1009 East Ohio, Clinton, MO 64735 · Henry County · (660) 885-5571
120 certified beds, about 70 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265255 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 5, 2024, inspectors cited 10 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 31 health citations since September 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $83,041 in the last three years; the largest was $83,041, and the latest is dated February 10, 2025.
Nurses and nurse aides worked 3.57 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.23 of those hours.
82.2% of nursing staff left within the year CMS measured (Missouri average 56.0%).
CMS links it to Circle B Enterprises, an affiliated group of 36 nursing homes.
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 31 health citations on file.
Inspectors wrote1. Please refer to event ID YO6F12, exit date 03/26/25, for details. Based on observation, record review, and interview, the facility failed to promote and facilitate each residents right to self-determination when staff failed to honor four residents' (Resident #1, #2, #3, and #4) shower preferences. The facility census was 71. Review of the facility's policy titled Bath, Shower/Tub, dated February 2018, showed the following information: -The purpose of the procedure was to promote cleanliness, provide comfort to the resident, and to observe the condition of the resident's skin; -Document the date and time the shower/tub bath was performed; -Document the name and title of the individual who assisted the resident; -Document all assessment data obtained during the shower/tub bath; -Document if the resident refused the shower/tub bath and the reason; [...]
Inspectors wrote1. Please refer to event ID YO6F12, exit date 03/26/25, for details. Based on record review and interview, the facility failed to protect each resident's right to be free from misappropriation of proper when narcotic pain medications for one resident (Resident #3) went missing while in the possession of the facility staff. The facility census was 71. Review of the facility's policy titled Administering Pain Medications, dated October 2022, showed the following: -Document in the resident's medical record results of the pain assessment, medication, dose, route of administration, and results of the medication; -Report other information in accordance with facility policy and professional standards of practice. Review of the facility's policy titled Medication Orders, dated February 2023, showed the following: [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free of significant medication errors when staff failed to transcribe new admission orders correctly for one resident (Resident #1) resulting in staff administering two medications in excess of the ordered dosage amounts for five days. Once notified of the error, the staff did not document notification of the physician of the medication error to obtain further direction. The resident passed away on the day the medication error was discovered. The facility census was 74. The Administrator and the Corporate Nurse were notified on 02/06/25, at 4:10 P.M. of an Immediate Jeopardy (IJ) which began on 01/24/25. The IJ was removed on 02/06/25 as confirmed by surveyor onsite verification. Review of the facility policy titled Administering Medications, dated April 2019, showed the following: [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure a written transfer agreement with a hospital was in effect to ensure residents timely admission to the hospital when medically appropriate and that information would be exchanged between providers. This has the potential to effect all the residents. The facility census was 74. Review showed the facility did not provide a policy pertaining to written transfer agreements with a hospital or a written transfer agreement with a community hospital. During interviews on 02/10/25, at 1:30 P.M. and 2:10 P.M., the Regional Director of Operations said he/she was not aware of the federal requirement for the facility to have a written transfer agreement with a hospital. Staff could not locate a written transfer agreement with a hospital. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to promote and facilitate each residents right to self-determination when staff failed to honor four residents' (Resident #1, #2, #3, and #4) shower preferences. The facility census was 71. Review of the facility's policy titled Bath, Shower/Tub, dated February 2018, showed the following information: -The purpose of the procedure was to promote cleanliness, provide comfort to the resident, and to observe the condition of the resident's skin; -Document the date and time the shower/tub bath was performed; -Document the name and title of the individual who assisted the resident; -Document all assessment data obtained during the shower/tub bath; -Document if the resident refused the shower/tub bath and the reason; -Notify the supervisor if the resident refused the shower/tub bath. 1. [...]
Inspectors wroteBased on record review and interview, the facility failed to protect each resident's right to be free from misappropriation of proper when narcotic pain medications for one resident (Resident #3) went missing while in the possession of the facility staff. The facility census was 71. Review of the facility's policy titled Administering Pain Medications, dated October 2022, showed the following: -Document in the resident's medical record results of the pain assessment, medication, dose, route of administration, and results of the medication; -Report other information in accordance with facility policy and professional standards of practice. Review of the facility's policy titled Medication Orders, dated February 2023, showed the following: [...]
Inspectors wroteBased on record review and interview, the facility failed to provide care that met professional standards quality for one resident (Resident #2) from a sample of 13 residents. Facility staff failed to accurately transcribe the resident's physician orders on admission. The facility census was 74. Review of the facility policy titled Administering Medications, dated April 2019, showed the following: -The Director of Nursing (DON) services supervises and directs all personnel who administer medications and/or have related functions; [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain an effective infection control program including screening all staff for tuberculosis (TB - a contagious infection that usually attacks the lungs) as required when the facility failed to ensure the first and second step of the two-step tuberculin skin test (TST) was completed prior resident contact for three staff members (Registered Nurse (RN) A, Certified Medication Tech (CMT) B, and Licensed Practical Nurse (LPN) C), failed to ensure the TB test was read within 48 to 72 hours from placement for one staff (CMT B), and failed to complete a second step TB test for one staff (RN A), of 10 sampled staff members. The facility census was 67. Review of the facility policy Employee Screening for Tuberculosis, dated March 2021, showed the following: [...]
Inspectors wroteBased on interview and record review, the facility failed to implement an effective grievance process when staff failed to ensure all grievances included documentation of a full investigation, of a final decision, and of follow-up regarding findings with the resident who filed the grievance. Review of the facility policy Grievances/Complaints, Recording and Investigating, dated 2021, showed the following: -The administrator has assigned the responsibility of investigating grievances and complaints to the grievance officer. -The investigation and report will include the circumstances surrounding the alleged incident, the names of any witnesses and their accounts of the alleged incident, the resident's account of the alleged incident, and recommendations for corrective action. 1. Review of the Grievance/Complaint Report, dated 04/29/24, showed the following: [...]
Inspectors wroteBased on observation, interview, and record review, interview, the facility failed to develop and implement complete and accurate care plans for all residents when staff failed to ensure five residents' (Resident #36, #42, #3, #1, and #4), of 27 residents reviewed, care plans addressed all appropriate care areas. Review of the facility's policy Care Plans, Comprehensive Person-Centered, dated 03/2022, showed the following: -The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment. -The comprehensive person-centered care plan included measurable objectives and timeframes, resident's stated goals upon admission, and desired outcome. 1. Review of Resident #36's Face Sheet, located in the Profile tab of the electronic medical record (EMR), showed the following: -admission date of 03/01/24; [...]
Inspectors wroteBased on record review and interview, the facility failed to provide effective pain management for all residents when the facility failed to ensure four of four residents (Resident #57, #32, #18 and #7) had pain medication available to be administered as ordered at all times. Review of the facility policy titled, Pharmacy and Medication Administration, undated, showed the following: -The emergency medication kit is refilled by the pharmacy; -The facility will have a clear practice about reordering of medication. lf the medication nurse or CMT (Certified Medication Tech) does not pull the labels to reorder the medications during their med pass, they may not be available when needed. Review of the facility policy titled, Emergency Kit System/With Controlled Substances (E-Kit), dated March 2015, showed the following: [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure a system was in place to account for all controlled drugs and that allowed for accurate reconciliation when staff failed to routinely complete a documented narcotic count for each change of shift. 1. Review of the 200 Hall Narcotic Record Books, reviewed with Licensed Practical Nurse (LPN) 5 and Medical Records, showed there were missing signatures for the following: -On 08/17/24 for 6:00 P.M. outgoing; -On 08/21/24 for 6:00 P.M. outgoing; -On 08/26/24 for 6:00 P.M. outgoing; -On 08/27/24 for 6:00 P.M. outgoing; -On 09/01/24 for 6:00 A.M. incoming; -On 09/01/24 for 6:00 P.M. outgoing. Review of the medication tech 100 Hall Narcotic Record Books, reviewed with LPN 5 and Medical Records, showed there were missing signatures for the following: -On 08/17/24 for 6:00 P.M. outgoing; -On 08/20/24 for 6:00 A.M. incoming; [...]
Inspectors wroteBased on interview and record review, the facility failed to have a system in place to monitor for side effects and targeted behaviors for five of five sampled residents (Resident #48, #36, #42, #4, and #3) reviewed for unnecessary medications who received psychotropic medications. Review of the facility's Psychotropic Medication Use policy, dated 7/2022, showed the following: -Psychotropic medication management included .adequate monitoring for efficacy and adverse consequences and preventing, identifying, and responding to adverse consequences. 1. Review of Resident #48's Face Sheet, located in the Profile tab of the electronic medical record (EMR), showed the following: -admission date of 11/28/23; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure all residents, or resident representatives, received written notice of transfer when staff failed to provide a written notice of discharge to one resident (Resident #56), of one sampled resident, or his/her representative, for a facility initiated emergent hospital transfers. Review of the facility's Discharge Policy, dated 2021, showed the policy did not address written transfers notice. 1. Review of Resident #56's face sheet, located in the electronic medical record (EMR) under the Resident tab, showed the following: -admission date of 06/27/24; -Diagnoses included chronic respiratory failure with hypoxia (low oxygen levels). Review of the resident's Progress Note, located in the EMR under the Progress Note tab, showed the following: [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure that a new Preadmission Screening and Resident Review (PASARR) Level l assessment was submitted after a new mental illness diagnosis for two (Resident #20 and #42) out of five residents reviewed for PASARR. 1. Review of Resident #20's Face Sheet, located in the Profile tab of the electronic medical record (EMR), showed the following: -admission date of 10/09/18; -readmission date of 04/19/24; -Diagnoses included unspecified mood affective disorder (mental disorder characterized by dramatic changes or extremes of mood) and major depressive disorder. Review of the resident's PASARR Level l, located under the Diagnosis tab in the EMR and dated 05/14/20, showed no mental illness diagnosis. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a baseline complete care plan was developed and provided for one resident (Resident #123), of 27 sampled residents, when the facility failed to care plan for the resident's diagnosis of schizophrenia (a mental health condition that affects how people think, feel and behave). Review of the facility's policy titled, Care Plans - Baseline, revised 03/2022, showed the following: -A baseline plan of care to meet the resident's immediate health and safety needs is developed for each resident within forty-eight (48) hours of admission; -The baseline care plan included instructions needed to provide effective, person -centered care of the resident and must include the minimum healthcare information necessary to properly care for the resident including physician orders. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents received respiratory care by standards of practice when staff failed to change one resident's (Resident # 4), out of 27 sampled residents, nebulizer tubing as ordered. 1. Review of the Resident #4's admission Record, found in the electronic medical record (EMR) under the Profile tab, showed the following: -admission date of 09/07/19; -Diagnoses included COPD (chronic obstructive pulmonary disease - a common lung disease causing restricted airflow and breathing problems), asthma, and allergic rhinitis. Review of the resident's Respiratory Care Plan, in the EMR under the Care Plan tab, dated 03/14/24, showed the following interventions: -Administer respiratory medication as ordered. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure dialysis (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly) services were provided per standards of practice and resident's care plan when staff failed to have ongoing pre and post dialysis communication for one resident (Resident #38) who received dialysis. 1. Review of Resident #38's Face Sheet, located in the Profile tab of the electronic medical record (EMR), showed the following : -admission date of 12/05/19; -readmission date of 07/16/24; -Diagnoses included end stage renal disease (ESRD). Review of the resident's significant change Minimum Data Set (MDS - a federally mandated assessment completed by facility staff), with an assessment reference date (ARD) of 07/23/24, located under the MDS tab of the EMR, showed the following: [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure three nursing assistants (Nurse Aide (NA) A, NA B, and NA C) completed a state approved certified nursing assistant (CNA) training program and competency evaluation program within four months of hire. The facility's census was 61. Review of a facility policy entitled Nurse Aide Qualifications and Training Requirements, revised August 2022, showed the following: -Nurse aides must undergo a state-approved training program; -The facility will not use any individual as a nurse aide who has worked less than four months unless the individual is a full-time employee and participating in a state-approved training and competency evaluation program; or has demonstrated competence through satisfactory participation in a state-approved nurse aide training and competency evaluation program; [...]
Inspectors wroteBased on interview and record review, the facility failed to provide a Preadmission Screening and Resident Review (PASARR - a federally mandated preliminary assessment to determine whether a resident may have a mental illness (MI) or an intellectual disorder (ID), to determine the level of care needed) for one resident (Resident # 61). The facility census was 61. Record review of the Central Office Medical Review Unit (COMRU) instructional guide, updated October 2021, showed the PASARR is a federally mandated screening process for individuals with serious mental illness and /or intellectual or developmental disability related diagnosis who apply or reside in Medicaid Certified beds in a nursing facility regardless of the source of payment. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a baseline care plan consistent with the resident's specific conditions, needs, and risks to provide effective person centered care that met professional standards of quality care when staff did not address dialysis (a procedure to remove waist products and excess fluid from the blood when the kidneys stop working) port care and monitoring before and after dialysis for one resident (Resident #219) and did not address use of a bilevel positive airway pressure (BIPAP) machine (a devise to provide air pressure for breathing in and breathing out during sleep) for one resident (Resident #222). The facility had a census of 61. Record review of the facility's policy titled Care Plans-Baseline, dated March 2022, showed the following: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a physician's order and provide proper cleaning and maintenance for a Bilevel Positive Airway Pressure machine (BIPAP- a devise to provide air pressure for breathing in and breathing out during sleep) for one resident (Resident #222). The facility census was 61. Record review of the facility's policy titled CPAP/BIPAP Support, dated March 2015, showed the following: -Purpose is to administer positive airway pressure to maintain open an airway; -Use to improve arterial oxygenation in residents with respiratory insufficiency; -Review the physician's order to determine the oxygen concentration and flow and the pressure for the machine; -Follow the manufacture's instructions for machine set up, delivery, and care. Record review of the Trilogy 100-BIPAP clinical manual, dated October 2018, showed the following: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide thorough assessments and provide monitoring of the resident's dialysis central venous catheter (an intravenous line into a vein in the resident's chest), failed to maintain ongoing communication with the dialysis (the cleaning of the blood with a machine due to the kidneys not working) center, and failed to obtain an agreement with a dialysis provider, for one resident (Resident #219) that received dialysis. The facility census was 61. Record review of the facility's policy titled Hemodialysis Access Care, undated, showed the following: -Central Dialysis catheters must be kept clean and dry at all times; -Dressing changes should be done using sterile technique; [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to fully document administration and effectiveness of administered pain medications for three residents (Resident #32, #36, and #72); failed to address and notify the physician of continued pain for one (Resident #32 and #73); and failed to document administration of pain medication for one resident (Resident #36) in a sample of 18. The facility's census was 71. Record review of the facility's pain assessment and management policy, dated March 2015, showed the following: -The purposes of this procedure is to help the staff identify pain in the resident and to develop interventions that are consistent with the resident's goals and needs and that address the underlying causes of pain; [...]
Inspectors wroteBased on record review and interview, the facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice (SNFABN - form CMS-10055) or a denial letter at the initiation, reduction, or termination of Medicare Part A benefits for two resident (Resident #2 and #37) who remained in the facility after discharge from Medicare Part A services. The facility census was 71. Record review of the Centers for Medicare and Medicaid Services Survey and Certification memo (S&C -09-20), dated 1/9/09, showed the following: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess the use of a seat belt to determine if it was a restraint and obtain a physician order for use of the seatbelt for one resident (Resident #9) who was not consistently able to remove the seat belt without staff assistance. The facility census was 71. Based on the facility policy titled Physical Restraint Application, dated October 2010, showed the following: -The purpose of this procedure is to provide safety or postural support of a resident to prevent injury to the resident or others when the resident has medical symptoms that warrant the use of restraints; [...]
Inspectors wroteBased on record review, observations, and interviews, the facility failed to develop a comprehensive care plan for one resident (Resident # 46) out of a sample size of 18 residents. The facility census was 71. Record review of the facility policy titled Care Plans, Comprehensive Person-Centered dated December 2016 showed: - A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical and functional needs is developed and implemented for each resident; - The Interdisciplinary Team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident; - The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess one resident (Resident #73) for change in condition and adequately complete neurological checks (level of consciousness is evaluated) following a fall. The facility failed to assess the resident's catheter (a sterile tube inserted into the bladder to drain urine) which had blood following a fall. The facility failed to address the resident's request to be discharged to the hospital. This practice affected one resident out of a sample of 18 residents. The facility census was 71. Record review of the facility's Managing Falls and Fall Risk policy, dated March 2018, showed the following: [...]
Inspectors wroteBased on record review, observations, and interviews, the facility failed to obtain an order for a catheter (a sterile tube inserted into the bladder to drain urine) and catheter care for one resident (Resident #46) and failed to follow orders for catheter care for another resident (Resident #56) out of sample size of 18 residents. The facility census was 71. Record review of the facility's policy titled Suprapubic Catheter (urinary bladder catheter inserted through the skin about 1 inch above the symphysis pubis (pelvis)) Care, dated October 2010, showed the following: -The purpose of this procedure is to prevent skin irritation around the stoma site and to prevent infection of the resident's urinary tract; -Review the resident's care plan to assess for any special needs of the resident; -Wash around the catheter site with soap and water. (Note: [...]
Inspectors wroteBased on interview and record review, the facility failed to obtain a physician's admission orders in a timely manner for one resident (Resident #73) when the facility did not confirm a physician for the resident until three days later. The physician orders for the resident were signed by a physician two months later. This practice affected one resident out of a sample of 18. The facility census was 71. 1. Record review of Resident #73's face sheet (general information at a quick glance) showed the following: -admitted to the facility on [DATE]; -Diagnoses included paraplegia, unspecified injury at T7-T10 level of thoracic spinal cord, and fracture of T9-T10 vertebra. Record review of the resident's hospital Discharge summary, dated [DATE], showed the following: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to address one resident's (Resident #66) dental needs out of a sample of 18 residents in a facility with a census of 71. Record review of the facility's policy titled, Availability of Services, Dental, revised August 2007, showed the following information: -Oral healthcare and dental services will provided to each resident; -Dental services are available to all residents requiring routine and emergency dental care; -All requests for routine and emergency dental services should be directed to Social Services and/or designee to assure that appointments can be made in a timely manner; -Residents with lost or damaged dentures will be promptly referred to a dentist. Record review of the facility's policy titled Routine Dental Care, revised April 2007, showed the following information: [...]
2 fire safety citations on file: 1 on September 5, 2024, 1 on January 6, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| February 10, 2025 | Fine | $83,041 |
| February 10, 2025 | Payment Denial | 25 days from March 20, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.57 | 3.43 | 3.86 |
| Registered nurses | 0.23 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.01 | 3.42 |
| Nurse aides | 2.30 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 82.2% | 56.0% | 45.8% |
| Registered nurse turnover | 71.4% | 47.8% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.89 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 3.75 on weekdays and 3.13 on weekends, 17% 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 2.81 in April to June 2025 to 3.57 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 | 3.57 | 0.23 | 3.75 | 3.13 | 0.0% | 0 of 90 | 70 |
| Oct to Dec 2025 | 4.12 | 0.39 | 4.35 | 3.56 | 0.0% | 0 of 92 | 68 |
| Jul to Sep 2025 | 2.94 | 0.34 | 3.16 | 2.39 | 0.0% | 0 of 92 | 63 |
| Apr to Jun 2025 | 2.81 | 0.29 | 2.99 | 2.35 | 0.0% | 0 of 91 | 65 |
| 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 | 37.7 | 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 | 2.5 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.2 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.6 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 50.0 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.2 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.0 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Clinton Healthcare and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.7% 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. 66 eligible stays.
10.8% 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. 75 eligible stays.
7.3% 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. 48 eligible stays.
15.4% 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. 26 residents counted.
2.8% 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. 36 residents counted.
0.0% 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. 36 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 7 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: CLINTON NO 1 INC. CMS links this home to Circle B Enterprises, a group of 36 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Clinton Exempt Trust | 5% or greater direct ownership interest | Organization | 100% | 04/23/2004 |
| Bedell, Donald | Corporate director | Individual | 04/23/2004 | |
| Beaird, Todd | Corporate officer | Individual | 01/01/2022 | |
| Bedell, Donald | Corporate officer | Individual | 04/23/2004 | |
| Agh1 LLC | Operational/managerial control | Organization | 12/02/2016 | |
| Sovereign Healthcare Group LLC | Operational/managerial control | Organization | 04/23/2021 | |
| Bedell, Donald | Operational/managerial control | Individual | 04/23/2004 | |
| Foster, Georgann | Operational/managerial control | Individual | 12/29/2025 | |
| Snell, Mark | Operational/managerial control | Individual | 09/01/2001 | |
| Bedell, Bryan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/28/2025 | |
| Clinton Exempt Trust | Trustee of the SNF | Organization | 04/23/2004 | |
| Agh1 LLC | Adp of the SNF | Organization | 03/25/2025 | |
| Clinton Re LLC | Adp of the SNF | Organization | 03/12/2013 | |
| Dcb Real Estate Partnership LP | Adp of the SNF | Organization | 03/12/2013 | |
| Fg LLC | Adp of the SNF | Organization | 12/02/2016 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 08/16/2021 | |
| Mid States Inc | Adp of the SNF | Organization | 08/15/2014 | |
| Sovereign Healthcare Group LLC | Adp of the SNF | Organization | 04/06/2025 | |
| Van De Ven LLC | Adp of the SNF | Organization | 01/01/2000 | |
| Beaird, Todd | Adp of the SNF | Individual | 01/01/2022 | |
| Foster, Georgann | Adp of the SNF | Individual | 12/29/2025 | |
| Snell, Mark | Adp of the SNF | Individual | 09/01/2001 |
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.