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

Southgate Living Center

500 Truman Boulevard, Caruthersville, MO · (573) 333-5150

CMS overall rating

5 of 5

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Certified beds
94
Residents per day
62
Ownership
For-Profit
Chain
Circle B Enterprises
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 18, 2003

1

How this home got 5 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

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Southgate Living Center carries 16 inspection points. That is fewer than 94% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 16 pts · 5★

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

19 health citations on record since 2024. 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 16 4 pts
E 1 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 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

Pharmacy Service5F
  1. D

    Ensure medication error rates are not 5 percent or greater.

    June 5, 2026 · Standard · F759 · Corrected July 17, 2026

  2. D

    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.

    March 6, 2025 · Standard · F761 · Corrected April 18, 2025

  3. F

    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.

    February 9, 2024 · Standard · F761 · Corrected April 2, 2024

  4. D

    Ensure medication error rates are not 5 percent or greater.

    February 9, 2024 · Standard · F759 · Corrected April 2, 2024

  5. D

    Ensure that residents are free from significant medication errors.

    February 9, 2024 · Standard · F760 · Corrected April 2, 2024

Resident Assessment and Care Planning4D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 6, 2025 · Standard · F656 · Corrected April 18, 2025

  2. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    March 6, 2025 · Standard · F661 · Corrected April 18, 2025

  3. D

    Ensure each resident receives an accurate assessment.

    February 9, 2024 · Standard · F641 · Corrected April 2, 2024

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 9, 2024 · Standard · F656 · Corrected April 2, 2024

Quality of Life and Care4D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 6, 2025 · Standard · F677 · Corrected April 18, 2025

  2. D

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

    March 6, 2025 · Standard · F684 · Corrected April 18, 2025

  3. D

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

    February 9, 2024 · Standard · F699 · Corrected April 2, 2024

  4. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    February 9, 2024 · Standard · F744 · Corrected April 2, 2024

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    June 5, 2026 · Standard · F880 · Corrected July 17, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 9, 2024 · Standard · F880 · Corrected April 2, 2024

Resident Rights2D
  1. D

    Assure the security of all personal funds of residents deposited with the facility.

    March 6, 2025 · Standard · F570 · Corrected April 18, 2025

  2. D

    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.

    February 9, 2024 · Standard · F584 · Corrected April 2, 2024

Nursing and Physician Services1D
  1. D

    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.

    March 6, 2025 · Standard · F728 · Corrected April 18, 2025

Nutrition and Dietary1F
  1. F

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

    February 9, 2024 · Standard · F812 · Corrected April 2, 2024

Inspection history

  1. 2026-06-05

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-03-06

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2024-02-09

    10 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 59 min of nursing staff time a day, 22 min of it from a registered nurse.

This home

3 h 59 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 50% of nursing staff and 50% 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 days0.8 pts better1.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse2.72.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.8 pts better98.8%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better97.0%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better2.5%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms2.5 pts worse22.5%20.0%13.5%
Percentage of long-stay residents who lose too much weight1.6 pts better3.5%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication17.5 pts worse43.1%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.3 pts worse23.8%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 worsened5.4 pts worse21.2%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased11.9 pts worse29.3%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.8%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts worse2.6%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse17.9%17.1%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better4.0%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.6 pts better94.3%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better9.9%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.5 pts better91.9%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission15.5 pts better10.2%25.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
The Caruthersville Exempt Trust5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Agh1 LLCOperational/Managerial Control · Organization0%37 facilities
Agh1 LLCAdp Of The SNF · Organization0%37 facilities
Arshad, AbdullahOperational/Managerial Control · Individual0%27 facilities
Arshad, AbdullahAdp Of The SNF · Individual0%27 facilities
Beaird, ToddCorporate Officer · Individual0%37 facilities
Beaird, ToddAdp Of The SNF · Individual0%37 facilities
Bedell, BryanIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%36 facilities
Bedell, DonaldCorporate Director · Individual0%37 facilities
Bedell, DonaldCorporate Officer · Individual0%37 facilities
Bedell, DonaldOperational/Managerial Control · Individual0%37 facilities
Caruthersville Re LLCAdp Of The SNF · Organization0%1 facilities
Dcb Real Estate Partnership LPAdp Of The SNF · Organization0%25 facilities
Fg LLCAdp Of The SNF · Organization0%37 facilities
Fine, CrystalOperational/Managerial Control · Individual0%1 facilities
Fine, CrystalAdp Of The SNF · Individual0%1 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Mid States IncAdp Of The SNF · Organization0%37 facilities
Sovereign Healthcare Group LLCOperational/Managerial Control · Organization0%37 facilities
Sovereign Healthcare Group LLCAdp Of The SNF · Organization0%37 facilities
The Caruthersville Exempt TrustTrustee Of The SNF · Organization0%1 facilities
Van De Ven LLCAdp Of The SNF · Organization0%36 facilities

·

Fire safety

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

Smoke3F
  1. F

    Provide properly protected cooking facilities.

    March 6, 2025 · K324 · Corrected April 18, 2025

  2. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 6, 2025 · K355 · Corrected April 18, 2025

  3. F

    Provide properly protected cooking facilities.

    February 9, 2024 · K324 · Corrected April 2, 2024

Miscellaneous1D
  1. D

    Have restrictions on the use of portable space heaters.

    June 5, 2026 · K781 · Corrected July 17, 2026

Egress1F
  1. F

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    March 6, 2025 · K223 · Corrected April 18, 2025

·

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