Federal inspection record · CMS data as of October 1, 2026
Osage Beach Rehabilitation And Health Care Center
844 Passover Road, Osage Beach, MO · (573) 348-2225
- Cited for abuse (CMS abuse icon)
- Certified beds
- 94
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- National Healthcare Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1982
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.
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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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Missouri homes
Osage Beach Rehabilitation And Health Care Center carries 98 inspection points. That is fewer than 40% 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
34 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 (5)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that residents are free from significant medication errors.
-
K
Provide and implement an infection prevention and control program.
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K
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 Assessment and Care Planning9E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Rights5E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Keep residents' personal and medical records private and confidential.
Quality of Life and Care4E
- 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.
- B
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration2D
- D
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.
- C
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.
Nutrition and Dietary2F
- 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.
Environmental1E
- E
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2025-02-27
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-12-14
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2022-09-23
17 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 45 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 45 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 31% 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
$16,350 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-22 | Fine | $16,350 |
6
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 days1.1 pts better | 0.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 1.1 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.4 pts better | 95.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts worse | 86.8% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 2.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.4 pts better | 2.6% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 3.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts better | 23.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1 pts worse | 24.5% | 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 worsened1.9 pts worse | 17.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts worse | 26.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.8 pts worse | 2.7% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts worse | 25.1% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 3.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.9 pts better | 88.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts better | 7.5% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.7 pts better | 77.1% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.9 pts better | 14.8% | 25.7% | 23.4% |
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Who owns and runs it
23 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 |
|---|---|---|---|
| Bentzinger, Reed | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bentzinger, Reed | Adp Of The SNF · Individual | 0% | 1 facilities |
| Blackrock Inc | Adp Of The SNF · Organization | 0% | 85 facilities |
| Dimensional Fund Advisors LP | Adp Of The SNF · Organization | 0% | 35 facilities |
| Dodson, Vicki | Operational/Managerial Control · Individual | 0% | 65 facilities |
| Dodson, Vicki | Adp Of The SNF · Individual | 0% | 65 facilities |
| Kidd, Brian | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Kidd, Brian | Adp Of The SNF · Individual | 0% | 66 facilities |
| Livek, Christine | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Livek, Christine | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mckim, Anne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morgan Stanley | Adp Of The SNF · Organization | 0% | 39 facilities |
| Morgan Stanley Institutional Advisors LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| National Health Corporation | Adp Of The SNF · Organization | 0% | 59 facilities |
| National Healthcare Corporation | Operational/Managerial Control · Organization | 0% | 61 facilities |
| National Healthcare Corporation | Adp Of The SNF · Organization | 0% | 61 facilities |
| Nhc-Op LP | Adp Of The SNF · Organization | 0% | 62 facilities |
| Nhc/Delaware Inc | Direct Ownership Interest · Organization | 0% | 46 facilities |
| Rector, Melvin | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Rector, Melvin | Corporate Officer · Individual | 0% | 9 facilities |
| Rector, Melvin | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Ussery, Robert | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Vanguard Group Inc | Adp Of The SNF · Organization | 0% | 84 facilities |
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Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install an approved automatic sprinkler system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems8F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Egress3F
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
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.
Emergency Preparedness2F
- F
Include a process for Emergency Preparedness collaboration.
- F
Establish staff and initial training requirements.
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Other homes nearby
-
Arrowhead Senior Living Community
Osage Beach, MO · Midwest Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 32 min
- Fines
- $0
-
Stonebridge Lake Ozark
Osage Beach, MO · Stonebridge Senior Living
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Lake Regional Health Systems
Osage Beach, MO
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 11 h 8 min
- Fines
- $0