10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
14 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Lowry City, MO
2-star overall rating with 3-star inspections with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
600 East 7th St, Lowry City, MO
(417) 644-2248
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
69
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-06-01
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
0.52
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.52
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.85
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
2.35
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
71%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
7,800
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.40
Baseline 21.63% · Performance 21.21% · Measure score 0.40 · Achievement 0 · Improvement 0.40
Healthcare-associated infections
5.19
Baseline 6.21% · Performance 6.29% · Measure score 5.19 · Achievement 5.19 · Improvement 0
Total nurse turnover
3.96
Performance 47.50% · Measure score 3.96 · Achievement 3.96 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.95
Baseline 2.52 hours · Performance 3.32 hours · Measure score 1.95 · Achievement 0.85 · Improvement 1.95
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.22% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 12.28% · Lower 95% interval 7.65% |
| Discharge to community | 39.79% |
50.57%
10.8 pts worse
|
No Different than the National Rate · Eligible stays 36 · Observed rate 27.78% · Lower 95% interval 29.6% |
| Medicare spending per beneficiary | 0.64 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 97.22% |
95.27%
2 pts better
|
Numerator 35 · Denominator 36 |
| Falls with major injury | 2.78% |
0.77%
2 pts worse
|
Numerator 1 · Denominator 36 |
| Discharge self-care score | 45.83% |
53.69%
7.9 pts worse
|
Numerator 11 · Denominator 24 |
| Discharge mobility score | 25% |
50.94%
25.9 pts worse
|
Numerator 6 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 8.33% |
2.29%
6 pts worse
|
Numerator 3 · Denominator 36 · Adjusted rate 9.71% |
| Healthcare-associated infections requiring hospitalization | 6.28% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 2.52% |
| Staff COVID-19 vaccination coverage | 4.17% |
8.2%
4 pts worse
|
Numerator 3 · Denominator 72 |
| Staff flu vaccination coverage | 4.17% |
42%
37.8 pts worse
|
Numerator 5 · Denominator 120 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 16 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.1
0.6 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.8 · 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 2.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
84.8%
14.8 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.5% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
90.9%
6.4 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 13.9% |
4.1%
9.8 pts worse
|
3.3%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 15.4% · Q3 13.4% · Q4 14.9% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.2% |
14.7%
10.5 pts better
|
11.4%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 0.0% · Q3 3.3% · Q4 0.0% · 4Q avg 4.2% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
5.5%
1 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 2.1% · Q3 8.0% · Q4 6.2% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.8% |
25.3%
8.5 pts worse
|
19.6%
14.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 32.7% · Q3 33.3% · Q4 30.8% · 4Q avg 33.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 42.7% |
25.0%
17.7 pts worse
|
16.7%
26 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 41.0% · Q3 43.9% · Q4 48.8% · 4Q avg 42.7% · 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 | 20.3% |
20.3%
About the same
|
16.3%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 30.6% · Q3 26.3% · Q4 17.4% · 4Q avg 20.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.3% |
19.8%
8.5 pts worse
|
14.9%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 20.0% · Q3 37.3% · Q4 26.0% · 4Q avg 28.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.4%
0.9 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 1.1% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.6%
0.1 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 0.0% · Q3 3.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% |
18.1%
6.8 pts worse
|
19.8%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 26.0% · Q3 19.3% · Q4 27.4% · 4Q avg 24.9% |
| Percentage of long-stay residents with pressure ulcers | 10.6% |
5.0%
5.6 pts worse
|
5.1%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 11.5% · Q3 14.8% · Q4 5.7% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.2% |
66.4%
20.8 pts better
|
81.7%
5.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 71.9% · Q2 85.0% · Q3 92.3% · Q4 97.3% · 4Q avg 87.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
13.4%
13.4 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.1% |
2.2%
3.9 pts worse
|
1.6%
4.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.0% |
63.5%
17.5 pts better
|
79.7%
1.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
25.3%
0.5 pts better
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 23.1% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
14 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2024-05-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-05
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-05-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-05
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-05-05
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-05-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-05-05
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-05
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 2024-05-05
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 2024-05-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-05
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-03-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-03-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-03-17
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-04-08
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 2022-03-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-03-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-07-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-07-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-07-13
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-07-02
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-07-02
Fire Safety
Use approved construction type or materials.
Corrected 2019-07-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-24
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-06-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-07-02
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-16
Health
Respond appropriately to all alleged violations.
Corrected 2026-02-16
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2024-12-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-05
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 2024-05-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-05
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 2024-05-05
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-05
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-03-17
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2022-03-17
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-03-17
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-03-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-03-17
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 2022-03-17
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 2022-03-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-17
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-17
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-03-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-17
Health
Post nurse staffing information every day.
Corrected 2022-03-17
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 2019-07-24
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-07-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-06-27
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 2019-07-24
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-07-24
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2019-07-24
Health
Implement a program that monitors antibiotic use.
Corrected 2019-07-24
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2019-07-24
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2019-07-24
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2019-07-24
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 2019-07-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-07-24
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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