate Director · Individual | 0% | 4 facilities |
| Wymore, Adriane | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Install an approved automatic sprinkler system.
- F
Have an enclosure around a vertical opening shaft.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress3F
- F
Install proper backup exit lighting.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Emergency Preparedness3F
- F
Conduct testing and exercise requirements.
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
Construction2E
- E
Use approved construction type or materials.
- E
Use approved construction type or materials.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Provide a written emergency evacuation plan.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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Parkdale Manor Health & Rehabilitation
Maryville, MO · Mo Op Holdco, LLC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0
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Village Care Center Inc
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 24 min
- Fines
- $12,735
-
Maryville Rehabilitation & Health Care Center
Maryville, MO · James & Judy Lincoln · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 21 min
- Fines
- $86,912