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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D3 | E2 | F13 |
| 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 | |
|---|---|---|---|---|---|---|
| Nov 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 14, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 14, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 14, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jun 14, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Mar 24, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 24, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D3 | E2 | F13 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 6, 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 Nov 10, 2025 | Complaint |
| Aug 14, 2025 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 27, 2025 | |
“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 | — | |
| Cypress Point-Skilled Nursing By Americare 801 Baliff Drive, Dexter, MO 63841 CCN 265367 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265385 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265385 | 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 | 03069 | 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
| F-0641 |
| Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care |
| E · Potential harm Pattern |
| Corrected Sep 27, 2025 |
| Aug 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 27, 2025 |
| Aug 14, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Sep 27, 2025 |
| Jun 14, 2024 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 14, 2024 |
| Jun 14, 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 Jul 1, 2024 |
| Jun 14, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 13, 2024 |
| Jun 14, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 5, 2024 |
| Jun 14, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 5, 2024 |
| Jun 14, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2024 |
| Jun 14, 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 Jun 27, 2024 |
| Jun 14, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 21, 2024 |
| Jun 14, 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 Jun 27, 2024 |
| Mar 24, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2023 |
| Mar 24, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 24, 2023 |
| Mar 24, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 24, 2023 |
| Mar 24, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2023 |
| Mar 24, 2023 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.85 (case-mix index 1.19).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2012 |
| James Reiker | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2012 |
| Kyle Schade | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2021 |
| Clay Crosson | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 29, 2001 |
| Christina Redmond | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2021 |
| 79 |
| Sep 18, 2025 |
191 IJ |
| $74k |
| 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 | — |