Home / Missouri / Jefferson City
1720 Vieth Dr, Jefferson City, MO 65109 · Cole County · (573) 635-6193
102 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265285 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 8, 2025, inspectors cited 8 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 40 health citations since January 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,340 in the last three years; the largest was $8,340, and the latest is dated November 27, 2023.
Nurses and nurse aides worked 3.62 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
85.4% 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 40 health citations on file.
Inspectors wroteBased on interview and record review, facility staff failed to conduct and document an annual facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies as required. The facility census was 70.1. Review of the facility's Facility Assessment policy, revised October 2018, showed the facility assessment is conducted annually to determine and update the capacity to meet the need of and competently care for the residents during day-to-day operations. Determining our capacity to meet the needs of and care for the residents during emergencies is included in this assessment. Once a year, and as needed, a designated team conducts a facility-wide assessment to ensure that the resources are available to meet the specific need of the residents. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to prevent the spread of bacteria and other infection causing contaminants during the provision of care and treatments for three residents when staff failed to remove soiled gloves and/or properly wash their hands, failed to place blood sugar testing supplies and the glucometer ( a device for monitoring blood sugars) on a protective barrier and failed to for clean and sanitize the multiple use resident glucometer before and after each use for three residents (Resident #1, Resident #2 and Resident #3) out of three. Facility census was 71.1. Review of the facility's Handwashing/Hand Hygiene policy, dated 2001, showed facility considers hand hygiene the primary means to prevent the spread of infections. [...]
Inspectors wroteBased on interview and record review, facility staff failed to complete a baseline care plan assessment within 48 hours for one resident (Resident #1) out of three sampled residents. The facility census was 70.1. Review of facility's Baseline Care plan policy, revised December 2016, showed a baseline plan of care to meet the resident's immediate needs shall be developed for each resident within forty-eight (48) hours of admission. To assure the resident's immediate care needs are met and maintained, a baseline care plan will be developed within forty-eight (48) hours of the resident's admission.2. Review of Resident #4's facility face sheet showed the resident admitted to the facility on [DATE]. Review of the resident's base line care plan showed the resident admitted to the facility on [DATE] and staff submitted the baseline care plan on 3/15/26. [...]
Inspectors wroteBased on interviews and record review, facility staff failed to develop an individualized comprehensive care plan for one resident (Resident #4's) out of 3 sampled residents. The facility census was 70.1. Review of the facility's Care Plan Comprehensive Person-Centered Policy, 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 is developed and implemented for each resident. The comprehensive, person-centered care plan will: [...]
Inspectors wroteBased on interview and record review, facility staff failed to notify the physician and resident's responsible party after allegations of abuse for one resident (Resident #1) out of one sampled resident. The facility census was 62.1. Review of the facility's Change in a Resident's Condition or Status policy, revised February 2021, showed facility staff will promptly notify the physician and resident representative of changes in the resident's medical/mental condition and/or status.2. Review of Resident #1's Significant Change Minimum Data Set (MDS), a federally mandated assessment tool, dated 12/09/25, showed staff assessed the resident:-Severe cognitive impairment, -Daily rejection of care;-Always incontinent of bowel and bladder;-Diagnosed with non-Alzheimer's dementia, depression. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to prevent physical abuse to one resident (Resident #1) out of four sampled residents, when Certified Nursing Assistant (CNA) A slapped Resident #1 on the leg while he/she provided care. The facility census was 62. The administrator was notified on 2/11/26 of past Non-Compliance which occurred on 0/27/26 when the administrator began in-servicing all staff 1/28/26 on abuse and neglect after he/she substantiated a report of abuse that CNA A slapped the resident on the leg while he/she provided care.1. Review of the facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program and Clinical Protocol policy, revised April 2021, showed the facility will develop and implement policies and protocols to prevent and identify abuse or mistreatment of residents. [...]
Inspectors wroteBased on interview and record review, facility staff failed to replace the resident's wanderguard (a device used to protect at-risk-residents from wandering outside a facility without staff's awareness) after staff identified the resident did not have a wanderguard in place as ordered by the physician, which resulted in the resident leaving the facility without staff's knowledge before he/she was taken back to the facility by a member of the community. The facility census was 68. The administrator was notified on 12/12/25 of past Non-Compliance, which occurred on 12/05/25 when staff reported the resident had left the facility without staff knowledge. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to maintain professional standards of care, when staff failed to document they administered wound treatments as directed by the physician for two residents (Resident #1 and #2) out of three sampled residents. The facility census was 64.1. Review of the facility's Charting and Documentation policy, revised July 2017, showed documentation of procedures and treatments will include care-specific details, included: -The date and time the procedure/treatment was provided;-The name and title of the individual(s) who provided the care;-Whether the resident refused the procedure/treatment;-The signature and title of the individual documenting. 2. [...]
Inspectors wroteBased on observation, interview and record review, facility staff failed to meet professional standards of practice when they failed follow a treatment order for one resident (Resident #2) out of three sampled residents, notify the physician or follow up with the pharmacy when a medication was unavailable for one resident (Resident #4) out of one sampled residents, failed to ensure one resident (Resident #17) out of five sampled residents oxygen was in place, and one resident (Resident #25) out of five sampled residents oxygen delivery was at the prescribed flow rate. Staff failed to follow physician orders when they failed to document one resident's weight (Resident #51) out of two sampled residents daily, and perform a urinalysis test for one resident (#55) out of one sampled residents. The facility census was 55. 1. [...]
Inspectors wroteBased on observation, interview and record review, the facility staff failed to maintain and serve food items at temperatures adequate to prevent food borne illness. This failure has the potential to affect all residents. The facility census was 55. 1. Review of the facility's Serving Temperatures for Hot and Cold Foods policy, dated 2020, showed the cook will take temperatures of hot and cold food items using approved food thermometers prior to each meal service. Hot foods will be served at 135 to 170 degrees Fahrenheit (F). Each facility should check state specific regulations for minimum temperatures. Review showed cold foods will be served at 41 degrees F or below. Review showed the policy did not contain guidance related to cold food storage between meals. [...]
Inspectors wroteBased on interview and record review, facility staff failed to ensure continuing competence of nurse aides of no less than 12 hours in-service education per year and address areas of weakness as determined in nurse aides' performance reviews and the facility assessment. The facility census was 55. 1. Review of the facility's policies showed staff did not provide a policy for staff training. Review of the Facility Assessment, dated 02/13/25, showed the following new hire training for nursing staff: -Advanced directives; -Effective communication; -Preventing, recognizing and reporting abuse; -Workplace safety; -Hand hygiene; -Health Insurance Portability and Accountability (HIPPAA), a law that protects the privacy of medical information, overview; -Infection prevention and control; -Protecting Resident rights in nursing facilities; -Safe transfers; -Perineal Care check list; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to thoroughly investigate and document bruises of unknown origin for one resident (Resident #15) out of one sampled residents as directed by the facility policy. The facility census was 55. 1. Review of the facility's policy titled, Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating, dated September 2022, showed all reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported to local, states, and federal agencies and thoroughly investigated by facility management. [...]
Inspectors wroteBased on observation, interview and record review, facility staff failed to develop a comprehensive person-centered care plan to meet the resident's medical, nursing, mental and psychosocial needs for four residents (Resident #18, #29, #40 and #47) out of five sampled residents. The facility's census was 55. 1. Review of the facility's Care Plans Goals and Objectives policy, dated April 2009, showed: -Care plan goals and objectives are derived from information contained in the resident's comprehensive assessment and are resident oriented, behaviorally stated, are measurable and contain timeframes to meet the resident's needs in accordance with the comprehensive assessment; [...]
Inspectors wroteBased on interview and record review, facility staff failed to complete a Significant Change Minimum Data Set (MDS), a federally mandated resident assessment tool, for three residents (Resident #18, #44, and #47) out of 14 sampled residents who had either improvements and/or declines in condition. The facility census was 55. 1. Review of the facility's policies showed staff did not provide a policy for completion of a Significant Change of Status Assessment. Review of the Resident Assessment Instrument (RAI) manual version 3.0, dated October 2024, Omnibus Budget Reconciliation Act (OBRA)-required Assessment Summary showed assessment time frames as follows: [...]
Inspectors wroteBased on interview and record review, facility staff failed to hold care plan meeting with the resident and/or the resident's representative, and failed to ensure the Interdisciplinary Team (IDT) participated in care conferences for four residents (Resident #29, #31, #40, and #51) of 14 sampled residents reviewed for care planning. The facility census was 55. 1. Review of the facility's Care Plans Goals and Objectives policy, dated April 2009, showed the policy did not contain direction on contacting or inviting the resident and/or resident representative to the care planning conferences. 2. Review of Resident #29's admission Minimum Data Set (MDS), a federally mandated assessment tool, dated 04/12/25, showed the staff assessed the resident as cognitively impaired. [...]
Inspectors wroteBased on interview and record review, facility staff failed to provide a sufficient number of staff members to ensure call lights were answered in timely manner. The facility census was 55 . 1. Review of the facility assessment tool, dated 02/13/25, showed: -Average census of 63 residents; -Direct care staff needed for a 24-hour period of time: -Licensed Nurses: two for each shift; -Certified Medication Technicians (CMT's): two on dayshift; -Certified Nurse Aides (CNA's): One to 15 residents on dayshift and one to 19 residents on nightshift. Review of the facility's Call Lights Policy, dated March 2021, showed the procedure is to ensure timely responses to resident's requests and needs. The policy did not contain direction for who may answer the call light. 2. Review of the Nursing staff time clock report, dated 05/02/25, showed: -Dayshift: [...]
Inspectors wroteBased on interview and record review, facility staff failed to obtain a timely advanced directive who received Cardiopulmonary Resuscitation (CPR) when he/she elected to be a Do Not Resuscitate (DNR - indicates that, in case of respiratory or cardiac failure, the resident has directed that no cardiopulmonary resuscitation or other life-sustaining treatments or methods are to be used) and failed to document residents' code status consistently as a DNR for one resident (Resident #1). The facility census was 62. 1. Review of the facility's Advance Directives policy, revised [DATE], showed advanced directives will be respected in accordance with state law and facility policy. The resident has the right to refuse treatment. A resident will not be treated against his/her wishes. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide care to meet the hygiene needs for four residents (Resident #1, #2, #3 and #4) out of five sampled residents when staff did not provide nail care and assist with facial hair. The facility census was 64. 1. Review of the facility's Activities of Daily Living (ADLs), Supporting policy, dated March, 2018, showed staff were directed as follows: -Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to care out ADL; -Resident who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. [...]
Inspectors wroteBased on observation, interview and record review, facility staff failed to develop and implement a comprehensive person-centered care plan for one resident (Resident# 2), and failed to update care plans at least quarterly in conjunction with the required Minimum Data Set ((MDS) a federally mandated assessment instrument), to provide interventions to meet individual needs for two residents (Resident #1 and #3) out of three sampled residents. The facility census was 68. 1. Review of the facility's Goals, Objectives, and Care Plans policy, revised April 2000, showed staff are directed as follows: -Care plans shall incorporate goals and objectives that lead to the resident's highest obtainable level of independence; [...]
Inspectors wroteBased on observation and interview, facility staff failed to ensure residents' privacy were protected, when six resident's (Resident's #2, #3, #7, #8, #9 and #16) out of 16 sampled residents, medical information were face up on the nurse station desks, in a public area visible by other residents and visitors to the facility. Facility census was 71. 1. Review of the facility's policy titled Confidentiality of Information and Personal Privacy, dated October 2017, showed the facility will strive to protect the resident's privacy in regards to his/her: accommodations; medical treatment; and personal care. Access to resident personal and medical records will be limited to authorized staff and business associates. 2. Observation on 09/25/24 at 10:27 A.M. [...]
Inspectors wroteBased on interviews and record reviews, facility staff failed to report allegations of misappropriation of money for two residents (Residents #1 and #5) of 16 sampled residents to other officials in accordance with State law (including the State survey and certification agency). The facility census was 71. 1. Review of the facility's policy titled Abuse and Neglect , dated March 2018, showed the management and staff, with physician support, will address situations of suspected or identified abuse and report them in a timely manner to appropriate agencies, consistent with applicable laws and regulations. 2. Review of Resident #1's admission Minimum Data Set (MDS), a federally mandated assessment tool, dated 08/27/24, showed staff assessed the resident as moderate cognitive impairment. [...]
Inspectors wroteBased on interview and record review, the facility staff failed to document they provided the physician ordered wound treatments for one resident (Resident #14) of 16 sampled residents. The facility census was 71. 1. Review of the facility's policy titled Administering Medications, dated April 2019, showed the Director of Nursing (DON) supervises and directs all personnel who administer medications and/or have related functions. Medications are administered in accordance with prescriber orders, including any required time frame. Topical medications used in treatments are recorded on the resident's treatment record (TAR) 2. Review of Resident #14's Significant Change Minimum Data Set (MDS) a federally mandated assessment tool, dated 07/24/24, showed staff assessed the resident as follows: -Cognitively intact; -Did not refuse care; -Incontinent of urine; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to ensure medications were monitored and stored in a safe and effective manner. The facility census was 71. 1. Review of the facility's policy titled Administering Medications, dated April 2019, showed during the administration of medications, the medication cart is kept closed and locked when out of sight of the medication nurse or aide. The cart must be clearly visible to the personnel administering medications, and all outward sides must be inaccessible to residents or others passing by. Observation on 09/25/24 at 10:12 A.M., showed an unlocked medication cart, on the rehabilitation hall unattended. Resident #6 propelled self in wheelchair past unlocked medication cart. During an interview on 09/25/26 at 10:16 A.M., Certified Medication Technician (CMT) C said he/she forgot to lock the medication cart. [...]
Inspectors wroteBased on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and out-dated use. Facility staff failed to maintain the kitchen equipment and surfaces in a sanitary manner to prevent the growth of bacteria and cross-contamination. Facility staff failed to maintain and serve food at temperatures adequate to prevent food borne illness. The facility staff failed to ensure the ice machine, used to supply ice to residents, drained through an air gap to prevent cross-contamination. These failures have the potential to affect all residents. The facility census was 72. 1. Review of the facility's policies showed the facility did not provide a policy for food dating and storage. 2. [...]
Inspectors wroteBased on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN), for at least eight hours per day, seven days a week. The facility census was 72. 1. Review of the facility's policies showed the facility did not provide a policy for RN coverage. Review of the facility's RN staff schedule, dated March 2024, showed the facility did not have an RN in the building on: -Saturday 03/02/24; -Sunday 03/03/24; -Saturday 03/09/24; -Saturday 03/10/24; -Saturday 03/23/24; -Saturday 03/24/24; -Saturday 03/30/24; -Saturday 03/31/24. Review of the facility's RN staff schedule, dated April 2024, showed the facility did not have an RN in the building on the following dates: -Saturday 04/06/24; -Sunday 04/07/24; -Saturday 04/13/24; -Sunday 04/14/24; -Saturday 04/20/24; -Sunday 04/21/24; -Sunday 04/28/24. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to store and label medications in a safe an effective manner when staff did not document the open date on medication in the medication cart and failed to discard expired medications. The facility census was 72. 1. Review of the facility's policy titled, Administering Medications, revised 04/2019, showed the expiration/beyond use date on the medication label is checked prior to administering. When opening a multi-dose container, the date opened is recorded on the container. 2. Observation on 06/04/24 at 8:16 A.M., showed the rehabiliation hall medication cart contained: -One bottle of Fish Oil, opened and undated; -Two bottles of acetaminophen, opened and undated; -One bottle of omeprazole (used to treat hearburn), opened and undated; -One bottle of Ibuprofen, opened and undated. Observation on 06/04/24 at 8:35 A.M. [...]
Inspectors wroteBased on interview and record review, facility staff failed to document collaboration of care with hospice providers for development and implementation of a coordinated plan of care and communication between the facility and local hospice provider for two (Resident #40 and #59) out of two sampled residents who received hospice services. The facility census was 72. 1. Review of the facility's Nursing Facility Hospice and Respite Care Services Agreement, dated March 11, 2020, showed: -Hospice will develop, at the time a resident of the facility is admitted into Hospice's program, a Plan of Care for the management and palliation of the resident's terminal illness. The Plan of Care will be updated as often as the patient condition requires, but no less frequently then every 15 calendar days; -Quality Improvement: [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to ensure the residnet was free from a significant medication error when staff failed to administer of one resident's (Resident #1) Metolazone (a diuretic medication used to treat high blood pressure and edema) and Torsemide (a diuretic medication used to treat edema due to congestive heart failure (CHF), kidney disease, or liver disease) as directed by the physician and failed to notify the resident's physician the medication was not available to be administer which resulted in the resident being admitted to the hospital with acute chronic hypoxic respiratory failure (not enough oxygen in the blood), mild pulmonary edema with pleural effusion (fluid collected inside and outside of the lungs), and chronic kidney disease Stage IV. The facility census was 69. 1. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide care consistent with professional standards of practice to promote the prevention of pressure ulcer (PU) development for one resident (Resident #52) after staff identified the resident was at risk for PUs. Additionally, staff failed to obtain a physician ordered treatment for an unstageable wound to the resident's coccyx, from 11/16/22 to 12/22/22, more than 30 days after the start of the PU, failed to obtain a physician ordered treatment for an unstageable PU to the resident's left hip discovered on 12/31/22, failed to follow the resident's plan of care to prevent additional pressure injuries (PI)s and promote the healing of PUs. Additionally, staff failed to document assessments, and failed to identify a new PI. The facility census was 80. [...]
Inspectors wroteBased on observation, interviews, and record review, the facility staff failed to ensure the ice bin drained through an air gap. Facility staff failed to maintain the ceiling over the food preparation and service area in a clean and sanitary manner. This had the potential to affect all facility residents. The census was 80. 1. Review of the facility's policies showed the facility did not have a policy which addressed the inspection and maintenance of the ice machine. Observation on 1/26/23 at 1:00 P.M., showed the ice machine, located in the kitchen, did not drain through an air gap. Observation also showed the ice machine drain lay on top of the floor drain, and the ice machine drain and the floor drain were covered in a black sludge type substance. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to maintain the dignity of three residents (Residents #34, #51 and #54), when staff failed to clean the resident's fingernails prior to meals, in which the residents ate with their fingers, and referred to one resident (Resident #8), who required assistance at meal time, as a Feeder. Additionally staff failed to maintain the dignity of one resident (Resident #47), when staff provided care to the resident with the privacy curtain open and left the door open with a resident exposed for one resident (Resident #48). The facility census was 80. Review of the facility's Assistance With Meals Policy, revised July of 2017, showed: -Residents shall receive assistance with meals in a manner that meets the individual needs of each resident; [...]
Inspectors wroteBased on record review and interview the facility staff failed to complete a baseline care plan within 48 hours of admission, review the information with the resident/responsible party, or provide a copy to the resident/responsible party for seven residents (Resident #5, #46, #54, #67, #80, #82, and #327). The facility census was 80. 1. Review of the facility's policy, Care Plans - Baseline, revised December 2016, showed: -A baseline plan of care to meet the resident's immediate needs shall be developed for each resident within forty-eight (48) hours of admission; -The resident and their representative will be provided a summary of the baseline care plan that includes but is not limited to: -The initial goals of the resident; -A summary of the resident's medications and dietary instructions; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed ensure four dependent residents (Resident #29, #38, #58, and #64) received the necessary services to maintain good grooming and personal hygiene when staff failed to maintain the residents' facial hair and nails, failed to ensure residents wore clean clothes and failed to provide dental services. The facility census was 80. Review of the facility's Activities of Daily Living (ADL), Supporting Policy, revised March 2018, showed: -Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs); -Residents who are unable to carry out activities of daily living independently will received the services necessary to maintain good nutrition, grooming and personal and oral hygiene; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to securely store smoking materials (lighters and cigarettes) for two residents (Resident #58 and #67). Additionally, staff failed to document neurological checks (assessment completed to determine if the nervous system is impaired) for two residents (Resident #29 and #38), failed to implement a fall intervention for one resident (Resident #38) after a fall, and failed to ensure a fall mat was used for one resident (Resident #52). The facility census was 80. 1. Review of the facility's Smoking Policy - Residents, revised July 2017 showed: -Residents who have independent smoking privileges are permitted to keep cigarettes, e-cigarettes, pipes, tobacco, and other smoking articles in their possession. Only disposable safety lighters are permitted. All other forms of lighters, including matches, are prohibited; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to ensure three residents (Resident #5, #32 and #51) had an appropriate indication for the use of anti-psychotic medications, and failed to document resident behaviors and the efficacy of the antipsychotic medications. Additionally, staff failed to re-evaluate one resident's (Resident #51's) behaviors and notify the physician before administering an antipsychotic medication that had been discontinued and as part of a Gradual Dose Reduction (GDR) attempt. The facility census was 80. 1. Review of the facility's Antipsychotic Medication Use policy, revised December 2016, showed: [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, when staff failed to use appropriate hand hygiene during the provision of care and failed to use appropriate infection control procedures during catheter care for one resident (Resident #52) and during incontinence care for one resident (Resident #55). The facility staff also failed to provide wound care in a manner to reduce the risk of infection for one resident (Resident #45). [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to conduct regular inspections of bedrails as part of a regular maintenance program by failing to measure and assess all possible entrapment zones for five residents (Residents #2, #20, #35, #58, and #64). The facility census was 80. Review of the United States Food and Drug Administration (FDA) document entitled, Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment dated March 10, 2006, showed 413 people died as a result of entrapment events in the United States. Further review showed those among the most vulnerable for these entrapment type events are elderly patients and residents, especially those who are frail, confused, restless, or who have uncontrolled body movement. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide appropriate treatment and services to prevent further decrease in range of motion (ROM), movement of a joint, for one resident (Resident #52), who had a contracture to the left wrist. The facility census was 80. Review of the policies provided by the facility showed it did not contain a policy for ROM. 1. Review of Resident #52's Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS), a federally mandated assessment tool, showed staff assessed the resident as: -Severe Cognitive Impairment; -Did not have behaviors; -Did not reject care; -No impairment to upper extremities (shoulder, elbow, wrist, hand); [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide appropriate care and services for one resident (Resident #52) with an indwelling urinary catheter (a drainage tube that is inserted into the urinary bladder, left in place, and is connected to a drainage bag) when staff failed to obtain a physician's order for the use and care of the catheter, failed to ensure the resident's catheter drainage bag was kept off the floor, and failed to provide catheter care in a manner to prevent the spread of infection. The facility census was 80. Review of the facility's Catheter Care, Urinary Policy, dated September 2014, showed staff are directed to: -The purpose of the procedure is to prevent catheter-associated urinary tract infections (CAUTIs); -Be sure the catheter tubing and drainage bag are kept off the floor; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to obtain physician orders for the use of Continuous positive airway pressure (CPAP), a non-invasive ventilation machine that involves the administration of air usually through the nose by an external device at a predetermined level of pressure, for two residents (Resident #5 and #328). Additionally, staff failed to implement a comprehensive person centered care plan for the use of CPAP for one resident (Resident #5). The facility census was 80. Review of the policies provided by the facility showed they did not contain a policy for CPAP use. 1. Review of Resident #5's 5 Day Prospective Payment System (PPS) Minimum Data Set (MDS), dated [DATE], showed staff assessed the resident as: -admitted [DATE]; -Cognitively Intact; -Did not reject care; -Independent with personal hygiene; -Did not use a CPAP; [...]
15 fire safety citations on file: 5 on May 8, 2025, 7 on June 7, 2024, 3 on January 30, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| November 27, 2023 | Fine | $8,340 |
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) | 3.62 | 3.43 | 3.86 |
| Registered nurses | 0.31 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.01 | 3.42 |
| Nurse aides | 2.64 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 85.4% | 56.0% | 45.8% |
| Registered nurse turnover | not reported | 47.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.95 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 3.73 on weekdays and 3.35 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.62 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 | 3.62 | 0.31 | 3.73 | 3.35 | 1.0% | 3 of 90 | 69 |
| Oct to Dec 2025 | 3.01 | 0.25 | 3.14 | 2.67 | 2.1% | 2 of 92 | 69 |
| Jul to Sep 2025 | 3.33 | 0.23 | 3.46 | 3.01 | 8.6% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.47 | 0.23 | 3.52 | 3.33 | 8.6% | 0 of 91 | 61 |
| 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 | 25.9 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 39.6 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.4 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.6 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Jefferson City Manor Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.9% 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. 62 eligible stays.
10.5% 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. 64 eligible stays.
9.2% 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. 66 eligible stays.
61.3% 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. 31 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. 43 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. 43 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. 14 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: JEFFERSON CITY MANOR INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jefferson City Manor Inc | Indirect ownership interest | Organization | 10/07/2011 | |
| Scheulen, Benjamin | Corporate director | Individual | 11/10/2017 | |
| Scheulen, Benjamin | Corporate officer | Individual | 01/01/2020 | |
| Jefferson City Manor Inc | Operational/managerial control | Organization | 10/07/2011 | |
| Scheulen, Benjamin | Operational/managerial control | Individual | 08/01/2023 |
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.