15 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Center, MO
1-star overall rating with 1-star inspections with $117,035 in total fines with 15 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
301 West Dunlop Street, Center, MO
(573) 267-3920
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Reliant Care Management
Operator or chain grouping
Approved since
1990-04-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 1 overall / 2 health / 1 staffing / 2 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
0.38
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.75
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.67
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.92
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.36
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
2.33
CMS adjusted total nurse staffing hours
Case-mix index
1.56
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
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Performance 75.76% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 2.41 hours · Performance 2.28 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 3.92% |
8.2%
4.3 pts worse
|
Numerator 2 · Denominator 51 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 56 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 14 · 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 Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.1
0.1 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.3
About the same
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.4% |
84.8%
5.4 pts worse
|
93.4%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 72.9% · Q3 68.4% · Q4 81.8% · 4Q avg 79.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 79.4% |
90.9%
11.5 pts worse
|
95.5%
16.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 79.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
4.1%
2.8 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 32.1% |
14.7%
17.4 pts worse
|
11.4%
20.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 7.4% · Q3 57.7% · Q4 60.8% · 4Q avg 32.1% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
5.5%
2.3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.6% · Q3 1.9% · Q4 1.9% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.3% |
25.3%
16 pts worse
|
19.6%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 39.7% · Q3 42.9% · Q4 44.4% · 4Q avg 41.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 62.1% |
25.0%
37.1 pts worse
|
16.7%
45.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 70.0% · 4Q avg 62.1% · 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 | 39.7% |
20.3%
19.4 pts worse
|
16.3%
23.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.2% · Q2 63.9% · Q3 37.3% · Q4 15.5% · 4Q avg 39.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 42.0% |
19.8%
22.2 pts worse
|
14.9%
27.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 66.7% · Q3 49.1% · Q4 20.8% · 4Q avg 42.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.4%
About the same
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.8% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 11.0% |
18.1%
7.1 pts better
|
19.8%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 17.8% · Q3 7.9% · Q4 8.1% · 4Q avg 11.0% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
5.0%
0.8 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.6% · Q3 4.0% · Q4 4.7% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.9% |
66.4%
40.5 pts worse
|
81.7%
55.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 25.9% |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (7 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-11
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-07-11
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-11
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-11
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-07-11
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-11
Fire Safety
Meet other general requirements.
Corrected 2025-07-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-11
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-11
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-10-11
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 2023-10-11
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-10-11
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-11
Fire Safety
Meet other general requirements.
Corrected 2023-10-11
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2020-01-31
Fire Safety
Develop a communication plan.
Corrected 2020-01-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-01-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-01-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-01-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-31
Inspection history
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-08-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-06
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-08-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-11
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-07-11
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 2025-07-11
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-11
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-07-11
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 2025-07-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-11
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-07-11
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-15
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-05-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-01
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 2024-05-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-11
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-10-11
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-10-11
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-11-09
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-10-11
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 2023-10-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-11
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 2023-10-11
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-11
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-10-11
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-10-11
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 2023-10-11
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 2023-10-11
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-10-11
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-07-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-17
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-17
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-01-31
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 2020-01-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-01-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-01-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-01-31
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 2020-01-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-31
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2020-01-31
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 2020-01-31
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-01-31
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-31
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2020-01-31
Health
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Corrected 2020-01-31
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2020-01-31
Health
Post nurse staffing information every day.
Corrected 2020-01-31
Penalties and ownership
Fine · fine $117,035
Fine
Payment Denial · denial start 2023-06-30 · 17 days
17 day denial
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Nearby options
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Hannibal, MO
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