Federal inspection record · CMS data as of October 1, 2026
Schuyler County Nursing Home District
1306 Us Highway 63, Queen City, MO · (660) 766-2291
- Certified beds
- 60
- Residents per day
- 43
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 16, 2007
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
★★★★★+1 star
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Schuyler County Nursing Home District carries 107 inspection points. That is fewer than 36% 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
42 health citations on record since 2021. 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 Assessment and Care Planning10E
- 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 when there is a significant change in condition
- B
Ensure each resident receives an accurate assessment.
- B
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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
Assess the resident when there is a significant change in condition
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care9E
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- E
Provide enough food/fluids to maintain a resident's health.
- 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.
Pharmacy Service6E
- E
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.
- 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 that residents are free from significant medication errors.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- 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.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nursing and Physician Services4F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
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.
- E
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.
- C
Post nurse staffing information every day.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights2E
- B
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Environmental2F
- F
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2025-09-10
17 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-12-13
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2021-01-05
12 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 16 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
4 h 16 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 20% 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
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-13 | Payment Denial · 14 day denial | $0 |
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 daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 4.2 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 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 injury1.4 pts worse | 5.4% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.7 pts better | 1.3% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight8.1 pts worse | 13.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts better | 23.5% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.3 pts worse | 28.8% | 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 worsened3 pts worse | 18.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts worse | 24.2% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.4 pts worse | 5.3% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection9.2 pts worse | 11.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.8 pts worse | 28.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.8% | 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 visitAbout the same | 13.4% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts worse | 3.8% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.3 pts better | 85.7% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts worse | 26.3% | 25.7% | 23.4% |
·
Who owns and runs it
18 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 |
|---|---|---|---|
| Schuyler County Nursing Home District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Barnes, Eric | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Barnes, Eric | Adp Of The SNF · Individual | 0% | 8 facilities |
| Bushnell, Ryan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bushnell, Ryan | Corporate Director · Individual | 0% | 1 facilities |
| Bushnell, Ryan | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Humphrey, Rebecca | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Humphrey, Rebecca | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Humphrey, Rebecca | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mclain, Carol | Corporate Director · Individual | 0% | 1 facilities |
| Mclain, Carol | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Morgan, Terry | Corporate Director · Individual | 0% | 1 facilities |
| Morgan, Terry | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Oberman, Mike | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Oberman, Mike | Corporate Director · Individual | 0% | 1 facilities |
| Oberman, Mike | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Russell, Dorene | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Russell, Dorene | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke15F
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Have an enclosure around a vertical opening shaft.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Meet other general requirements.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness10F
- F
Establish policies and procedures for volunteers.
- F
Establish roles under a Waiver declared by secretary.
- F
Establish staff and initial training requirements.
- D
Establish policies and procedures including evacuation.
- F
Establish roles under a Waiver declared by secretary.
- F
Establish emergency prep training and testing.
- F
Conduct testing and exercise requirements.
- F
Address subsistence needs for staff and patients.
- F
Establish methods for sharing information.
- C
Provide primary/alternate means for communication.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- D
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
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.
- 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.
- 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.
Gas, Vacuum, and Electrical Systems3E
- E
Meet requirements for the use of electrical equipment.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Construction2F
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
·
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Kirksville Manor Care Center
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Bloomfield Care Center
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