Home / Missouri / Cape Girardeau
3120 Independence Street, Cape Girardeau, MO 63703 · Cape Girardeau County · (573) 335-1281
75 certified beds, about 54 residents a day · Non profit - Other · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265142 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 10, 2026, inspectors cited 8 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 20 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.26 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
65.7% of nursing staff left within the year CMS measured (Missouri average 56.0%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to inform residents and/or their responsible parties, in advance of the risks and benefits of proposed care, before beginning psychotropic medications (medications that affect the mind, emotions, and behavior) for five residents (Residents #7, #8, #38, #55, and #66) out of five sampled residents. The facility census was 50. Review of the facility policy titled, Informed Consent for Treatment, undated, showed: - The facility is committed to honoring each resident's right to make informed decisions regarding their care. Informed consent will be obtained prior to initiating treatment, except in emergency situations, and will be documented in the resident's medical record; - Consent must be voluntary and free from coercion, based on clear, understandable information, and provided by the resident or legally authorized representative; [...]
Inspectors wroteBased on interview and record review, the facility failed to initiate an order for a code status for one resident (Resident #49) and failed to ensure an order for the code status was consistently documented throughout the medical record for one resident (Resident #24) out of 14 sampled residents. The facility census was 50. Review of the facility's policy titled, Advance Directives, dated 2026, showed: - Resident's medical record will have documentation indicating if a resident has an advance directive; - The facility honors residents' wishes as expressed in their Advance Directive. 1. Review of Resident #24's medical record showed: - admission date of [DATE]; [...]
Inspectors wroteBased on interview and record review, the facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) when a resident's Medicare covered services had ended for one resident (Resident #70) out of three sampled residents. The facility census was 50. [...]
Inspectors wroteBased on interview and record review, the facility failed have an appropriate diagnosis for a psychotropic (medication that affect a person's mental state) medication for three residents (Residents #7, #8, and #55), failed to limit the use of a psychotropic as needed (PRN) medication order for 14 days for one resident (Resident #55), and failed to attempt gradual dose reductions (GDR) for one resident (Resident #8) out of five sampled residents. Facility census was 50. Review of the facility policy titled, Psychotropic Medication Use, last revised July 2022, showed: - Residents who have not used psychotropic medications are not prescribed or given these medications unless the medication is determined to be necessary to treat a specific condition that is diagnosed and documented in the medical record; [...]
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility staff) within the required time frames for three residents (Residents #8, #38, and #55) out of 14 sampled residents. The facility's census was 50. Review of the facility policy titled, MDS Completion and Submission Timeframes, revised July 2017, showed: - The facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes; - Timeframes for completion and submission of assessments are based on the current requirements published in the Resident Assessment Instrument (RAI) Manual. Review of the Resident Assessment Instrument Manual, dated October 2025, showed: [...]
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS - a federally mandated assessment instrument to be completed by facility staff) assessment after a significant change for one resident (Resident #55) out of two sampled residents who received hospice services. The facility census was 50. Review of the facility policy titled, MDS Completion and Submission Timeframes, dated July 2017, showed:- The assessment coordinator or designee is responsible for ensuring that resident assessments are submitted to the Centers for Medicare and Medicaid Services (CMS) in accordance with current federal and state guidelines;- Timeframes for completion and submission of assessments are based on the current requirements published in the Resident Assessment Instrument (RAI) Manual. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders for one resident (Resident #22) and failed to obtain urinary catheter orders for one resident (Resident #67) out of five sampled residents. The facility census was 50. Review of the facility policy titled, Catheter Care, Urinary, dated September 2014, showed: - The purpose of this procedure is to prevent catheter-associated urinary tract infections; - Cleansing of the catheter insertion site during daily bathing or showering is appropriate; - Empty collection bag at least every eight hours. 1. Review of Resident #22's medical record showed: - An admission date of 09/25/25; - Diagnoses of chronic obstructive pulmonary disease (COPD - a lung disease) and respiratory failure (lungs not working like they should); - An order for daily weights one time a day, dated 10/28/25. [...]
Inspectors wroteBased on observation, interview, and record review, the facility staff failed to implement enhanced barrier precautions (EBP - precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO -microorganisms that are resistant to one or more classes of antimicrobial agents) or any resident who has a chronic wound and/or indwelling medical device) for two residents (Residents #24 and #67) out of four residents sampled. The facility also failed to use proper infection control techniques during incontinent care for one resident (Resident #24) out of two sampled residents. The facility census was 50. Review of facility policy titled, Enhanced Barrier Precautions, dated January 2026, showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to cover a resident's catheter (tube inserted into the bladder to drain urine) drainage bag with a dignity bag to ensure the dignity of one resident (Resident #2) out of two sampled residents. The facility census was 51. Review of the facility policy titled, Dignity and Respect, undated, showed: - All residents be treated with kindness, dignity, and respect; - Privacy of a resident's body shall be maintained during toileting, bathing, and other activities of personal hygiene, except when staff assistance is needed for the resident's safety; - Residents shall be examined and treated in a manner that maintains the privacy of their bodies. 1. Review of Resident #2's medical record showed: - admitted on [DATE]; - Diagnosis of acute cystitis (bladder infection) with hematuria (bloody urine); [...]
Inspectors wroteBased on interview and record review, the facility failed to notify the resident and/or the resident's representative in writing of a transfer or discharge to a hospital for two residents (Residents #2 and #35) out of three sampled residents. The facility's census was 51. The facility did not provide a policy regarding a resident transfer/discharge. 1. Review of Resident #2's medical record showed: - Transferred to the hospital on [DATE], and readmitted to the facility on [DATE]; - No documentation the resident and/or the resident representative was informed in writing of the transfer/discharge to the hospital at the time of the transfer. 2. Review of Resident #35's medical record showed: - Transferred to the hospital on [DATE], and readmitted to the facility on [DATE]; [...]
Inspectors wroteBased on interview and record review, the facility failed to inform the resident and/or the legal representative of their bed hold policy at the time of transfer to the hospital for two residents (Residents #2 and #35) out of three sampled residents. The facility's census was 51. The facility did not provide a bed hold policy. 1. Review of Resident #2's medical record showed: - Transferred to the hospital on [DATE], and readmitted to the facility on [DATE]; - No documentation the resident and/or the resident representative was informed in writing of the facility bed hold policy at the time of the transfer. 2. Review of Resident #35's medical record showed: - Transferred to the hospital on [DATE], and readmitted to the facility on [DATE]; - No documentation the resident and/or the resident representative was informed in writing of the facility bed hold policy at the time of the transfer. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide a Registered Nurse (RN) for eight consecutive hours per day, seven days a week. This deficiency had the potential to affect all residents. The facility census was 51. The facility did not provide a RN coverage policy. Review of the facility's Facility Assessment, updated 08/01/24, showed: - The facility required three licensed nurses providing direct care for day shift, which included at least one RN for the day shift; - The facility required three licensed nurses providing direct care for the night shift, which included at least one RN for the night shift. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication error rate of less than five percent (%). There were 36 opportunities with two errors made, resulting in an error rate of 5.56% for two residents (Residents #2 and #26) out of seven sampled residents. The facility's census was 51. Review of the facility's policy titled, Administering Medications, dated April 2019, showed: - Medications are administered in a safe and timely manner, and as prescribed. - Insulin pens containing multiple doses of insulin are for single-resident use only. Changing the needle does not make it safe to use insulin pens for more than one resident; - Insulin pens are clearly labeled with the resident's name or other identifying information. Prior to administering insulin with an insulin pen, the nurse verifies that the correct pen is used for that resident; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain proper infection control practices during catheter (a tube that inserted into the bladder to drain urine) care for one resident (Resident #2) out of two sampled residents and during gastrostomy tube (device to deliver food or medicine into the resident's digestive system) care for one resident (Resident #44) out of two sampled residents, and while passing trays during meal times. The facility's census was 51. Review of the facility's policy titled, Wearing Gloves for Food Safety, undated, showed: - Wash hands before and after handling food, utensils, or equipment; - Wash hands after touching hair or your body; - Wash hands when you change tasks; - Wash hands after touching anything that might result in contamination of hands. [...]
Inspectors wroteBased on interview and record review, the facility failed to conduct at least twelve hours of nurse aide in-service education per year. This affected one Certified Nurse Assistant (CNA) (CNA F) out of two sampled CNAs. The facility's census was 51. Review of the facility's policy titled, In-Service Training, Nurse Aide, revised 08/2022, showed: - All personnel are required to participate in regular in-service education; - Annual in-services are no less than 12 hours per employment year; - Nurse aid participation in training is documented by the staff development coordinator, or his/her designee and includes: the date and time of the training; the topic of the training; the method used for the training; a summary of the competency assessment; and the hours of training completed. 1. Review of CNA F's in-service record showed: - A hire date of 07/05/23; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to conduct regular inspections of all bed frames, mattresses, side rails, and enabler bars as part of a regular maintenance program for twelve residents (Resident #1, #2, #3, #13, #15, #22, #27, #28, #37, #42, #53, and #360) out of 14 sampled residents and one resident (Resident #39) outside the sample. The facility's census was 53. Review of the facility's policy titled, Bed Safety, dated 2007, showed the following: To try to prevent deaths/injuries from the beds and related equipment (including the frame, mattress, side rails, headboard, footboard, and the bed accessories), the facility shall promote the following approaches: - Inspect by maintenance staff of all beds and related equipment as part of our regular bed safety program to identify risks and problems including potential entrapment risks; [...]
Inspectors wroteBased on interview and record review, the facility failed to notify the resident and the resident's representative in writing of a transfer or discharge to a hospital, including the reasons for transfer for two residents (Resident #1 and #13) out of 14 sampled residents and one resident (Resident #40) outside the sample. The facility's census was 53. The facility failed to provide a policy regarding resident transfer/discharge. Review of the facility's admission agreement titled, admission Agreement, undated, showed the facility will notify the resident or resident's guarantor of the reason for any transfer or discharge and will record the reason in the resident's medical record. 1. Review of Resident #1's medical record showed: - Transferred and admitted to the hospital on [DATE] and readmitted to the facility on [DATE]; [...]
Inspectors wroteBased on interview and record review, the facility failed to inform the resident and family and/or legal representative of their bed hold policy at the time of transfer to the hospital for two residents (Resident #1 and #13) out of 14 sampled residents and one resident (Resident #40) outside the sample. The facility's census was 53. The facility failed to provide a bed hold policy. 1. Review of Resident #1's medical record showed: - Transferred and admitted to the hospital on [DATE] and readmitted to the facility on [DATE]; - Transferred and admitted to the hospital on [DATE] and readmitted to the facility on [DATE]; - No documentation that the resident or resident representative was informed in writing of the facility bed hold policy at the time of transfer. 2. Review of Resident #13's medical record showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to document a complete and accurate Minimum Data Set (MDS, a federally mandated assessment to be completed by the facility) for four residents (Resident #13, #22, #24, and #28) out of 14 sampled residents. The facility's census was 53. The facility failed to provide a policy for MDS assessment. 1. Review of Resident #13's medical record showed: - An admission date on 08/02/23; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess residents for the use of bed rails prior to installation or use nor did they obtain informed consent from the resident or if applicable, the resident representative. The facility also failed to provide ongoing monitoring, supervision and routine maintenance of the beds with bed rails in use for six residents (Resident #1, #2, #3, #22, #27, and #42) out of 14 sampled residents. The facility's census was 53. Review of the facility's policy titled, Bed Safety, dated 2007, showed the following: - The resident's sleeping environment shall be assessed by the interdisciplinary team, considering the resident's safety, medical conditions, comfort, and freedom of movement, as well as, input from the resident and family regarding previous sleeping habits and bed environment; [...]
4 fire safety citations on file: 2 on April 10, 2026, 1 on January 23, 2025, 1 on November 16, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.26 | 3.43 | 3.86 |
| Registered nurses | 0.63 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.53 | 3.01 | 3.42 |
| Nurse aides | 2.51 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 65.7% | 56.0% | 45.8% |
| Registered nurse turnover | 70.0% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.03 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.55 on weekdays and 3.53 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.44 in April to June 2025 to 4.26 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.26 | 0.63 | 4.55 | 3.53 | 0.0% | 0 of 90 | 54 |
| Oct to Dec 2025 | 4.61 | 0.57 | 4.88 | 3.91 | 0.0% | 0 of 92 | 51 |
| Jul to Sep 2025 | 4.44 | 0.54 | 4.72 | 3.73 | 0.0% | 0 of 92 | 49 |
| Apr to Jun 2025 | 4.44 | 0.61 | 4.72 | 3.71 | 0.0% | 0 of 91 | 51 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 33.8 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 58.8 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.7 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.5 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.3 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Chateau Girardeau's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.3% this home
No different from the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 260 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Missouri: 0 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 254 eligible stays.
6.4% this home
No different from the national rate
US median of homes 7.1% · Missouri: 1 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 170 eligible stays.
75.0% this home
Median of homes: Missouri51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 160 residents counted.
0.0% this home
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 204 residents counted.
5.6% this home
Median of homes: Missouri2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 203 residents counted.
99.2% this home
Median of homes: Missouri100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 127 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CAPE RETIREMENT COMMUNITY, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cape Retirement Community, Inc. | 5% or greater direct ownership interest | Organization | 100% | 11/20/2009 |
| Boeller, Keith | Contracted managing employee | Individual | 01/01/2015 | |
| Boeller, Keith | W-2 managing employee | Individual | 01/01/2015 | |
| Boeller, Keith | Corporate director | Individual | 01/01/2015 | |
| Carins, Paul | Corporate director | Individual | 01/01/2017 | |
| Eudy, Debra | Corporate director | Individual | 01/01/2015 | |
| Kinder, Mark | Corporate director | Individual | 02/22/2016 | |
| Klein, John | Corporate director | Individual | 01/01/2021 | |
| Mattingly, Nancy | Corporate director | Individual | 01/01/2019 | |
| Reeves, Dean | Corporate director | Individual | 01/01/2021 | |
| Sides, Chris | Corporate director | Individual | 01/01/2020 | |
| Tanner, Roger | Corporate director | Individual | 01/01/2021 | |
| Taylor, Steve | Corporate director | Individual | 01/01/2019 | |
| Boeller, Keith | Corporate officer | Individual | 01/01/2015 | |
| Edmonds, Chris | Corporate officer | Individual | 01/01/2022 | |
| Fadler, Jeannette | Corporate officer | Individual | 01/01/2022 | |
| Herbst, Charlie | Corporate officer | Individual | 01/01/2022 | |
| Kasten, Vernon | Corporate officer | Individual | 01/27/2015 | |
| Schade, Kevin | Corporate officer | Individual | 01/01/2022 | |
| Cape Retirement Community, Inc. | Operational/managerial control | Organization | 11/20/2009 | |
| Boeller, Keith | Operational/managerial control | Individual | 01/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.