Find a nursing home

Home / Missouri / Osage Beach

Lake Regional Health Systems

54 Hospital Drive, Osage Beach, MO 65065 · Camden County · (573) 348-8275

16 certified beds, about 6 residents a day · Non profit - Corporation · Medicare since 1990

CMS high performing icon Inside a hospital Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 265429 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 11, 2025, inspectors cited 0 health deficiencies (the Missouri average is 11.4, the national average 9.2).

None of its 3 health citations since January 2024 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 9.33 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 4.31 of those hours.

61.9% of nursing staff left within the year CMS measured (Missouri average 56.0%).

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
0D
2E
0F
Potential for minimal harm
0A
0B
1C
September 11, 2025Standard inspection · 0 citations
November 26, 2024Standard inspection · 0 citations
January 18, 2024Standard inspection · 3 citations
  1. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteBased on interview and record review, facility staff failed to check the Certified Nursing Aide (CNA) Registry to ensure staff did not have a Federal Indicator (a marker given by the federal government to individuals who have committed abuse and/or neglect) in accordance with the facility policy for six current employee's ([NAME] Patient Care Technician (PCT) I, student nurse intern J, Licensed Practical Nurse (LPN) K, housekeeper L, PCT M, and Health Unit Coordinator N out of seven sampled staff. The facility census was 5. 1. Review of the facility's policy titled, Patient Abuse, Neglect and Mistreatment, dated 09/11/23, showed staff were directed to do the following: [...]
  2. E
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteBased on observation, interview, and record review, facility staff failed to conduct or complete entrapment assessments and measurements to identify areas of possible entrapment prior to the use of bed rails on admission for four residents (Resident #255, #256, #257, and #258) out of five sampled residents. The facility census was 5. 1. Review of the facility's policies showed the facility did not provide a policy for entrapment assessments. 2. Review of Resident #255's medical record showed the record did not contain a completed entrapment assessment. Observation on 01/17/24 at 4:18 P.M., showed the resident in bed with bilateral bedrails in the upright position. 3. Review of the Resident #256's medical record showed the record did not contain a completed entrapment assessment. [...]
  3. C
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) February 5, 2024
    Inspectors wroteBased on observation, interview, and record review, facility staff failed to develop baseline care plans to provide effective and person-centered care for three admitted residents (Resident #257,#258, #259). The facility census was 5. 1. Review of the facility's Patient Plan of Care - Skilled Nursing Facility, revised 01/09/20, showed staff are directed as follows: -An interim care plan is developed immediately after admission by nursing, dietary, and other disciplines as required to cover immediate needs of the patient; -The plan of care will be printed and given to the patient within 48 hours of admission with a current copy of active medication orders. Assessment: -The initial assessment is done on the day of admission. This initial assessment shall address the physical and psychosocial needs of the patient. 2. [...]

Fire safety inspections

7 fire safety citations on file: 3 on September 11, 2025, 4 on January 18, 2024.

Every fire safety citation7 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · September 11, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 11, 2025 · Corrected (the home has a date of correction)
  3. F
    Have proper medical gas storage and administration areas.
    K 923 · September 11, 2025 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 18, 2024 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 18, 2024 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 18, 2024 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 18, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMissouriUnited States
All nursing staff (RN, LPN and aides)9.333.433.86
Registered nurses4.310.460.69
All nursing staff on weekends8.503.013.42
Nurse aides3.18
Licensed practical nurses1.85
Nursing staff turnover (share who left in a year)61.9%56.0%45.8%
Registered nurse turnover58.3%47.8%42.9%
Administrators who left0

CMS expects 4.10 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 9.68 on weekdays and 8.50 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.84 in April to June 2025 to 9.33 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20269.334.319.688.50 0.3%0 of 906
Oct to Dec 20259.635.019.799.18 0.0%0 of 926
Jul to Sep 20257.843.998.117.12 0.0%0 of 929
Apr to Jun 20256.842.667.076.24 0.0%0 of 919
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Missouri, Jan to Mar 20263.340.403.502.933.9%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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMissouriUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.21.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.726.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.313.712.0

Owners and operators

Legal business name: LAKE REGIONAL HEALTH SYSTEM.

NameRoleTypeShareSince
Lake Regional Health SystemDirect ownership interestOrganization02/23/2006
Anderson, GregoryManaging control - governing bodyIndividual05/16/1990
Byrne, KevinManaging control - governing bodyIndividual10/01/2004
Caine, JohnManaging control - governing bodyIndividual05/16/1990
Compton, WayneManaging control - governing bodyIndividual06/01/2002
Cooper, WarrenManaging control - governing bodyIndividual06/06/2024
Faiferlick, KarenManaging control - governing bodyIndividual06/03/2022
Hulett, JasonManaging control - governing bodyIndividual06/03/2022
Judas, JamesManaging control - governing bodyIndividual06/07/2013
McElyea, CharlesManaging control - governing bodyIndividual06/30/2016
Mead, AlanManaging control - governing bodyIndividual08/04/2015
Michaelree, DennisManaging control - governing bodyIndividual07/01/2019
Patton, JohnManaging control - governing bodyIndividual06/03/2022
Rector, MarkManaging control - governing bodyIndividual06/04/2021
Shields, LarryManaging control - governing bodyIndividual10/06/1975
Tenbensel, CoreyManaging control - governing bodyIndividual06/03/2011
Hunter, MelissaCorporate officerIndividual04/01/2022
Littleton, PaulaCorporate officerIndividual07/22/2024
McRoberts, KevinCorporate officerIndividual06/03/2022
Hasty, JessicaOperational/managerial controlIndividual02/01/2016
McRoberts, KevinOperational/managerial controlIndividual06/03/2022
Oneil, PatrickOperational/managerial controlIndividual09/01/2011
Prenger, KristenOperational/managerial controlIndividual01/01/2024
Lake Regional Health SystemAdp of the SNFOrganization01/03/2025
McRoberts, KevinAdp of the SNFIndividual02/27/2025
Oneil, PatrickAdp of the SNFIndividual02/13/2025

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on January 18, 2024: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 18, 2024: "Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 18, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"

Other nursing homes nearby

Missouri contacts for a concern about a nursing home

These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.

Common questions

What is Lake Regional Health Systems's Medicare star rating?
CMS rates Lake Regional Health Systems 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lake Regional Health Systems get at its last inspection?
0 health deficiencies at the standard inspection on September 11, 2025. The Missouri average is 11.4.
Has Lake Regional Health Systems been fined?
CMS lists no fines in the last three years.
Does Lake Regional Health Systems accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Lake Regional Health Systems?
CMS lists 26 owners and managers. Legal business name: LAKE REGIONAL HEALTH SYSTEM.

Sources

Find a nursing home Read an inspection