Lamar, MO

Truman Healthcare & Rehabilitation Center

1-star overall rating with 1-star inspections with 27 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

206 West First Street, Lamar, MO

(417) 682-5718

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

109

Certified beds

Average residents

101

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1984-08-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing

LPN hours / resident day

0.34

Licensed practical nurse staffing

Aide hours / resident day

2.67

Nurse aide staffing

Weekend hours

3.02

Weekend nurse staffing

RN turnover

27%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
2.1
0.5 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.3
2.3
1 pts worse
1.8
1.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.3%
84.8%
5.5 pts better
93.4%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
90.9%
4.3 pts better
95.5%
0.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
4.1%
1.3 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.3%
14.7%
14.4 pts better
11.4%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.5%
5.5%
4 pts better
5.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 45.0%
25.3%
19.7 pts worse
19.6%
25.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 42.8%
25.0%
17.8 pts worse
16.7%
26.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 17.2%
20.3%
3.1 pts better
16.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 33.0%
19.8%
13.2 pts worse
14.9%
18.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.0%
1.4%
2.6 pts worse
1.0%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.8%
2.6%
1.2 pts worse
1.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.0%
18.1%
2.9 pts worse
19.8%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.0%
5.0%
3 pts worse
5.1%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.8%
66.4%
5.6 pts worse
81.7%
20.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.6%
13.4%
0.8 pts better
12.0%
0.6 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 65.2%
63.5%
1.7 pts better
79.7%
14.5 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.8%
25.3%
1.5 pts better
23.9%
0.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-15 · Fire 2025-04-15

27 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-07-14 · Fire 2023-07-14

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-11-22 · Fire 2019-11-22

7 health deficiencies

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

6 fire-safety deficiencies

Top issue: Construction (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-15

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-05-30

F · Potential for more than minimal harm 2025-04-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-30

F · Potential for more than minimal harm 2025-04-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-15

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-15

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-15

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-05-30

F · Potential for more than minimal harm 2023-07-14

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-08-27

F · Potential for more than minimal harm 2023-07-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-07-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-07-14

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 2023-08-27

E · Potential for more than minimal harm 2023-07-14

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-07-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-04-18

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-05-18

E · Potential for more than minimal harm 2019-11-22

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2020-01-06

E · Potential for more than minimal harm 2019-11-22

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2020-01-06

E · Potential for more than minimal harm 2019-11-22

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2020-01-06

E · Potential for more than minimal harm 2019-11-22

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2020-01-06

E · Potential for more than minimal harm 2019-11-22

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2020-01-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-19

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 2026-01-25

D · Potential for more than minimal harm 2025-06-05

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-05

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 2025-07-10

F · Potential for more than minimal harm 2025-04-15

F801 · Nutrition and Dietary Deficiencies

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 2025-05-30

F · Potential for more than minimal harm 2025-04-15

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 2025-05-30

E · Potential for more than minimal harm 2025-04-15

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-15

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-04-15

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

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 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-04-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-04-15

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-04-15

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 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F700 · Quality of Life and Care Deficiencies

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 2025-05-30

D · Potential for more than minimal harm 2025-04-15

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 2025-07-10

D · Potential for more than minimal harm 2025-04-15

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 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-30

D · Potential for more than minimal harm 2023-08-09

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-09-08

F · Potential for more than minimal harm 2023-07-14

F801 · Nutrition and Dietary Deficiencies

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 2023-08-27

E · Potential for more than minimal harm 2023-07-14

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 2023-08-27

E · Potential for more than minimal harm 2023-07-14

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-07-14

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-14

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-14

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-14

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-14

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-14

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-04-18

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 2023-05-18

F · Potential for more than minimal harm 2019-11-22

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 2020-01-06

E · Potential for more than minimal harm 2019-11-22

F700 · Quality of Life and Care Deficiencies

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 2020-01-06

E · Potential for more than minimal harm 2019-11-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-01-06

D · Potential for more than minimal harm 2019-11-22

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 2020-01-06

D · Potential for more than minimal harm 2019-11-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-06

Penalties and ownership

What sits behind the stars

Ownership

The Lamar Exempt Trust

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2004-04-23
Agh1 LLC

Operational/Managerial Control · Organization

0% 37 facilities 2016-12-02
Beaird, Todd

Corporate Officer · Individual

0% 37 facilities 2022-01-01
Bedell, Donald

Operational/Managerial Control · Individual

0% 37 facilities 2004-04-23
Bedell, Donald

Corporate Director · Individual

0% 37 facilities 2004-06-11
Bedell, Donald

Corporate Officer · Individual

0% 37 facilities 2004-04-23
Joustra, Clarence

Operational/Managerial Control · Individual

0% 1 facilities 1992-01-01
Selvey, Lisa

Operational/Managerial Control · Individual

0% 1 facilities 2022-06-01
Sovereign Healthcare Group LLC

Operational/Managerial Control · Organization

0% 37 facilities 2021-04-23

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