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

Northwood Hills Care Center

800 N Arthur St, Humansville, MO · (417) 754-2208

CMS overall rating

2 of 5

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Certified beds
120
Residents per day
82
Ownership
For-Profit
Chain
Life Care Centers Of America
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 1, 1989

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.

  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

    no change

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

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Northwood Hills Care Center carries 103 inspection points. That is fewer than 38% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 103 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

35 health citations on record since 2019. 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 0 100 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 12 4 pts
E 18 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights11E
  1. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    June 11, 2026 · Complaint · F582 · Corrected July 26, 2026

  2. 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.

    November 18, 2024 · Standard · F584 · Corrected January 2, 2025

  3. E

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

    November 18, 2024 · Standard · F623 · Corrected January 2, 2025

  4. E

    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.

    November 18, 2024 · Standard · F625 · Corrected January 2, 2025

  5. D

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

    November 18, 2024 · Standard · F550 · Corrected January 2, 2025

  6. 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.

    March 2, 2023 · Standard · F584 · Corrected April 16, 2023

  7. D

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

    March 2, 2023 · Standard · F550 · Corrected April 16, 2023

  8. E

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

    November 6, 2019 · Standard · F550 · Corrected December 21, 2019

  9. 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.

    November 6, 2019 · Standard · F584 · Corrected December 21, 2019

  10. E

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

    November 6, 2019 · Standard · F623 · Corrected December 21, 2019

  11. E

    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.

    November 6, 2019 · Standard · F625 · Corrected December 21, 2019

Nutrition and Dietary6F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 18, 2024 · Standard · F812 · Corrected January 2, 2025

  2. E

    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.

    November 18, 2024 · Standard · F803 · Corrected January 2, 2025

  3. E

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

    November 18, 2024 · Standard · F804 · Corrected January 2, 2025

  4. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    November 18, 2024 · Standard · F806 · Corrected January 2, 2025

  5. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 2, 2023 · Standard · F812 · Corrected April 16, 2023

  6. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 6, 2019 · Standard · F812 · Corrected December 21, 2019

Quality of Life and Care5E
  1. E

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

    June 11, 2026 · Complaint · F684 · Corrected July 26, 2026

  2. D

    Provide care or services that was trauma informed and/or culturally competent.

    November 18, 2024 · Standard · F699 · Corrected January 2, 2025

  3. D

    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.

    November 18, 2024 · Standard · F700 · Corrected January 2, 2025

  4. D

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

    March 2, 2023 · Standard · F689 · Corrected April 16, 2023

  5. E

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

    November 6, 2019 · Standard · F684 · Corrected December 21, 2019

Infection Control4E
  1. D

    Provide and implement an infection prevention and control program.

    June 11, 2026 · Complaint · F880 · Corrected July 26, 2026

  2. E

    Provide and implement an infection prevention and control program.

    November 18, 2024 · Standard · F880 · Corrected January 2, 2025

  3. E

    Provide and implement an infection prevention and control program.

    March 2, 2023 · Standard · F880 · Corrected April 16, 2023

  4. E

    Provide and implement an infection prevention and control program.

    November 6, 2019 · Standard · F880 · Corrected December 21, 2019

Pharmacy Service4E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 8, 2024 · Complaint · F755 · Corrected March 11, 2024

  2. E

    Ensure medication error rates are not 5 percent or greater.

    March 2, 2023 · Standard · F759 · Corrected April 16, 2023

  3. D

    Ensure that residents are free from significant medication errors.

    March 2, 2023 · Standard · F760 · Corrected April 16, 2023

  4. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 6, 2019 · Standard · F755 · Corrected December 21, 2019

Nursing and Physician Services2F
  1. F

    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.

    November 18, 2024 · Standard · F728 · Corrected January 2, 2025

  2. C

    Post nurse staffing information every day.

    November 6, 2019 · Standard · F732 · Corrected December 21, 2019

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 28, 2025 · Complaint · F609 · Corrected March 14, 2025

Resident Assessment and Care Planning1E
  1. E

    PASARR screening for Mental disorders or Intellectual Disabilities

    March 2, 2023 · Standard · F645 · Corrected April 16, 2023

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    March 2, 2023 · Standard · F921 · Corrected April 16, 2023

Inspection history

  1. 2024-11-18

    15 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (5 deficiencies)

  2. 2023-03-02

    10 health deficiencies · 11 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2019-11-06

    10 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 31 min of nursing staff time a day, 18 min of it from a registered nurse.

This home

3 h 31 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 44% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better1.52.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.7 pts better99.7%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.1 pts better98.9%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts worse6.7%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms18.5 pts worse38.5%20.0%13.5%
Percentage of long-stay residents who lose too much weight0.6 pts better4.5%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medicationAbout the same25.6%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.4 pts worse33.9%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 worsened10 pts better5.8%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.4 pts better11.0%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.5%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection1.6 pts better0.6%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.5 pts better16.6%17.1%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts better3.0%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better70.7%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse15.0%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication7.4 pts worse9.5%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts better64.7%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.6 pts better19.1%25.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Cross, CindyCorporate Officer · Individual0%183 facilities
Life Care Centers Of America, Inc.Operational/Managerial Control · Organization0%194 facilities
Reed, BobbyW-2 Managing Employee · Individual0%1 facilities
Thurmond, JoanCorporate Officer · Individual0%191 facilities

·

Fire safety

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

Smoke7F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 18, 2024 · K353 · Corrected January 2, 2025

  2. E

    Install corridor and hallway doors that block smoke.

    November 18, 2024 · K363 · Corrected January 2, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 2, 2023 · K353 · Corrected April 16, 2023

  4. E

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

    March 2, 2023 · K321 · Corrected April 16, 2023

  5. E

    Install corridor and hallway doors that block smoke.

    March 2, 2023 · K363 · Corrected April 16, 2023

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 6, 2019 · K353 · Corrected December 21, 2019

  7. E

    Properly provide smoke detection systems in areas open to corridors.

    November 6, 2019 · K347 · Corrected December 21, 2019

Gas, Vacuum, and Electrical Systems7F
  1. F

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

    November 18, 2024 · K918 · Corrected January 2, 2025

  2. E

    Ensure proper usage of power strips and extension cords.

    November 18, 2024 · K920 · Corrected January 2, 2025

  3. F

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

    March 2, 2023 · K914 · Corrected April 16, 2023

  4. F

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

    March 2, 2023 · K918 · Corrected April 16, 2023

  5. E

    Have power receptacles that are properly grounded.

    March 2, 2023 · K912 · Corrected April 16, 2023

  6. E

    Ensure proper usage of power strips and extension cords.

    March 2, 2023 · K920 · Corrected April 16, 2023

  7. F

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

    November 6, 2019 · K914 · Corrected December 21, 2019

Miscellaneous5F
  1. E

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

    November 18, 2024 · K761 · Corrected January 2, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    March 2, 2023 · K712 · Corrected April 16, 2023

  3. E

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

    March 2, 2023 · K741 · Corrected April 16, 2023

  4. E

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

    March 2, 2023 · K761 · Corrected April 16, 2023

  5. E

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

    November 6, 2019 · K741 · Corrected December 21, 2019

Construction3E
  1. E

    Use approved construction type or materials.

    November 18, 2024 · K161 · Corrected January 2, 2025

  2. E

    Use approved construction type or materials.

    March 2, 2023 · K161 · Corrected April 16, 2023

  3. E

    Use approved construction type or materials.

    November 6, 2019 · K161 · Corrected December 21, 2019

Egress3F
  1. F

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

    November 6, 2019 · K291 · Corrected December 21, 2019

  2. F

    Have properly located and lighted "Exit" signs.

    November 6, 2019 · K293 · Corrected December 21, 2019

  3. 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.

    November 6, 2019 · K222 · Corrected December 21, 2019

·

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    Nursing / resident / day
    3 h 34 min
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