# The Estates of Perryville, LLC

The Estates of Perryville, LLC is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Perryville, MO, CMS Certification Number 265704, with 156 certified beds and about 100 residents per day. CMS rates it 1/5 overall (health inspections 2/5, staffing 1/5, quality measures 3/5).

## Key facts
- Status: Active CMS certification
- Address: 430 North West Street, Perryville, MO 63775 (Perry County)
- Ownership type: For profit - Limited Liability company
- State license: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation; license 053306 (facility ID 00137), active, 156 licensed beds, licensee THE ESTATES OF PERRYVILLE, LLC, as of 2026-11-04

- Operator (legal business name): [The Estates of Perryville LLC](https://carefield.site/operator/op-the-estates-of-perryville-llc)
- CMS chain: not part of a CMS-reported chain

- Phone: 5735471011
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/265704

## Inspection record
12 inspections in the CMS window (latest 2026-03-11); 57 citations (43 health, 14 fire safety); 1 at actual harm and 5 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2025-09-11 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2025-09-04 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-06-10 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity J (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2025-03-11 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-03-11 — [F-0741](https://carefield.site/deficiency/cms-f0741) Ensure that the facility has sufficient staff members who possess the  competencies and skills to meet the behavioral health needs of residents. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-07-09 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-03-11 — [K-0271](https://carefield.site/deficiency/cms-k0271) Have exits that are accessible at all times. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [K-0293](https://carefield.site/deficiency/cms-k0293) Have properly located and lighted "Exit" signs. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [K-0781](https://carefield.site/deficiency/cms-k0781) Have restrictions on the use of portable space heaters. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [F-0552](https://carefield.site/deficiency/cms-f0552) Ensure that residents are fully informed and understand their health status, care and treatments. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-11 — [F-0804](https://carefield.site/deficiency/cms-f0804) Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-06 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-06-10 — [F-0645](https://carefield.site/deficiency/cms-f0645) PASARR screening for Mental disorders or Intellectual Disabilities — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- …and 37 more on the source page.

## Penalties
- 2025-06-10 — Denial of payment for new admissions (57 days)
- 2025-06-10 — Civil money penalty (fine): $155,548
- 2025-06-10 — Civil money penalty (fine): $17,627
- 2025-03-11 — Denial of payment for new admissions (6 days)
- 2025-03-11 — Civil money penalty (fine): $133,817

## Staffing (PBJ, hours per resident per day)
- Total nurse: 1.38837 (state avg 3.39922, US 3.90085)
- RN: 0.08038
- Nursing staff turnover: 75%

## Owners and managers of record (CMS disclosures)
- Zev Rosenberg — Direct owner, 60%, since 2014-11-01
- Zahirul Haque — Operational / managerial control, since 2024-09-15
- Devon Huff — Operational / managerial control, since 2024-12-03

## Nearby nursing homes
- [Independence Care Center of Perry County](https://carefield.site/facility/cms-265829) — 1.1 km, CMS overall 3/5

## Sources
- 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=265704&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=265704&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=265704&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=265704&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=265704&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=265704&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-265704 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.