640 Colonel George E Day Parkway, Sikeston, MO 63801 · New Madrid County · (573) 471-3400
60 certified beds, about 52 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265862 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 9, 2026, inspectors cited 5 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 24 health citations since August 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 3.17 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
49.0% 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 24 health citations on file.
Inspectors wroteBased on interviews and record review, the facility failed to create an environment respectful of the rights of each resident to make choices about specific aspects of their lives which included food choices and dislikes. This affected two residents (Resident #2 and #14) out of 12 sampled residents and eight residents (Residents #18, #21, #33, #42, #43, #44, #50, and #51) outside the sample. The facility census was 48. [...]
Inspectors wroteBased on interview and record review, the facility failed to electronically transmit a Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility staff) in a timely manner and in accordance with guidelines for six residents (Residents #6, #7, #14, #16, #22, and #45) out of 12 sampled residents. The facility census was 48. Review of the facility's policy titled, Electronic Transmission of the MDS, revised November 2019, showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a baseline care plan for two residents (Residents #59 and #60) out of two sampled residents that included the instructions needed to provide effective and person-centered care to meet professional standards of quality care. The facility census was 48. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure residents with limited range of motion (ROM) received appropriate treatment and services to increase their ROM and/or prevent a further decrease in their ROM for four residents (Resident #3, #6, #7, and #45) out of five sampled residents. The facility census was 48. Review of the facility's policy titled, Restorative Nursing Services, revised July 2017, showed: - Residents will receive restorative nursing care as needed to help promote optimal safety and independence; - Restorative nursing care consists of nursing interventions that may or may not be accompanied by formalized rehabilitative services such as physical, occupational, or speech therapies; - Residents may be started on a restorative nursing program upon admission, during the course of stay, or when discharged from rehabilitative care; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to reconcile narcotics (a process to count and document the exact narcotic inventory on hand) for seven residents (Residents #9, #18, #39, #42, #43, #50, & #58) out of 13 sampled residents. The facility census was 48. Review of the facility's policy titled, Controlled Substances, revised July 2017, showed:- Controlled substance inventory is monitored and reconciled to identify loss or potential diversion in a manner that minimizes the time between loss/diversion and detection/follow-up;- The system of reconciling the receipt, dispensing, and disposition of controlled substances includes the following:A. Records of personal access and usage;B. Medication administration records;C. Declining inventory records;D. Destruction, waste, and return to pharmacy records. 1. [...]
Inspectors wroteBased on interview and record review, the facility failed to consistently document a code status for one resident (Resident #101) out of 14 sampled residents. The facility census was 53. Review of the facility's policy titled, Advanced Directives, dated 2001, showed: - The resident has the right to formulate an advance directive, including the right to accept or refuse medical or surgical treatment. Advance directives are honored in accordance with state law and facility policy; - The facility defines the Do Not Resuscitate (DNR - in case of respiratory cardiac failure, the resident, legal guardian, health care proxy, or representative has directed that no cardiopulmonary resuscitation (CPR - an emergency life-saving procedure done when someone's breathing or heartbeat has stopped)) or other life-sustaining treatments or methods are to be used; [...]
Inspectors wroteBased on observation and interview, the facility failed to provide a safe, clean, and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 26. The facility did not provide a homelike environment policy. 1. Observations on 11/04/24 at 1:41 P.M., 11/05/24 at 8:47 A.M., 11/06/24 at 3:22 P.M. and 11/07/24 at 8:06 A.M., showed an unhung shower curtain lay on top of a shower chair in the shower area located in room [ROOM NUMBER]. 2. Observations on 11/04/24 at 1:55 at P.M., 11/05/24 at 3:22 P.M., 11/06/24 at 3:02 P.M., and 11/07/24 at 11:06 A.M., of the 200 Hall showed several small dried dark areas on the floor in front of the decorative table and the beside recliner located in front of the window in room [ROOM NUMBER]. 3. [...]
Inspectors wroteBased on interview and record review, the facility failed to electronically transmit quarterly Minimum Data Set (MDS) assessments, a federally mandated assessment instrument completed by the facility, in a timely manner and in accordance with the guidelines for four residents (Residents #7, #19, #28 and #35) outside of the 14 sampled residents. The facility's census was 53. Review of the facility's policy titled, MDS Completion and Submission Timeframes, dated July 2017, showed: - The facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes; [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to provide proper incontinent care for two residents (Residents #1 and #19) and failed to provide scheduled showers for one resident (Resident #37) for activities of daily living (ADLs) outside the 14 sampled residents. The facility census was 53. Review of the facility's policy titled, Activities of Daily Living, revised March 2018, showed: - Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out ADLs; - Residents who are unable to carry out ADLs independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene; - The policy did not address incontinent care and showers. Review of the Perineal Care Return Demonstration check sheet, undated, showed: - Clean the front peri area; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement procedures to ensure medications were accurately administered, documented, disposed of, and reconciled for one resident (Resident #8) outside of the seven sampled residents. The facility census was 53. Review of the facility's policy titled, Controlled Substances, revised November 2022, showed: - Controlled substance inventory is monitored and reconciled to identify loss or potential diversion in a manner that minimizes the time between loss/diversion and detection/follow-up; - Nursing staff count controlled medication inventory at the end of each shift, using these records to reconcile the inventory count; - The nurse coming on duty and the nurse going off duty make the count together and document and report any discrepancies to the director of nursing services; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure an appropriate diagnosis and to identify specific behaviors and monitor the behaviors for the use of a psychotropic (drugs that can affect mood or mental state) medications for two residents (Residents #2 and #14) out of five sampled residents. The facility census was 53. Review of the facility policy titled, Antipsychotic Medication Use, revised on July 2022, showed: - Residents will only receive antipsychotics medications when necessary to treat specific conditions for which they are indicated and effective; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an error rate of less than five percent (%) when medications were given. There were 30 opportunities with four errors made, for an error rate of 13.33%. This affected two residents (Residents #10 and #45) out of six sampled residents and had the potential to affect all residents. The facility census was 53. Review of the facility's policy titled, Documentation of Medication Administration, revised November 2022, showed: - A nurse of certified medication technician (CMT), where applicable, documents all medications administered to each resident on the resident's Medication Administration Record (MAR); - Administration of medication is documented immediately after it is given. Review of the facility's policy titled, Administering Oral Medications, revised October 2010, showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These deficient practices had the potential to affect all residents. The facility census was 53. Review of the facility's policy titled, Sanitation, revised November 2022, showed; - Kitchen areas are kept clean, free from garbage and debris; - All kitchen equipment is kept clean. Review of the facility's policy titled, Food Receiving and Storage, undated, showed; - All foods stored in the refrigerator or freezer are covered, labeled and dated; - Refrigerated foods are labeled, dated and monitored so they are used by their use-by date; - Partially eaten food is not kept in the refrigerator. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to perform hand hygiene and glove changes during incontinent care for three residents (Residents #1, #19 and #251) outside the six sampled residents. The facility census was 53. Review of the facility's policy titled, Handwashing/Hand Hygiene, dated 2001, showed: - The facility considers hand hygiene the primary means to prevent the spread of healthcare-associated infections; - All personnel are trained and regularly in-serviced on the importance of hand hygiene in preventing the transmission of healthcare-associated infections; - All personnel are expected to adhere to hand hygiene policies and practices to help prevent the spread of infections to other personnel, residents, and visitors; - Hand hygiene is indicated: immediately before touching a resident; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to obtain an order for a Foley catheter (a flexible tube inserted into the bladder to drain urine), catheter care and provide a diagnosis for the use of a catheter for two residents (Resident #34 and #42) out of two sampled residents and one resident (#197) outside the sample. The facility failed to ensure placement of the catheter tubing and drainage bags for one resident (Resident #42) out of two sampled residents and one resident (Resident #197) outside the sample. The facility census was 45. Review of the facility's policy titled, Catheters Insertion and Care, revised on 05/2017, showed: - The resident with a urinary catheter will be provided services in a safe and appropriate manner in order to minimize the risks of urinary tract complications; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure staff reconciled narcotics (a process that allows one staff to reconcile the exact narcotic inventory on hand with another staff) at each shift change for two out of two medication carts and one medication storage room. This had the potential to affect all residents. The facility census was 45. Review of the facility's policy titled, Controlled Substances, dated April 2019, showed: - The facility will follow all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of controlled substances; - Controlled substances are reconciled upon receipt, administration, disposition, and at the end of each shift; - Controlled medications are counted at the end of each shift. The nurse coming on duty and the nurse going off duty determine the count together; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to perform hand hygiene between glove changes during incontinent care for two residents (Residents #18 and #21) out of four sampled residents and one resident (Resident #4) outside the sample. The facility failed to perform hand hygiene between residents when medications were administered for three residents (Residents #33, #197, and #198) out of three sampled residents. The facility failed to ensure in the prevention of communicable disease in regards to Tuberculosis (TB) (a communicable disease that affects the lungs characterized by fever, cough and difficulty breathing) by not completing the admission TB screening and/or a yearly risk assessment for symptoms for five residents (Residents #3, #7, #12, #18, and #34) out of five sampled residents. The facility census was 45. [...]
Inspectors wroteBased on interview and record review, the facility failed to complete a significant change Minimum Data Set (MDS), a federally mandated assessment to be completed by the facility staff, within 14 days of an admission to hospice (health care focused on the quality of life of a terminally ill person) for one resident (Resident #21) out of four sampled residents. The facility's census was 45. Review of the facility's policy titled, Resident Assessments, revised March 2022, showed: - The resident assessment coordinator is responsible for ensuring that the appropriate resident assessments and reviews are completed; - The Resident Assessment Instrument (RAI) (the manual used to help staff gather definitive information on the resident's strengths and needs which must be addressed on the MDS and care plans) provides detailed information on timing and submission of the MDS assessments. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS), a federally mandated assessment to be completed by the facility staff, for one resident (Resident #16) out of 12 sampled residents and one resident (Resident #44) out of three closed record reviews. The facility census was 45. Review of the facility's policy titled, Resident Assessments, revised March 2022, showed: - The resident assessment coordinator is responsible for ensuring the appropriate resident assessments and reviews are completed; - The Resident Assessment Instrument (RAI) (the manual used to help staff gather definitive information on the resident's strengths and needs which must be addressed on the MDS and care plans) provides detailed information on timing and submission of the MDS assessments. 1. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to implement a care plan with specific interventions tailored to meet individual needs for five residents (Residents #3, #9, #16, #29, and #34) out of 12 sampled residents. The facility census was 45. Review of the facility's policy titled, Comprehensive Person-Centered Care Plans, revised December 2016, showed: - A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs will be developed and implemented for each resident; - The interdisciplinary team, in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident; [...]
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive discharge summary for two residents (Resident #44 and #46) out of two sampled discharged residents. The facility census was 45. Review of the facility's policy titled, Discharge Summary and Plan, dated December 2016, showed: - When the facility anticipates a resident's discharge to a private residence or another nursing care facility, a discharge summary and a post-discharge plan will be developed which will assist the resident to adjust to his or her new living environment; - The discharge summary will include a recapitulation of the resident's stay at this facility and a final summary of the resident's status at the time of discharge in accordance with established regulations governing release of resident information and as permitted by the resident. 1. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide documentation of ongoing assessments, monitoring, and communication between the facility and the dialysis (a type of treatment that helps remove extra fluid and waste products from the blood when the kidneys are not able to) center for one resident (Resident #9) out of one sampled resident receiving dialysis (the process for removal of waste and excess fluid from the blood due to kidney failure). The facility census was 45. Review of the facility's policy titled, Dialysis, undated, showed: - Will coordinate and collaborate with local dialysis facilities to meet the resident's nutrition and hydration needs; - Will provide ongoing monitoring and care of the resident's vascular access; [...]
Inspectors wroteBased on interview and record review, the facility failed to provide the nurse aide's annual individual performance review or evaluation and failed to provide regular in-service education based on these reviews for two certified nursing assistants (CNAs) (CNA D and CNA H) out of two sampled CNAs. The facility census was 45. The facility did not provide a policy for nurse aide annual individual performance review or evaluations. Review of the facility's in-service records showed: - CNA D with a hire date of 12/22/17; - No documentation CNA D received any in-service education for 2022; - No documentation CNA D received an annual individual performance review or evaluation for 2022; - CNA H with a hire date of 8/9/20; - No documentation CNA D received any in-service education for 2022; - No documentation CNA H received an annual individual performance review or evaluation for 2022. [...]
Inspectors wroteBased on interview and record review, the facility failed to conduct at least 12 hours of nurse aide in-service education per year. This affected certified nursing assistants (CNAs) (CNA D and CNA H) out of two sampled CNAs. The facility's census was 45. Review of the facility policy titled, On-the-Job Training, revised January 2008, showed: - On-the-job training programs will be conducted when necessary to assist employees in performing their assigned task; - Department Directors will be responsible for on-the-job training to assure that the established training schedules are followed; - Each employee is required to participate in the on-the-job training program, and attend a minimum of 12 hours annually on-the-job training. 1. Review of the facility's in-service records showed: - CNA D with a hire date of 12/22/17; [...]
5 fire safety citations on file: 3 on January 9, 2026, 1 on November 7, 2024, 1 on August 31, 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) | 3.17 | 3.43 | 3.86 |
| Registered nurses | 0.43 | 0.46 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.01 | 3.42 |
| Nurse aides | 2.26 | ||
| Licensed practical nurses | 0.48 | ||
| Nursing staff turnover (share who left in a year) | 49.0% | 56.0% | 45.8% |
| Registered nurse turnover | 25.0% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.12 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 3.30 on weekdays and 2.84 on weekends, 14% 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 3.18 in April to June 2025 to 3.17 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 | 3.17 | 0.43 | 3.30 | 2.84 | 0.0% | 2 of 90 | 52 |
| Oct to Dec 2025 | 3.34 | 0.48 | 3.45 | 3.06 | 0.0% | 0 of 92 | 49 |
| Jul to Sep 2025 | 3.14 | 0.42 | 3.25 | 2.86 | 0.0% | 2 of 92 | 51 |
| Apr to Jun 2025 | 3.18 | 0.40 | 3.32 | 2.82 | 0.0% | 1 of 62 | 47 |
| 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 | 19.2 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.4 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.9 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 36.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 24.1 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Delta South Nursing & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.4% 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. 94 eligible stays.
11.4% 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. 111 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. 79 eligible stays.
70.0% 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. 30 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. 40 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. 40 residents counted.
100.0% 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. 32 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: DELTA SOUTH SKILLED NURSING AND REHABILITATION, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Young, Bobbie | W-2 managing employee | Individual | 03/01/2017 |
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.
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