27 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Lamar, MO
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
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
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
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
0.69
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.71
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.04
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.43
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
0.81
CMS adjusted RN staffing hours
Adjusted total hours
4.34
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
3,114
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9993
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
3.02
Baseline 5.54% · Performance 6.93% · Measure score 3.02 · Achievement 3.02 · Improvement 0
Total nurse turnover
5.46
Baseline 53.09% · Performance 41.38% · Measure score 5.46 · Achievement 5.46 · Improvement 3.65
Adjusted total nurse staffing
5.31
Baseline 3.44 hours · Performance 4.59 hours · Measure score 5.31 · Achievement 5.31 · Improvement 4.40
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.23% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 9.33% · Lower 95% interval 7.16% |
| Discharge to community | 38.84% |
50.57%
11.7 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 24.24% · Lower 95% interval 25.14% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 6.93% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 32 · Observed rate 6.25% · Lower 95% interval 3.34% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 109 |
| Staff flu vaccination coverage | 19.51% |
42%
22.5 pts worse
|
Numerator 24 · Denominator 123 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · 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 8 · Too few residents or stays to report publicly. |
Quality measures
| 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 · Adjusted 2.6 · Observed 2.0 · Expected 1.4 · Used in QM five-star |
| 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 · Adjusted 3.3 · Observed 3.2 · Expected 1.6 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 86.3% · Q4 75.5% · 4Q avg 90.3% |
| 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 · 4Q avg 95.2% |
| 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 · Q1 3.2% · Q2 3.1% · Q3 3.9% · Q4 1.0% · 4Q avg 2.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| 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 · Q1 1.3% · Q2 1.2% · Q3 3.5% · Q4 0.0% · 4Q avg 1.5% |
| 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 · Q1 48.8% · Q2 50.0% · Q3 40.7% · Q4 41.3% · 4Q avg 45.0% |
| 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 · Q1 47.3% · Q2 49.1% · Q3 33.3% · Q4 41.9% · 4Q avg 42.8% · 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 | 17.2% |
20.3%
3.1 pts better
|
16.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 13.0% · Q3 20.1% · Q4 19.8% · 4Q avg 17.2% · Used in QM five-star |
| 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 · Q1 42.9% · Q2 35.8% · Q3 31.3% · Q4 22.5% · 4Q avg 33.0% · Used in QM five-star |
| 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 · Q1 6.0% · Q2 4.6% · Q3 3.1% · Q4 2.1% · 4Q avg 4.0% · Used in QM five-star |
| 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 · Q1 2.2% · Q2 9.7% · Q3 1.0% · Q4 2.2% · 4Q avg 3.8% · Used in QM five-star |
| 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 · Q1 24.8% · Q2 19.5% · Q3 21.9% · Q4 17.9% · 4Q avg 21.0% |
| 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 · Q1 9.3% · Q2 7.0% · Q3 8.1% · Q4 7.6% · 4Q avg 8.0% · Used in QM five-star |
| 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 · Q1 100.0% · Q2 95.7% · Q3 30.0% · Q4 8.0% · 4Q avg 60.8% |
| 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 · Adjusted 12.6% · Observed 15.2% · Expected 13.4% · Used in QM five-star |
| 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 · 4Q avg 2.6% · Used in QM five-star |
| 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 · 4Q avg 65.2% |
| 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 · Adjusted 23.8% · Observed 27.3% · Expected 27.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Construction (2 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-30
Fire Safety
Use approved construction type or materials.
Corrected 2025-05-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-30
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-05-30
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-27
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
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-08-27
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-08-27
Fire Safety
Use approved construction type or materials.
Corrected 2023-05-18
Fire Safety
Use approved construction type or materials.
Corrected 2020-01-06
Fire Safety
Install proper backup exit lighting.
Corrected 2020-01-06
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2020-01-06
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-01-06
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2020-01-06
Inspection history
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
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-10
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
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
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
Health
Provide activities to meet all resident's needs.
Corrected 2025-05-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-30
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-05-30
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
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-10
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-05-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-30
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-30
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-30
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
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-10
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-30
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
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
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
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-08
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
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
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-08-27
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-08-27
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-08-27
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-27
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
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
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
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
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-01-06
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
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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