| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E1 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Sep 18, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 18, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Mar 5, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Sep 27, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jun 29, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 29, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 5, 2025 | Civil money penalty (fine) | $73,743 | — | 265367|Fine|90750 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E1 | F4 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 18, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 31, 2025 | |
| Sep 18, 2025 | 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 | E · Potential harm Pattern | Corrected Oct 31, 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.
23 facilities in 2 states. CMS chain ID 34.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hwj LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2012 |
| Julianna Ford | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2012 |
| Henley Montgomery | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2012 |
| William Montgomery | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2012 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hwj LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2012 |
| Julianna Ford | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2012 |
| Henley Montgomery | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2012 |
| William Montgomery | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2012 |
| Americare Systems, Inc | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Pioneer Skilled Nursing Center 1500 South Kansas Avenue, Marceline, MO 64658 CCN 265169 | 96 | Mar 20, 2025 | 501 IJ | — | |
| Heritage Hall Nursing Center 750 E Highway 22, Centralia, MO 65240 CCN 265385 | 60 |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Memory Lane of Dexter 415 S Catalpa Street, Dexter, MO 63841 CCN 265382 | 0.7 km | 73 | Apr 17, 2026 | 20 | — | |
| Crowley Ridge Care Center 1204 North Outer Road, Dexter, MO 63841 CCN 265552 | 1.9 km | 90 | Jun 10, 2025 | 16 | — | |
| Prairie View Skilled Nursing 606 West Missouri Street, Bloomfield, MO 63825 CCN 265451 | 10.4 km | 60 | May 28, 2026 | 21 | — | |
| Winchester Nursing Center, Inc 400 Winchester Dr, Bernie, MO 63822 CCN 265874 | 14.3 km | 60 | Jul 25, 2025 | 11 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265367 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265367 | 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 | 08315 | 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
| Sep 18, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 31, 2025 |
| Sep 18, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 31, 2025 |
| Sep 18, 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 Oct 31, 2025 |
| Sep 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 31, 2025 |
| Sep 18, 2025 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2025 |
| Mar 5, 2025 | 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 | J · Immediate jeopardy Isolated | Corrected Mar 3, 2025 | Complaint |
| Sep 27, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 27, 2024 | 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 15, 2024 |
| Sep 27, 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 Nov 15, 2024 |
| Sep 27, 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 | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Sep 27, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Sep 27, 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 | C · Minimal Widespread | Corrected Nov 15, 2024 |
| Jun 29, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 28, 2023 |
| Jun 29, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jun 29, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jun 29, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jun 29, 2023 | 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 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.21 (case-mix index 1.26).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2012 |
| Clay Crosson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 29, 2001 |
| James Reiker | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 31, 2011 |
| Kyle Schade | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2021 |
| John Langley | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2012 |
| Nov 6, 2025 |
19 |
| — |
| Southbrook Nursing Center 1101 Hazel Lane, Farmington, MO 63640 CCN 265389 | 104 | Apr 10, 2026 | 18 | — |
| Clark's Mountain Nursing Center 2100 Barnes, Piedmont, MO 63957 CCN 265416 | 91 | May 14, 2026 | 13 | — |
| Chaffee Nursing Center 12273 State Highway 77, Chaffee, MO 63740 CCN 265492 | 71 | May 14, 2026 | 15 | — |
| St Clair Nursing Center 1035 Plaza Court North, Saint Clair, MO 63077 CCN 265495 | 79 | Feb 19, 2026 | 191 harm | $8,278 |
| Heritage Nursing Center - Skilled Nursing By Ameri 1802 St Francis, Kennett, MO 63857 CCN 265531 | 72 | Feb 18, 2026 | 14 | — |
| The Neighborhoods at Quail Creek 1514 West Lark, Springfield, MO 65810 CCN 265799 | 120 | Jun 26, 2026 | 42 | — |