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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D33 | E1 | F12 |
| Minimal | A· | B· | C1 |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 27, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 22, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 22, 2025 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Mar 18, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Dec 18, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Nov 26, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 22, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Mar 15, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 15, 2024 | Health | Health Complaint, Health Standard | 11 | Actual harm | — | Open → |
| Jan 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 6, 2022 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 6, 2022 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 22, 2025 | Denial of payment for new admissions | — | Jul 25, 2025 · 19 days | 265185|Payment Denial|2025-07-25 |
| May 22, 2025 | Civil money penalty (fine) | $81,955 | — | 265185|Fine|134655 |
| Mar 18, 2025 | Civil money penalty (fine) | $17,345 | — | 265185|Fine|90758 |
| Nov 26, 2024 | Civil money penalty (fine) | $30,030 | — | 265185|Fine|90681 |
| Aug 22, 2024 | Civil money penalty (fine) | $20,248 | — | 265185|Fine|90628 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D33 | E1 | F12 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 16, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2026 | Complaint |
| Jun 27, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jul 2, 2025 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
194 facilities in 26 states. CMS chain ID 311.
Chain average overall rating (CMS): 3.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Developers Investment Company II, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 6, 2002 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Developers Investment Company II, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 6, 2002 |
| Amber Eklund | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 16, 2024 |
| Kristine Miller | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 22, 2023 |
| Candy Tucker | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Life Care Center of Carrollton 300 Life Care Lane, Carrollton, MO 64633 CCN 265294 | 120 | Apr 2, 2026 | 51 | — | |
| The Westchester House 550 White Road, Chesterfield, MO 63017 CCN 265338 | 157 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Lutheran Home 2825 Bloomfield Road, Cape Girardeau, MO 63703 CCN 265359 | 0.9 km | 274 | Jul 10, 2026 | 12 | — | |
| Chateau Girardeau 3120 Independence Street, Cape Girardeau, MO 63703 CCN 265142 | 1.5 km | 75 | Apr 10, 2026 | 24 | — | |
| Ratliff Care Center 717 North Sprigg, Cape Girardeau, MO 63701 CCN 265747 | 3.1 km | 46 | May 30, 2025 | 24 | — | |
| Fountainbleau Lodge 2001 North Kingshighway, Cape Girardeau, MO 63701 CCN 265383 | 4.7 km | 33 | Sep 4, 2025 | 301 IJ | $8,827 | |
| Heartland Care and Rehabilitation Center 2525 Boutin Drive, Cape Girardeau, MO 63701 CCN 265503 | 5.7 km | 102 | Nov 17, 2025 | 19 | — | |
| Hubble Creek 1115 K Land Drive, Jackson, MO 63755 CCN 265716 | 11 km | 105 | Feb 12, 2026 | 501 IJ | — | |
| Jackson Manor 710 Broadridge, Jackson, MO 63755 CCN 265438 | 15.8 km | 90 | Aug 22, 2025 | 30 | — | |
| Chaffee Nursing Center 12273 State Highway 77, Chaffee, MO 63740 CCN 265492 | 15.8 km | 71 | May 14, 2026 | 15 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265185 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265185 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 01032 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| May 22, 2025 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 13, 2025 |
| May 22, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 13, 2025 |
| May 22, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2025 |
| May 22, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 13, 2025 |
| May 22, 2025 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| May 22, 2025 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jul 2, 2025 |
| Mar 18, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Nov 12, 2024 | Complaint |
| Mar 18, 2025 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 18, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Dec 18, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 24, 2024 | Complaint |
| Dec 18, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Dec 24, 2024 | Complaint |
| Nov 26, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 24, 2024 | Complaint |
| Aug 22, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 26, 2024 | Complaint |
| Aug 22, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2024 | Complaint |
| Aug 22, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 26, 2024 | Complaint |
| Mar 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 18, 2024 | Complaint |
| Mar 15, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 18, 2024 | Complaint |
| Mar 15, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 18, 2024 | Complaint |
| Mar 15, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Mar 15, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Jan 5, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Dec 5, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 29, 2023 | Complaint |
| Oct 6, 2022 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 11, 2022 |
| Oct 6, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 11, 2022 |
| Oct 6, 2022 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 11, 2022 |
| Oct 6, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 11, 2022 |
| Oct 6, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 11, 2022 |
| Oct 6, 2022 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 11, 2022 |
| Oct 6, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 11, 2022 |
| Oct 6, 2022 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 11, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.75 (case-mix index 1.47).
| Nov 4, 2024 |
| Developers Investment Company II, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 20, 2006 |
| Life Care Centers of America, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 25, 2002 |
| Eric Barnes | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 17, 2024 |
| Amber Eklund | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 16, 2024 |
| Todd Fletcher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Kristine Miller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 22, 2023 |
| Aubrey Preston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Candy Tucker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 4, 2024 |
| James Ziegler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Cindy Cross | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2002 |
| Terry Henry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 16, 1999 |
| Lisa Lay | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 9, 2018 |
| Richard Swanker | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2011 |
| Joan Thurmond | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 22, 2002 |
| Cape Girardeau Medical Investors, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 26, 2011 |
| Life Care Centers of America, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2025 |
| Eric Barnes | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2025 |
| Forrest Preston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 26, 2011 |
| Candy Tucker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2025 |
| May 13, 2025 |
691 harm |
| $84k |
| Life Care Center of Sullivan 875 Dunsford Drive, Sullivan, MO 63080 CCN 265340 | 118 | Jun 25, 2026 | 491 harm | — |
| Life Care Center of Bridgeton 12145 Bridgeton Square Dr, Bridgeton, MO 63044 CCN 265345 | 91 | Jun 4, 2026 | 842 harm | $22k |
| Life Care Center of Grandview 6301 East 125th St, Grandview, MO 64030 CCN 265355Abuse icon | 172 | Jun 2, 2026 | 881 harm | — |
| Life Care Center of Waynesville 700 Birch Lane, Waynesville, MO 65583 CCN 265373 | 120 | Nov 24, 2025 | 491 harm | $22k |
| Northwood Hills Care Center 800 N Arthur St, Humansville, MO 65674 CCN 265381 | 120 | Jun 11, 2026 | 60 | — |
| Life Care Center of Brookfield 315 Hunt Street, Brookfield, MO 64628 CCN 265405 | 120 | Feb 20, 2025 | 593 IJ5 harm | $45k |