Trenton, MO
2-star overall rating with 2-star inspections with abuse icon flag with $16,820 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1311 E 28th Street, Trenton, MO
(660) 359-5647
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
94
Certified beds
Average residents
52
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-12-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.36
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.86
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.10
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
4.50
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
4,435
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.99
Composite VBP score used to determine payment impact.
Payment multiplier
0.9929
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
2.11
Performance 7.21% · Measure score 2.11 · Achievement 2.11 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
2.27
Baseline 58.62% · Performance 54.41% · Measure score 2.27 · Achievement 2.27 · Improvement 0.75
Adjusted total nurse staffing
7.62
Baseline 5.26 hours · Performance 5.25 hours · Measure score 7.62 · Achievement 7.62 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.54% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 9.09% · Lower 95% interval 6.34% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 21 · Denominator 21 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 21 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4.76% |
2.29%
2.5 pts worse
|
Numerator 1 · Denominator 21 · Adjusted rate 4.79% |
| Healthcare-associated infections requiring hospitalization | 7.21% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 6.45% · Lower 95% interval 3.36% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 90 |
| Staff flu vaccination coverage | 46.59% |
42%
4.6 pts better
|
Numerator 41 · Denominator 88 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.1
1.2 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.4 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.9 |
2.3
0.6 pts worse
|
1.8
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.3 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
84.8%
14.1 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.8% · Q4 97.6% · 4Q avg 98.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.8% |
90.9%
6.9 pts better
|
95.5%
2.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.9% |
4.1%
2.8 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 6.8% · Q3 6.7% · Q4 4.8% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
14.7%
12.5 pts better
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 3.0% · Q4 2.9% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.5%
1.5 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 5.3% · Q3 2.6% · Q4 0.0% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.9% |
25.3%
4.4 pts better
|
19.6%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 26.3% · Q3 22.5% · Q4 15.8% · 4Q avg 20.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.3% |
25.0%
6.7 pts better
|
16.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 17.2% · Q3 18.2% · Q4 14.7% · 4Q avg 18.3% · 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 | 27.8% |
20.3%
7.5 pts worse
|
16.3%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 33.7% · Q3 29.4% · Q4 23.9% · 4Q avg 27.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.4% |
19.8%
1.6 pts worse
|
14.9%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 18.9% · Q3 28.6% · Q4 15.2% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.4%
1.4 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.9% |
2.6%
3.3 pts worse
|
1.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.5% · Q3 9.1% · Q4 7.3% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.5% |
18.1%
3.4 pts worse
|
19.8%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 24.8% · Q3 26.6% · Q4 10.6% · 4Q avg 21.5% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
5.0%
0.6 pts worse
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 2.3% · Q3 7.2% · Q4 8.2% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.0% |
66.4%
19.6 pts better
|
81.7%
4.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 61.3% · 4Q avg 86.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
13.4%
1.8 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.7% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.0% |
63.5%
23.5 pts better
|
79.7%
7.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.1% |
25.3%
1.8 pts worse
|
23.9%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 21.4% · Expected 18.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-11-20
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-11-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-11-20
Fire Safety
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.
Corrected 2024-09-19
Fire Safety
Install proper backup exit lighting.
Corrected 2024-09-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-09-19
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-19
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-19
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-09-19
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-09-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-19
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-09-19
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-07-29
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-07-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-07-29
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-07-29
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-07-29
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-07-29
Fire Safety
Use approved construction type or materials.
Corrected 2022-07-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-07-29
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2022-07-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-07-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-07-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-07-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-07-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-07-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-29
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-20
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-11-20
Health
Post nurse staffing information every day.
Corrected 2025-11-20
Health
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.
Corrected 2025-11-20
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-11-20
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-11-20
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 2025-11-20
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-10-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-06
Health
Assess the resident when there is a significant change in condition
Corrected 2024-09-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-06
Health
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.
Corrected 2024-09-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-06
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 2024-09-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-06
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-04
Health
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.
Corrected 2022-07-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-29
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-29
Health
Implement a program that monitors antibiotic use.
Corrected 2022-07-29
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 2022-07-29
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-07-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-07-29
Health
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.
Corrected 2022-07-29
Health
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.
Corrected 2022-07-29
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-07-29
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-07-29
Health
Assess the resident when there is a significant change in condition
Corrected 2022-07-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-07-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-07-29
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 2022-07-29
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-07-29
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 2022-07-29
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-07-29
Penalties and ownership
Fine · fine $16,820
Fine
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Trenton, MO
1-star overall rating with 1-star inspections with abuse icon flag with $163,350 in total fines with 16 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Chillicothe, MO
2-star overall rating with 2-star inspections with abuse icon flag with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Chillicothe, MO
2-star overall rating with 2-star inspections with abuse icon flag with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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