7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Union, MO
2-star overall rating with 2-star inspections with $12,740 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
400 West Park Avenue, Union, MO
(636) 583-2252
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mgm Healthcare
Operator or chain grouping
Approved since
1989-08-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
30 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 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
RN hours / resident day
0.28
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.12
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.80
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
2.94
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
13,374
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
6.01
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
Readmission
0
Baseline 18.23% · Performance 22.95% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.41% · Performance 8.29% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.41
Baseline 44.78% · Performance 53.85% · Measure score 2.41 · Achievement 2.41 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.71 hours · Performance 2.18 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.86% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 85 · Observed rate 9.41% · Lower 95% interval 6.47% |
| Discharge to community | 52.34% |
50.57%
1.8 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 42.42% · Lower 95% interval 37.87% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 58.7% |
95.27%
36.6 pts worse
|
Numerator 27 · Denominator 46 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 46 |
| Discharge self-care score | 11.54% |
53.69%
42.1 pts worse
|
Numerator 3 · Denominator 26 |
| Discharge mobility score | 11.54% |
50.94%
39.4 pts worse
|
Numerator 3 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 46 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.29% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 4.83% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 108 |
| Staff flu vaccination coverage | 19.49% |
42%
22.5 pts worse
|
Numerator 23 · Denominator 118 |
| Discharge function score | 19.23% |
56.45%
37.2 pts worse
|
Numerator 5 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.5 |
2.1
1.4 pts worse
|
1.9
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.9 · Expected 1.6 · 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 2.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.6% |
84.8%
20.2 pts worse
|
93.4%
28.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 67.6% · Q2 62.5% · Q3 65.4% · Q4 63.1% · 4Q avg 64.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.9% |
90.9%
About the same
|
95.5%
4.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
4.1%
0.1 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 4.7% · Q4 4.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.9% |
14.7%
16.2 pts worse
|
11.4%
19.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 26.0% · Q3 32.6% · Q4 33.7% · 4Q avg 30.9% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
5.5%
2.9 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 6.0% · Q3 2.3% · Q4 1.1% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
25.3%
8.4 pts better
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 18.0% · Q3 15.6% · Q4 18.8% · 4Q avg 16.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 64.1% |
25.0%
39.1 pts worse
|
16.7%
47.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 62.5% · Q3 63.0% · Q4 70.0% · 4Q avg 64.1% · 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 | 8.7% |
20.3%
11.6 pts better
|
16.3%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 9.0% · Q3 5.9% · Q4 9.4% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% |
19.8%
8.6 pts better
|
14.9%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 11.8% · Q3 9.3% · Q4 8.8% · 4Q avg 11.2% · 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 | 1.2% |
2.6%
1.4 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.0% · Q4 1.9% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.1% |
18.1%
1 pts worse
|
19.8%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 17.4% · Q3 19.9% · Q4 22.0% · 4Q avg 19.1% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
5.0%
2.4 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.0% · Q3 2.9% · Q4 2.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 40.3% |
66.4%
26.1 pts worse
|
81.7%
41.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 51.5% · Q3 41.2% · Q4 30.8% · 4Q avg 40.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.2% |
13.4%
2.8 pts worse
|
12.0%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 21.4% · Expected 14.8% · 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 | 30.6% |
63.5%
32.9 pts worse
|
79.7%
49.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
25.3%
6.8 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 21.4% · Expected 27.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-07-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-09
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-09
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-02-07
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-02-07
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-02-07
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-02-07
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-02-07
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 2024-02-07
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-02-07
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-02-07
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-02-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-02-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-08-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-08-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-17
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-08-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-17
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-08-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-08-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-08-17
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-12
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2025-07-09
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-09
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-25
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-04-21
Health
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.
Corrected 2024-02-07
Health
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.
Corrected 2024-02-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-07
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-02-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-07
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 2024-02-07
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 2024-02-07
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 2024-02-07
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-07
Health
Post nurse staffing information every day.
Corrected 2024-02-07
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-02-07
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-17
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 2022-08-17
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-08-17
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 2022-08-17
Health
Post nurse staffing information every day.
Corrected 2022-08-17
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-17
Penalties and ownership
Fine · fine $12,740
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Nearby options
Union, MO
3-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Saint Clair, MO
5-star overall rating with 5-star inspections with 1 recent health deficiencies
Washington, MO
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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