Chaffee Nursing Center — nursing home in Chaffee, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 71 CMS-certified beds (not state-licensed beds)
Licensed beds: 71 state-licensed beds · Missouri Department of Health and Senior Services
State license: 054117 active · licensee CHAFFEE NURSING, LLC
Average residents per day: 62.3 CMS, MDS-derived
CMS Certification Number: 265492
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 9, 1992
Ownership type: For profit - Corporation
Operator (legal business name): Chaffee Nursing, LLC
CMS chain: Americare Senior Living 23 facilities
Phone: (573) 887-3615
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest May 14, 2026

Citations

15

11 health · 4 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E·	F2
Minimal	A·	B·	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265492
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 71
First approved: Mar 9, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 4, 2026
Evidence: Verified

State license

Authority: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number: 054117
State facility ID: 13652
License type: Skilled nursing facility
License status: active
Licensed beds: 71
Link to CMS record: Linked by exact CCN Verified
Licensee: CHAFFEE NURSING, LLC · Limited Liability Company
Current license: Nov 6, 2026 → Nov 5, 2028
Certification (per state): Medicare/Medicaid
As of: Nov 4, 2026
Evidence: Verified source ↗

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
May 14, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 14, 2026	Health	Health Standard	4	Potential harm	—	Open →
Feb 27, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Feb 27, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jan 25, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jan 25, 2024	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E·	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
May 14, 2026	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	D · Potential harm Isolated	Corrected Jun 30, 2026
May 14, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 30, 2026
May 14, 2026	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 26, 2026
May 14, 2026	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 Jun 26, 2026
May 14, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 26, 2026
May 14, 2026	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 Jun 26, 2026
Feb 27, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2025
Feb 27, 2025	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2025
Feb 27, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 31, 2025
Feb 27, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 31, 2025
Jan 25, 2024	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 20, 2024
Jan 25, 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 Mar 20, 2024
Jan 25, 2024	F-0625	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 20, 2024
Jan 25, 2024	F-0700	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 20, 2024
Jan 25, 2024	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 Mar 20, 2024

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.8

Staffingstate 2.2

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.39

State avg 3.40US avg 3.90

Registered nurse (RN)0.74

State avg 0.46US avg 0.69

Licensed practical nurse0.74

State avg 0.68US avg 0.86

Nurse aide1.91

State avg 2.26US avg 2.35

Weekend total nurse2.83

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.90 (case-mix index 1.22).

Staff turnover

Total nursing staff turnover26.2%

State avg 56.9%US avg 45.3%

Registered nurse turnover11.1%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 14, 2026
Cycle 1 health score: 16
Total weighted score: 15

Operating entity

Chaffee Nursing, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Americare Senior Living

23 facilities in 2 states. CMS chain ID 34.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.6

Ownership disclosures

Disclosures

14

Organizations

3

Individuals

11

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Chaffee Nursing, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2003
R H Montgomery Properties, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2000
Richard Montgomery	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2009
Anna Montgomery	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50%	Jan 1, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Chaffee Nursing, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2003
R H Montgomery Properties, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2000
Richard Montgomery	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2009
Anna Montgomery	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50%	Jan 1, 2013
Americare Systems, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2009
Clay Crosson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 29, 2001
Steven Hatlestad	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2012
James Reiker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2002
Richard Montgomery	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 16, 2003
Richard Montgomery	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 1981
James Reiker	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2002
Kyle Schade	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2021
Kyle Schade	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Mar 1, 2021
Gail Heisserer	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Aug 27, 2012

Same chain in Missouri

All 22 in chain →

Facility	Beds	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	79	Sep 18, 2025	191 IJ	$74k
Heritage Hall Nursing Center 750 E Highway 22, Centralia, MO 65240 CCN 265385	60	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	—
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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 12273 State Highway 77, Chaffee, MO 63740
ZIP: 63740
County: Scott County FIPS 29201
State: Missouri
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
The Lutheran Home 2825 Bloomfield Road, Cape Girardeau, MO 63703 CCN 265359	14.9 km	274	Jul 10, 2026	12	—
Life Care Center of Cape Girardeau 365 South Broadview Street, Cape Girardeau, MO 63703 CCN 265185	15.8 km	120	Dec 16, 2025	542 IJ5 harm	$150k
Daybreak Nursing Center 410 H Road, Sikeston, MO 63801 CCN 265548	23.8 km	70	Nov 17, 2025	23	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265492	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265492	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	13652	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Nov 4, 2026	Nov 7, 2026

Record-level source links for CCN 265492

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction