Federal inspection record · CMS data as of October 1, 2026
Steelville Care & Rehab Center
311 N Spring Street, Steelville, MO · (573) 260-8850
- Certified beds
- 72
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 17, 2018
1
How this home got 1 star
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Steelville Care & Rehab Center carries 123.5 inspection points. That is fewer than 30% 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
22 health citations on record since 2023. 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 (1)
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Nutrition and Dietary7F
- 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.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 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.
- E
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- C
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care3E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights3E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
Honor the resident's right to manage his or her financial affairs.
- 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.
Resident Assessment and Care Planning2E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service1F
- 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.
Inspection history
2026-04-23
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2024-08-16
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-05-05
4 health deficiencies · 18 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 20 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
3 h 20 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 76% of nursing staff and 100% 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
$87,749 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-14 | Fine | $87,749 |
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 days1.3 pts better | 0.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts better | 92.5% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine15.2 pts worse | 75.6% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.1 pts better | 1.9% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 4.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.2 pts worse | 28.8% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.3 pts worse | 29.8% | 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 worsened15.5 pts worse | 31.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased16.4 pts worse | 33.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.2% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 3.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.5 pts worse | 24.6% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.2 pts worse | 46.5% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.7 pts better | 4.7% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication6.6 pts worse | 8.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine46 pts worse | 15.4% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts better | 24.2% | 25.7% | 23.4% |
·
Who owns and runs it
9 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 |
|---|---|---|---|
| Aubuchon, Kimberly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Aubuchon, Kimberly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Juckette Management Services Senior Living, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lebedowicz, Bohdan | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Lebedowicz, Bohdan | Adp Of The SNF · Individual | 0% | 4 facilities |
| Scheulen, Benjamin | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Scheulen, Benjamin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Scheulen, Benjamin | Adp Of The SNF · Individual | 0% | 2 facilities |
| Steelville Senior Living, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 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.
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have proper medical gas storage and administration areas.
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.
- D
Have restrictions on the use of highly flammable decorations.
Construction2E
- E
Use approved construction type or materials.
- E
Meet other general requirements.
Emergency Preparedness1F
- F
Establish staff and initial training requirements.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Cuba Manor Inc
Cuba, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 56 min
- Fines
- $0
-
St James Living Center
Saint James, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 17 min
- Fines
- $14,069
-
Meramec Nursing
Sullivan, MO · Community Care Centers
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 2 min
- Fines
- $46,449