Home / Missouri / Caruthersville
500 Truman Boulevard, Caruthersville, MO 63830 · Pemiscot County · (573) 333-5150
94 certified beds, about 66 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265771 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 5, 2026, inspectors cited 2 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 20 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $13,397 in the last three years; the largest was $13,397, and the latest is dated September 18, 2023.
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 0.24 of those hours.
50.0% 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 20 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control precautions by failing to implement Enhanced Barrier Precautions (EBP - precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO - microorganisms resistant to one or more classes of antimicrobial agents) or residents with a chronic wound and/or indwelling medical device) for two residents (Residents #2 and #8) out of three sampled residents. The facility census was 58. Review of the facility's policy titled, Enhanced Barrier Precautions, dated 2024, showed: - EBP refers to an infection control intervention designed to reduce transmission of MDROs that employs targeted gown, and gloves use during high contact resident care activities; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an error rate of less than five percent (%) during medication administration. There were 25 opportunities with two errors made, for an error rate of 8.00%, which affected two residents (Residents #2 and #35) out of eight sampled residents. The facility census was 58. Review of the facility policy titled, Administering Medications, dated April 2019, showed:- Medications are administered in accordance with prescriber orders;- The individual administering the medication checks the label three times to verify the right resident, right medication, right dosage, right time, and right method of administration before giving the medication. [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain the surety bond (a purchased bond for security of residents' personal funds) for at least one and one-half times the average monthly balance of the residents' personal funds for the last 12 consecutive months from February 2024 through January 2025. The facility's census was 58. Review of the facility's policy titled, Surety Bond, revised March 2021, showed: - A surety bond is an agreement between the facility, the insurance company, and the resident or the state acting on behalf of the resident, wherein the facility and the insurance company agree to compensate the resident for any loss of residents' funds that the facility holds, accounts for, safeguards, and manages; - This facility holds a surety bond to guarantee the protection of residents' funds managed by the facility on behalf of its residents; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement an individualized comprehensive care plan with specific interventions to meet the highest practicable physical, mental, and psychosocial well-being for two residents (Residents #15 and #30) out of 15 sampled residents. The facility's census was 58. Review of the facility's policy titled, Comprehensive Person - Centered Care Plans, revised March 2022, showed: - The care plan is person-centered and includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs; - Describes services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well being. 1. Review of Resident #15's medical record showed: - An admission date of 04/07/24; [...]
Inspectors wroteBased on interview and closed record review, the facility failed to complete a comprehensive discharge summary for one resident (Resident #59) out of two sampled closed discharge records. The facility's census was 58. Review of the facility's policy titled, Discharge Summary and Plan, revised October 2002, showed: - The discharge summary includes a recapitulation of the resident's stay at the facility and a final summary of the resident's status at the time of the discharge in accordance with established regulations governing the release of resident information and as permitted by the resident. The discharge summary shall include a description of the resident's: current diagnosis; medical history (including any history of mental disorders and intellectual disabilities); course of illness, treatment and/or therapy since entering the facility; [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide activities of daily living (ADL's) when staff failed to provide assistance with eating for one resident (Resident #15) of three sampled residents, who was assisted with meals by another resident (Resident #21). The facility census was 58. Review of the facility policy titled, Activities of Daily Living, Supporting, dated March 2018, showed: - Residents will be provided with care, treatment and services to ensure their ADL's do not diminish unless the circumstances of their clinical condition(s) demonstrate that diminishing ADL's are unavoidable; - Residents who are unable to carry out ADL's independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene; [...]
Inspectors wroteBased on interview and record review, the facility failed to follow physician's orders for one resident (Resident #4) out of two sampled residents with wounds. The facility census was 58. The facility did not provide a policy regarding following physician orders. 1. Review of Resident #4's medical record showed: - admitted on [DATE]; - Diagnoses of post-traumatic stress syndrome (PTSD - psychological distress following a traumatic event), generalized anxiety disorder (persistent worry and fear about everyday situations), major depressive disorder (long-term loss of pleasure or interest in life), chronic obstructive pulmonary disorder (COPD - a chronic inflammatory lung disease that causes obstructed airflow from the lungs), right above the knee amputation, and hypertension (high blood pressure). Review of the resident's wound care showed: [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure three nurse aides (NAs) (NA B, NA C, and NA D) completed a nurse aide training program within four months of his/her employment at the facility. The facility's census was 58. Review of the facility's policy titled, Nurse Aide Qualification and Training Requirements, revised August 2022, showed: -The facility will not employ any individual as a nurse aide for more than four months full-time, temporary, per diem, or otherwise unless: that individual is competent to provide designated nursing care and nursing related services; and that individual has completed a training program and competency evaluation program, or a competency evaluation program approved by the state; or that individual has been deemed competent as provided in 483.150 9 (a) and (b) of the requirements of participation; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with currently accepted practices. This had the potential to affect all residents. The facility census was 58. Review of the facility policy titled, Medication Labeling and Storage, revised February 2023, showed: - If the facility has discontinued, outdated or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items; - The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner; - Medications are stored separately from food and are labeled accordingly; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted practices. The facility also failed to ensure one resident (Resident #20) outside of the sample of 16 residents had a physician's order to keep medications at the bedside. This had the potential to affect all residents. The facility census was 64. Review of the facility policy titled, Storage of Medications, revised November 2020, showed: - Drug containers that have missing, incomplete, improper, or incorrect labels are returned to the pharmacy for proper handling before storing; - Discontinued, outdated, or deteriorated drugs or biologics are returned to the dispensing pharmacy or destroyed; - The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner. 1. [...]
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. This has the potential to affect all residents. The facility census was 64. Review of the facility's policy titled, Food Preparation and Service, revised November 2022, showed: - Appropriate measures are to prevent cross contamination; - Cleaning and sanitizing work surfaces including cutting boards and food-contact equipment between uses, following food code guidelines; - Cross-contamination can occur when harmful substances, i.e., chemical or disease-causing microorganisms (a microscopic organism, especially a bacterium, virus, or fungus) are transferred to food by hands including gloved hands, food contact surfaces, sponges, cloth towels, or utensils that are not adequately cleaned; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 64. Review of the facility's policy titled, Homelike Environment, revised February 2021, showed: - Staff provide person-centered care that emphasizes the resident's comfort, independence and personal needs and preferences; - The facility staff and management maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include: clean, sanitary and orderly environment. Observation on 02/06/24 at 9:40 A.M. of room [ROOM NUMBER] showed: - A hole in the bathroom door approximately the size of a tennis ball; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately code the Minimum Data Set (MDS), a federally mandated assessment instrument completed by the facility staff for four residents (Residents #11, #12, #21 and #23) out of 16 sampled residents. The facility census was 64. The facility did not provide a policy related to the accuracy of MDS assessments. 1. Review of Resident #11's medical record showed: - An admission date of 03/02/23; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement care plans with specific interventions to meet individual needs for three residents (Residents #8, #47, and #65) out of 16 sampled residents. The facility's census was 64. Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised March 2022, showed: - 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 comprehensive, person-centered care plan is developed within seven days of the completion of the required MDS assessment, and no more than 21 days after admission; - 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 identify, assess and provide supportive interventions for two residents (Residents #8 and #47) with a diagnosis of post-traumatic stress disorder (PTSD) (a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event) out of two sampled residents. The facility's census was 64. Review of the facility's policy titled, Trauma-Informed and Culturally Competent Care, revised August 2022, showed: - Perform universal screening of the resident, which includes a brief, non-specialized identification of possible exposure to traumatic events; - Utilize initial screening to identify the need for further assessment and care; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident diagnosed with dementia (a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities) had a personalized plan of care to ensure services to promote the resident's highest level of functioning and psychosocial needs for four residents (Residents #5, #12, #23 and #47) out of 16 sampled residents. The facility census was 64. Review of the facility's policy titled, Comprehensive Person - Centered Care Plans, revised March 2022, showed: - The care plan is person-centered and includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs; - Describes services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well being. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication error rate of five percent (%) or less. There were 12 errors out of 39 opportunities for errors, resulting in an error rate of 30.77%. This practice affected two residents (Resident #12 and #20) out of three sampled residents. The facility census was 64. Review of facility's policy titled, Administering Medications, revised April 2019, showed: - Medications are administered in accordance with prescriber orders, including any required time frame; - Medication errors are documented, reported, and reviewed by the Quality Assurance and Performance Improvement (QAPI) committee to inform process changes and or the need for additional staff training; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure two residents (Resident's #20 and #65) were free of significant medication errors when staff did not administer medications as ordered by the physician. The facility census was 64. Review of facility policy titled, Administering Medications, revised April 2019, showed: - Medications are administered in accordance with prescriber orders, including any required time frame; - Medication errors are documented, reported, and reviewed by the Quality Assurance and Performance Improvement (QAPI) committee to inform process changes and or the need for additional staff training; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain proper infection control practices for wound care for one resident (Resident #5) out of two sampled residents, failed to perform hand hygiene during medication administration for four residents (Resident #7, #12, #20, and #34) out of four sampled residents, and failed to maintain proper infection control practices for glucose monitoring for three residents (Resident #6, #7, and #33) out of six sampled residents. The facility census was 64. Review of the facility's policy titled, Wound Care, revised 2010, showed: - Verify physician's order; - Review the resident's care plan to assess any special needs of the resident such as pain control; - Assemble supplies and equipment and wipe equipment with alcohol wipes if necessary; - Establish a clean field on the resident's overbed table and put supplies down; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure one resident (Resident #1) of three sampled residents received treatment for chest pain per accepted standards of practice when Registered Nurse (RN) A administered a dose of Nitroglycerin when the resident's systolic blood pressure was 75 (below 100). RN A continued to administer two more doses of Nitroglycerin without obtaining a physician's order and without getting a blood pressure reading prior to the dose. The resident's blood pressure was 45/26 upon leaving the facility via ambulance and he/she spent two days in the hospital receiving treatment for low blood pressure. The facility census was 67. The Administration was notified on 09/18/23 of the Past Non-Compliance Immediate Jeopardy which occurred on 09/11/23. [...]
5 fire safety citations on file: 1 on June 5, 2026, 3 on March 6, 2025, 1 on February 9, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| September 18, 2023 | Fine | $13,397 |
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 | 0.24 | 0.46 | 0.69 |
| All nursing staff on weekends | 2.94 | 3.01 | 3.42 |
| Nurse aides | 2.56 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 56.0% | 45.8% |
| Registered nurse turnover | 57.1% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.35 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 3.82 on weekdays and 2.94 on weekends, 23% 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 3.70 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 | 0.24 | 3.82 | 2.94 | 0.0% | 0 of 90 | 66 |
| Oct to Dec 2025 | 3.90 | 0.26 | 4.12 | 3.33 | 0.0% | 0 of 92 | 65 |
| Jul to Sep 2025 | 4.25 | 0.37 | 4.50 | 3.59 | 0.0% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.70 | 0.38 | 4.05 | 2.85 | 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 | 26.4 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.9 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.6 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.4 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.2 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Southgate Living Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.6% 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. 45 eligible stays.
10.6% 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. 66 eligible stays.
7.9% 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. 29 eligible stays.
50.0% 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. 38 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. 51 residents counted.
6.4% 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. 51 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. 3 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: CARUTHERSVILLE 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 |
|---|---|---|---|---|
| The Caruthersville Exempt Trust | 5% or greater direct ownership interest | Organization | 100% | 05/04/2016 |
| Bedell, Donald | Corporate director | Individual | 05/04/2016 | |
| Beaird, Todd | Corporate officer | Individual | 01/01/2022 | |
| Bedell, Donald | Corporate officer | Individual | 05/04/2016 | |
| Agh1 LLC | Operational/managerial control | Organization | 12/02/2016 | |
| Sovereign Healthcare Group LLC | Operational/managerial control | Organization | 04/23/2021 | |
| Arshad, Abdullah | Operational/managerial control | Individual | 08/01/2016 | |
| Bedell, Donald | Operational/managerial control | Individual | 05/04/2016 | |
| Fine, Crystal | Operational/managerial control | Individual | 03/01/2024 | |
| Bedell, Bryan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/12/2025 | |
| The Caruthersville Exempt Trust | Trustee of the SNF | Organization | 05/04/2016 | |
| Agh1 LLC | Adp of the SNF | Organization | 06/04/2025 | |
| Caruthersville Re LLC | Adp of the SNF | Organization | 05/04/2016 | |
| Dcb Real Estate Partnership LP | Adp of the SNF | Organization | 05/04/2016 | |
| 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 | 08/01/2016 | |
| Sovereign Healthcare Group LLC | Adp of the SNF | Organization | 04/06/2025 | |
| Van De Ven LLC | Adp of the SNF | Organization | 08/01/2016 | |
| Arshad, Abdullah | Adp of the SNF | Individual | 08/01/2016 | |
| Beaird, Todd | Adp of the SNF | Individual | 01/01/2022 | |
| Fine, Crystal | Adp of the SNF | Individual | 03/01/2024 |
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.