Cycle 1
Health 2025-01-13 · Fire 2025-01-13
12 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Sikeston, MO
Sikeston Convalescent Center
2-star overall rating with 3-star inspections with $13,627 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
103 Kennedy Drive, Sikeston, MO
(573) 471-6900
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
70
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Circle B Enterprises
Operator or chain grouping
Approved since
1991-11-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 2 overall / 3 health / 2 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
Hours and turnover
RN hours / resident day
0.32
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.02
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,337
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
6.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.52% · Performance 24.09% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.08% · Performance 12.62% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.22
Baseline 68.42% · Performance 65.26% · Measure score 0.22 · Achievement 0 · Improvement 0.22
Adjusted total nurse staffing
2.33
Baseline 3.47 hours · Performance 3.74 hours · Measure score 2.33 · Achievement 2.33 · Improvement 0.67
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 16.07% |
10.72%
5.3 pts worse
|
Worse than the National Rate · Eligible stays 117 · Observed rate 27.35% · Lower 95% interval 12.63% |
| Discharge to community | 31.48% |
50.57%
19.1 pts worse
|
Worse than the National Rate · Eligible stays 64 · Observed rate 20.31% · Lower 95% interval 21.48% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98% |
95.27%
2.7 pts better
|
Numerator 98 · Denominator 100 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 100 |
| Discharge self-care score | 45.65% |
53.69%
8 pts worse
|
Numerator 21 · Denominator 46 |
| Discharge mobility score | 47.83% |
50.94%
3.1 pts worse
|
Numerator 22 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 7% |
2.29%
4.7 pts worse
|
Numerator 7 · Denominator 100 · Adjusted rate 6.28% |
| Healthcare-associated infections requiring hospitalization | 12.62% |
7.12%
5.5 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 22.22% · Lower 95% interval 7.06% |
| Staff COVID-19 vaccination coverage | 7.14% |
8.2%
1.1 pts worse
|
Numerator 6 · Denominator 84 |
| Staff flu vaccination coverage | 6.38% |
42%
35.6 pts worse
|
Numerator 9 · Denominator 141 |
| Discharge function score | 52.17% |
56.45%
4.3 pts worse
|
Numerator 24 · Denominator 46 |
| Transfer of health information to provider | 97.92% |
95.95%
2 pts better
|
Numerator 47 · Denominator 48 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 14.71% |
25.2%
10.5 pts worse
|
Numerator 5 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.3 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.3
0.3 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.4 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 73.1% |
84.8%
11.7 pts worse
|
93.4%
20.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 62.7% · Q2 79.3% · Q3 73.4% · Q4 75.4% · 4Q avg 73.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.3% |
90.9%
4.4 pts better
|
95.5%
0.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
4.1%
2.4 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.7% · Q3 0.0% · Q4 3.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
14.7%
14.2 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
5.5%
2.2 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.9% · Q3 9.6% · Q4 1.8% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.4% |
25.3%
2.9 pts better
|
19.6%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 22.8% · Q3 27.4% · Q4 19.7% · 4Q avg 22.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.9% |
25.0%
6.9 pts worse
|
16.7%
15.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.0% · Q2 33.3% · Q3 26.9% · Q4 25.5% · 4Q avg 31.9% · 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 | 40.7% |
20.3%
20.4 pts worse
|
16.3%
24.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 36.7% · Q3 39.7% · Q4 50.2% · 4Q avg 40.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.1% |
19.8%
11.3 pts worse
|
14.9%
16.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 25.5% · Q3 35.7% · Q4 40.4% · 4Q avg 31.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.7% |
1.4%
3.3 pts worse
|
1.0%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 5.8% · Q3 2.6% · Q4 1.2% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.3% |
2.6%
3.7 pts worse
|
1.7%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 10.7% · Q3 5.2% · Q4 0.0% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.2% |
18.1%
14.9 pts better
|
19.8%
16.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 5.1% · Q4 5.0% · 4Q avg 3.2% |
| Percentage of long-stay residents with pressure ulcers | 12.3% |
5.0%
7.3 pts worse
|
5.1%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 15.4% · Q3 15.9% · Q4 7.7% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.0% |
66.4%
17.4 pts worse
|
81.7%
32.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 40.8% · Q3 57.4% · Q4 62.5% · 4Q avg 49.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
13.4%
3 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 18.0% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
2.2%
0.4 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.4% · Q4 5.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.3% |
63.5%
16.2 pts worse
|
79.7%
32.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.6% |
25.3%
4.3 pts worse
|
23.9%
5.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 34.4% · Expected 27.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-15 · Fire 2023-12-15
10 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-06-30 · Fire 2022-06-30
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-20
F · Potential for more than minimal harm
2025-01-13
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-01-20
F · Potential for more than minimal harm
2025-01-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-20
F · Potential for more than minimal harm
2023-12-15
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-02-01
F · Potential for more than minimal harm
2023-12-15
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-02-01
F · Potential for more than minimal harm
2022-06-30
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-07-05
F · Potential for more than minimal harm
2022-06-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-05
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-06
D · Potential for more than minimal harm
2025-06-05
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-06
D · Potential for more than minimal harm
2025-06-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-06
E · Potential for more than minimal harm
2025-01-13
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-20
E · Potential for more than minimal harm
2025-01-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-20
D · Potential for more than minimal harm
2025-01-13
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-01-20
D · Potential for more than minimal harm
2025-01-13
F584 · Resident Rights Deficiencies
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 2025-01-20
D · Potential for more than minimal harm
2025-01-13
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-20
D · Potential for more than minimal harm
2025-01-13
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-01-20
D · Potential for more than minimal harm
2025-01-13
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-20
D · Potential for more than minimal harm
2025-01-13
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-01-20
D · Potential for more than minimal harm
2025-01-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-20
J · Immediate jeopardy
2024-08-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-08
D · Potential for more than minimal harm
2024-08-14
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-15
E · Potential for more than minimal harm
2023-12-15
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2024-02-01
E · Potential for more than minimal harm
2023-12-15
F584 · Resident Rights Deficiencies
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 2024-02-01
D · Potential for more than minimal harm
2023-12-15
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-02-01
D · Potential for more than minimal harm
2023-12-15
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-02-01
D · Potential for more than minimal harm
2023-12-15
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-02-01
D · Potential for more than minimal harm
2023-12-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-01
D · Potential for more than minimal harm
2023-12-15
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-02-01
D · Potential for more than minimal harm
2023-12-15
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-02-01
F · Potential for more than minimal harm
2022-06-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-14
E · Potential for more than minimal harm
2022-06-30
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-08-14
D · Potential for more than minimal harm
2022-06-30
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-08-14
D · Potential for more than minimal harm
2022-06-30
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-08-14
D · Potential for more than minimal harm
2022-06-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-14
D · Potential for more than minimal harm
2022-06-30
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-08-14
D · Potential for more than minimal harm
2022-06-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-14
D · Potential for more than minimal harm
2022-06-30
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-08-14
Penalties and ownership
What sits behind the stars
$13,627
2024-08-14
Fine
Fine · fine $13,627
Fine
Ownership
Circle B Enterprises Holding Company Inc
5% Or Greater Direct Ownership Interest · Organization
Agh1 LLC
Operational/Managerial Control · Organization
Beaird, Todd
Corporate Officer · Individual
Bedell, Donald
Operational/Managerial Control · Individual
Bedell, Donald
Corporate Director · Individual
Bedell, Donald
Corporate Officer · Individual
Sahai, Madhu
Operational/Managerial Control · Individual
Sovereign Healthcare Group LLC
Operational/Managerial Control · Organization
Wade, Daryl
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Hunter Acres Caring Center
Sikeston, MO
3-star overall rating with 4-star inspections with $10,023 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Clearview Nursing Center
Sikeston, MO
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Delta South Nursing & Rehabilitation
Sikeston, MO
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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