{"schema_version":"1.0.0","facility":{"id":"cms-265205","ccn":"265205","name":"Cedargate Health Care Center","source_name":"CEDARGATE HEALTH CARE CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MO","address":{"line1":"2350 Kanell Blvd","city":"Poplar Bluff","state":"MO","zip":"63901","county_name":"Butler County","county_fips":"29023","county_method":"name_match","ssa_county_code":"110","urban":false},"location":{"lat":36.7669,"lon":-90.428,"method":"cms_published_coordinates"},"phone":"5737850188","certification":{"authority":"CMS","ccn":"265205","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1983-10-25","certified_beds":108,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265205"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"053905","state_facility_id":"01182","license_type":"Skilled nursing facility","status":"active","licensed_beds":108,"capacity_unit":"beds","effective_date":"2026-06-01","expiration_date":"2028-04-29","licensee":"CEDARGATE OPCO LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Medicare/Medicaid","ccn":"265205","as_of":"2026-11-04","evidence_class":"VERIFIED","source_id":"mo_dhss_ltc_directory","source_url":"https://data.mo.gov/d/fenu-sipv","link_method":"exact_ccn"}],"capacity":{"certified_beds":108,"licensed_beds":108,"avg_residents_per_day":52.9},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"CEDARGATE HEALTH CARE CENTER, L.L.C.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":3},"quality_measures":{"value":2},"long_stay_qm":{"value":3},"short_stay_qm":{"value":2},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.2089,"lpn_hprd":0.6661,"rn_hprd":0.37284,"licensed_hprd":1.03894,"total_nurse_hprd":3.24784,"weekend_total_nurse_hprd":2.94977,"weekend_rn_hprd":0.24389,"pt_hprd":0.01745,"nursing_turnover_footnote":"26","rn_turnover_footnote":"26","administrators_left":2,"case_mix_index":1.79596,"case_mix_index_ratio":1.2735,"case_mix_total_nurse_hprd":4.96775,"adjusted_total_nurse_hprd":2.53031,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-05-22","cycle1_deficiencies":10,"cycle1_score":84,"cycle2_date":"2024-05-10","cycle23_deficiencies":15,"cycle23_score":76,"total_weighted_score":82},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-446","cms_chain_id":"446","name":"RELIANT CARE MANAGEMENT"},"operator_id":"op-cedargate-health-care-center-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/265205","provenance":[{"source_id":"cms_provider_info","source_record_id":"265205","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"265205","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"mo_dhss_ltc_directory","source_record_id":"01182","url":"https://data.mo.gov/d/fenu-sipv","retrieved_at":"2026-11-07T14:53:42.852Z","source_updated_at":"2026-11-04","effective_date":"2026-11-04","jurisdiction":"MO","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-05-07","latest_standard_health":"2025-05-22","earliest_date":"2022-11-18","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":48,"health_count":40,"fire_count":8,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":1,"by_severity":{"potential":46,"minimal":2},"by_scope_severity":{"D":30,"F":13,"C":2,"E":3},"by_concept":{"clinical_care":18,"environment_life_safety":8,"food_nutrition":3,"infection_prevention":6,"resident_rights":9,"administration":1,"medication":2,"staffing":1},"type_ids":["cms-f0677","cms-k0223","cms-k0353","cms-k0923","cms-f0812","cms-f0814","cms-f0881","cms-f0882","cms-f0605","cms-f0690","cms-f0698","cms-f0880","cms-f0868","cms-f0689","cms-f0550","cms-f0584","cms-f0623","cms-f0625","cms-f0656","cms-f0684","cms-f0695","cms-f0699","cms-f0759","cms-f0761","cms-f0883","cms-k0355","cms-k0374","cms-k0920","cms-f0558","cms-f0604","cms-f0636","cms-f0637","cms-f0638","cms-f0640","cms-f0655","cms-f0657","cms-f0947","cms-f0585"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":12,"organizations":5,"individuals":6,"not_available":false}},"row":{"id":"cms-265205","ccn":"265205","name":"Cedargate Health Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Poplar Bluff","zip":"63901","county_fips":"29023","county_name":"Butler County","address":"2350 Kanell Blvd","beds":108,"residents":52.9,"ownership":"for_profit","operator_id":"op-cedargate-health-care-center-llc","operator_name":"Cedargate Health Care Center, L.l.c","chain_id":"cms-chain-446","chain_name":"Reliant Care Management","lat":36.7669,"lon":-90.428,"overall":2,"health_rating":3,"staffing_rating":1,"qm_rating":2,"nurse_hprd":3.25,"inspections":7,"last_inspection":"2026-05-07","deficiencies":48,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0677","cms-k0223","cms-k0353","cms-k0923","cms-f0812","cms-f0814","cms-f0881","cms-f0882","cms-f0605","cms-f0690","cms-f0698","cms-f0880","cms-f0868","cms-f0689","cms-f0550","cms-f0584","cms-f0623","cms-f0625","cms-f0656","cms-f0684","cms-f0695","cms-f0699","cms-f0759","cms-f0761","cms-f0883","cms-k0355","cms-k0374","cms-k0920","cms-f0558","cms-f0604","cms-f0636","cms-f0637","cms-f0638","cms-f0640","cms-f0655","cms-f0657","cms-f0947","cms-f0585"],"universe":"cms","licensed_beds":108,"state_license":"MO 053905","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-cedargate-health-care-center-llc","name":"Cedargate Health Care Center, L.l.c","legal_name":"CEDARGATE HEALTH CARE CENTER, L.L.C","facility_count":1,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-446","name":"Reliant Care Management","cms_chain_id":"446","facility_count":35,"states":["KS","MO"],"cms_reported":{"facility_count":35,"avg_overall_rating":1.3,"avg_health_inspection_rating":1.7,"avg_staffing_rating":1,"avg_qm_rating":3.3}},"ownership":[{"owner_id":"org-reliant-care-group-llc","owner_type":"organization","owner_name":"Reliant Care Group LLC","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-29"},{"owner_id":"org-rcg-inc","owner_type":"organization","owner_name":"Rcg Inc","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-29"},{"owner_id":"org-richard-j-destefane-revocable-living-trust","owner_type":"organization","owner_name":"Richard J. Destefane Revocable Living Trust","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-29"},{"owner_type":"individual","owner_name":"Richard Destefane","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-29","owner_name_raw":"DESTEFANE, RICHARD"},{"owner_id":"org-reliant-care-management-company-llc","owner_type":"organization","owner_name":"Reliant Care Management Company LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-29"},{"owner_type":"individual","owner_name":"Abdullah Arshad","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-09-01","owner_name_raw":"ARSHAD, ABDULLAH"},{"owner_type":"individual","owner_name":"Richard Destefane","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-29","owner_name_raw":"DESTEFANE, RICHARD"},{"owner_type":"individual","owner_name":"David Medley","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2026-03-09","owner_name_raw":"MEDLEY, DAVID"},{"owner_id":"org-2350-kanell-boulevard-llc","owner_type":"organization","owner_name":"2350 Kanell Boulevard, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-29"},{"owner_id":"org-reliant-care-management-company-llc","owner_type":"organization","owner_name":"Reliant Care Management Company LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-03"},{"owner_type":"individual","owner_name":"Abdullah Arshad","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-09-01","owner_name_raw":"ARSHAD, ABDULLAH"},{"owner_type":"individual","owner_name":"David Medley","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-03-09","owner_name_raw":"MEDLEY, DAVID"}],"inspections":[{"id":"cms-265205-20260507-health","ccn":"265205","date":"2026-05-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-26","cmp":1}]},{"id":"cms-265205-20250522-fire","ccn":"265205","date":"2025-05-22","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0223","ss":"F","sl":2,"cs":"corrected","cd":"2025-07-03","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-07-03","std":1,"tv":"New"},{"t":"cms-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2025-07-03","std":1,"tv":"New"}]},{"id":"cms-265205-20250522-health","ccn":"265205","date":"2025-05-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0814","ss":"F","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0881","ss":"F","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0882","ss":"F","sl":2,"cs":"corrected","cd":"2025-07-03","std":1},{"t":"cms-f0868","ss":"C","sl":1,"cs":"corrected","cd":"2025-07-03","std":1}]},{"id":"cms-265205-20240510-fire","ccn":"265205","date":"2024-05-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-06-10","std":1,"tv":"New"}]},{"id":"cms-265205-20240510-health","ccn":"265205","date":"2024-05-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":15,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0699","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-18","std":1}]},{"id":"cms-265205-20221118-fire","ccn":"265205","date":"2022-11-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2022-12-17","std":1,"tv":"New"},{"t":"cms-k0355","ss":"F","sl":2,"cs":"corrected","cd":"2022-12-17","std":1,"tv":"New"},{"t":"cms-k0374","ss":"F","sl":2,"cs":"corrected","cd":"2022-12-17","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2022-12-17","std":1,"tv":"New"}]},{"id":"cms-265205-20221118-health","ccn":"265205","date":"2022-11-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":15,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0604","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0636","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0637","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0638","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0640","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0947","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-17","std":1},{"t":"cms-f0585","ss":"C","sl":1,"cs":"corrected","cd":"2022-12-17","std":1}]}],"deficiency_types":{"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0223":{"code":"K-0223","title":"Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0814":{"code":"F-0814","title":"Dispose of garbage and refuse properly.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0882":{"code":"F-0882","title":"Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0868":{"code":"F-0868","title":"Have the Quality Assessment and Assurance group have the required members and meet at least quarterly","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0625":{"code":"F-0625","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0883":{"code":"F-0883","title":"Develop and implement policies and procedures for flu and pneumonia vaccinations.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0604":{"code":"F-0604","title":"Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0637":{"code":"F-0637","title":"Assess the resident when there is a significant change in condition","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0638":{"code":"F-0638","title":"Assure that each resident’s assessment is updated at least once every 3 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0640":{"code":"F-0640","title":"Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0947":{"code":"F-0947","title":"Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265205&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MO","overall_rating":2.6,"health_inspection_rating":2.8,"qm_rating":2.9,"staffing_rating":2.2,"avg_residents_per_day":73.1,"cycle1_health_deficiencies":11.4,"cycle1_fire_deficiencies":6,"nurse_aide_hprd":2.26,"lpn_hprd":0.68,"rn_hprd":0.46019,"licensed_hprd":1.14,"total_nurse_hprd":3.39922,"weekend_total_nurse_hprd":2.96333,"weekend_rn_hprd":0.32,"pt_hprd":0.04,"nursing_turnover_pct":56.9,"rn_turnover_pct":50,"administrators_left":0.7,"case_mix_index":1.34706,"fines":0.8,"fine_amount":36774,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MO","name":"Missouri"},"county":{"fips":"29023","name":"Butler County"},"zip":"63901","city":"Poplar Bluff"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-265149","ccn":"265149","name":"Four Seasons Living Center","address":"2800 Highway Tt","city":"Sedalia","state":"MO","zip":"65301","beds":239,"overall":1,"inspections":18,"last_inspection":"2026-08-04","deficiencies":93,"serious":4,"ij":1,"open":0,"fines_total":61960,"abuse":true,"status":"active","universe":"cms","licensed_beds":239,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265238","ccn":"265238","name":"Milan Health Care Center","address":"52435 Infirmary Road","city":"Milan","state":"MO","zip":"63556","beds":100,"overall":1,"inspections":15,"last_inspection":"2025-10-30","deficiencies":60,"serious":3,"ij":2,"open":0,"fines_total":49897,"abuse":true,"status":"active","universe":"cms","licensed_beds":100,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265330","ccn":"265330","name":"North Village Park","address":"2041 Silva Lane","city":"Moberly","state":"MO","zip":"65270","beds":183,"overall":1,"inspections":27,"last_inspection":"2026-07-22","deficiencies":183,"serious":25,"ij":10,"open":2,"fines_total":462677,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","licensed_beds":184,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265398","ccn":"265398","name":"Wellsville Health Care Center","address":"250 E Locust","city":"Wellsville","state":"MO","zip":"63384","beds":112,"overall":1,"inspections":11,"last_inspection":"2025-11-18","deficiencies":104,"serious":1,"ij":0,"open":1,"fines_total":20642,"status":"active","universe":"cms","licensed_beds":112,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265423","ccn":"265423","name":"Westview Nursing Home","address":"301 West Dunlop Street","city":"Center","state":"MO","zip":"63436","beds":60,"overall":1,"inspections":9,"last_inspection":"2025-07-17","deficiencies":77,"serious":6,"ij":0,"open":0,"fines_total":27742,"status":"active","universe":"cms","licensed_beds":60,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265425","ccn":"265425","name":"Edgewood Manor Health Care Center","address":"11900 Jessica Lane","city":"Raytown","state":"MO","zip":"64138","beds":91,"overall":2,"inspections":18,"last_inspection":"2026-05-19","deficiencies":109,"serious":6,"ij":1,"open":0,"fines_total":135307,"abuse":true,"status":"active","universe":"cms","licensed_beds":91,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265460","ccn":"265460","name":"Cassville Health Care Center","address":"1300 County Farm Road","city":"Cassville","state":"MO","zip":"65625","beds":60,"inspections":14,"last_inspection":"2026-08-19","deficiencies":106,"serious":4,"ij":2,"open":0,"fines_total":80552,"sff":"SFF","status":"active","universe":"cms","licensed_beds":60,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265500","ccn":"265500","name":"Bernard Care Center","address":"4335 West Pine Blvd","city":"Saint Louis","state":"MO","zip":"63108","beds":141,"overall":1,"inspections":12,"last_inspection":"2026-08-31","deficiencies":102,"serious":4,"ij":3,"open":4,"fines_total":37388,"abuse":true,"status":"active","universe":"cms","licensed_beds":141,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":34,"same_site_review":[],"nearby":[{"id":"cms-265442","ccn":"265442","name":"The Manor","address":"2071 Barron Rd","city":"Poplar Bluff","state":"MO","zip":"63901","beds":90,"overall":3,"inspections":6,"last_inspection":"2025-04-18","deficiencies":33,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":90,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.3},{"id":"cms-265450","ccn":"265450","name":"Aspire Senior Living Poplar Bluff","address":"3001 May Street","city":"Poplar Bluff","state":"MO","zip":"63901","beds":83,"overall":2,"inspections":8,"last_inspection":"2026-04-23","deficiencies":50,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":83,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.4},{"id":"cms-265556","ccn":"265556","name":"Oakdale Care Center","address":"2702 Debbie Lane","city":"Poplar Bluff","state":"MO","zip":"63901","beds":70,"overall":3,"inspections":6,"last_inspection":"2026-02-11","deficiencies":34,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":70,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.8},{"id":"cms-265193","ccn":"265193","name":"Westwood Hills Health & Rehabilitation Center","address":"3100 Warrior Lane","city":"Poplar Bluff","state":"MO","zip":"63901","beds":132,"overall":4,"inspections":6,"last_inspection":"2025-12-05","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":132,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.3}]}}