1220 East Fairview, Carthage, MO 64836 · Jasper County · (417) 358-9084
95 certified beds, about 85 residents a day · Non profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265661 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 9, 2025, inspectors cited 6 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 19 health citations since February 2020 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 3.50 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
29.0% 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 19 health citations on file.
Inspectors wroteBased on observation, interview, and record review, facility staff failed to ensure meals were served at a palatable temperature when staff failed to verify temperature of food to ensure proper holding temperature prior to starting meal service resulting in cold food not held at 41 degrees Fahrenheit (F) or lower. The facility had a census of 64. Review of the United States Department of Agriculture (USDA) website, food safety basics section titled, Danger Zone (40 degrees F to 140 degrees F), revised 06/28/17, showed the following information: -Cold food is to be kept at 40 degrees Fahrenheit or lower and placed in containers on ice; -Bacteria grows most rapidly in temperature ranges between 40 degrees F and 140 degrees F. Review of a facility policy titled Food Handling, dated 01/20/15, showed the following information: -Hot food is to be held at a minimum of 135 degrees F or higher; [...]
Inspectors wroteBased on record review and interviews the facility failed to maintain quarterly Quality Assessment Committee (QAA) meetings with the required members when the Medical Director did not attend the QAA meetings. The facility census was 64. Review of the facility's Quality Assurance Committee policy, dated 06/11/07, showed the following: -Purpose to set forth guidelines for the formation and maintenance of a Quality Assurance Committee. -The Quality Assurance Committee will audit criteria in each department that are set by the committee which review work processes and procedures. These audits will be performed monthly by the department head; -The Quality Assurance Committee shall consist of the following membership: [...]
Inspectors wroteBased on interview and record review, the facility failed ensure each resident's right to receive mail correspondence timely was honored when staff failed to provide mail delivered on Saturdays to residents timely. The facility census was 64. Review of the facility did not provide a policy addressing delivery of mail to residents on the weekend. 1. During the resident council meeting on 05/06/25, at 2:00 P.M., the residents in attendance said mail was only delivered to residents Monday through Friday and was not delivered to the residents on the weekends. The residents said they would like to receive any mail that comes in on Saturdays if possible. The residents said mail was only delivered on Saturdays if the Activity Director was working as the weekend department head. No other staff deliver mail to residents on Saturdays. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an ongoing program of activities designed to meet all residents' interests when staff failed to ensure an variety of activities were provided by facility staff on the weekends. A sample of 19 residents and the group interview of seven residents were selected in a facility with a census of 64. Review of the facility's current policy related to activities showed it did not address activities provided by staff for the residents on the weekend. 1. During the group interview on 05/06/25, starting at 2:07 P.M., residents said the following: -The only activity during weekends was bingo on Saturdays; -This activity was run by another resident (Resident #7) in the facility; -The Activity Director and activity assistants do not work weekends; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure all allegations of possible abuse were reported to the state licensing agency (Department of Health and Senior Services - DHSS) when staff failed to report a resident to resident allegation of physical abuse between two residents (Resident #26 and #32). The facility had a census of 64. Review of the facility's policy titled Abuse, Neglect, Misappropriation, and Injury of Unknown Origin Policy, dated June 2023, showed the following: -Facility policy is to prohibit all forms of abuse, neglect, and exploitation of any resident; -Any suspicion or allegation of abuse, neglect, or misappropriation of patient property or funds will be reported immediately and investigated thoroughly; -Staff will notify the Administrator and/or Director of Nursing (DON) immediately, within 15 minutes of the alleged incident; [...]
Inspectors wroteBased on observation, record review, and interview the facility failed to provide an environment free from accident hazards when staff failed to use a gait belt (a safety device used to provide support when transferring a person from one position to another) when transferring and assisting one resident (Resident #40), with a history of falls, to toilet. The facility census was 64. The Administrator was notified on the morning of 11/15/24 of the Past Non-Compliance which occurred on 11/15/24. Staff completed an investigation into the cause of the fall and complete counseling with the involved staff member on 11/18/24. Inservices with all nursing staff were also conducted on 11/18/24. The noncompliance was corrected on 12/17/24. Review of the facility's policy titled Incidents and Accident, dated 03/06/07, showed the following: [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's choice of code status (if the resident wished to receive assistance if his/her heart stopped beating or he/she stopped breathing) was easily accessible to staff in the event of an emergency and failed to ensure the status matched throughout the medical record for three residents (Residents #23, #12 and #125), out of seven sampled residents. The facility census was 74. Review showed the facility did not provide a written policy regarding the documentation of residents' preferred code status. 1. Review of Resident #23's face sheet (gives basic profile information) showed the following information: -admission date of [DATE]; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to use appropriate infection control procedures to prevent the spread of bacteria or other infectious carrying contaminants, when staff failed to complete appropriate hand hygiene during wound care for three residents (Resident #41, #22, and #17) and during incontinent care for one resident (Resident #35). The facility census was 74. Review of the facility provided policy, Hand Hygiene, dated 11/02/19, showed the following: -Alcohol based hand sanitizers are the most effective products for reducing the number of germs on the hands of healthcare providers and are the preferred method of cleaning your hands in most clinical settings; -The use of gloves does not replace hand hygiene; [...]
Inspectors wroteBased on interview and record review, the facility failed to give written transfer notice to the resident and/or resident's representative for two residents (Residents #45 and #69) who were transferred out to the hospital. A sample of two residents were reviewed in a facility with a census of 74. Review of a facility policy entitled Notice of Hospital Transfer/Room Hold Policy, dated 04/08/19, showed when staff send a resident to the hospital, the discharging nurse will give the resident a copy of the Notice of Hospital Transfer and Bed Hold Authorization which should contain/involve the following: -The resident's name is to be written on the first line; -The current room rates are to be entered on the appropriate lines; -The reason for transfer is to be written on the lines at the bottom of the form in language the resident can understand; -Two copies are to be made of the form. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure all residents or responsible parties received a written notice of the bed-hold policy upon transfer, when staff failed to provide two residents (Residents #45 and #69) of two sampled residents written notices of the facility's bed-hold policy when transferred to the hospital. The facility census was 74. Review of a facility policy entitled Notice of Hospital Transfer/Room Hold Policy, dated 04/08/19, showed the following: -All residents/responsible parties/representatives will be made aware of the facility room hold policy at the time of admission; -When a resident is sent to the hospital, the discharging nurse will give the resident a copy of the Notice of Hospital Transfer and Bed Hold Authorization that will include the resident's name is to be written on the first line and current room rates; [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure Minimum Data Sets (MDS - a federally mandated comprehensive assessment instrument completed by facility staff) were accurate when staff failed to address one resident's (Resident #11) dialysis on the resident's MDS. The facility census was 74. Review of the facility policy titled MDS (Minimum Data Set - a federally mandated comprehensive assessment completed by facility), dated 4/9/19, showed the following information: -The purpose is to ensure MDSs are completed on all current residents in the proper time-frame and to develop a plan of care that reflects the resident's choices and goals for the care; [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a medication error rate of less than 5%, when staff made two errors out of 25 opportunities resulting in an 8% error rate. Staff failed to follow a medication order and manufacturer guidelines to not crush a medication for one resident (Resident # 37), failed to prime an insulin pen and failed to ensure receipt of a meal or snack within 30 minutes of insulin administration for one resident (Resident #16). The facility had a census of 74. Review of the facility provided policy, Medication Pass, dated 04/10/19, showed the following: -All medications are to be passed within one hour before and one hour after the medication is due; -The five rights are to be observed during medication pass: right resident, right medication, right time, right dose, and right route; [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were free of significant medication errors when staff failed to prime insulin pens for one resident (Resident #16) when administering insulin. The facility census was 74. Review of the facility provided policy, Medication Pass,dated 04/10/19, showed the following: -All medications are to be passed within one hour before and one hour after the medication is due; -The five (5) rights are to be observed during medication pass: right resident, right medication, right time, right dose, and right route. Review of facility provided policy, Insulin Pen Administration, dated 02/25/19, showed the following: -Administer insulin as ordered by physician; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete a bed rail safety check to include measurements of the bed frame and bed rails for risk of entrapment for two residents (Residents #41 and #46) from a sample of two residents. The facility census was 74. Review of the facility provided policy, Side Rails and Entrapment Prevention, dated 02/06/20, showed the following information: -Purpose to provide resident with a safe and comfortable bed/sleeping environment through accurate ongoing assessment and a program that aids in preventing entrapment issues with side rails; -Every resident deserves a safe and comfortable bed and sleeping environment; -All beds and mattresses in the facility will be numbered with a number on the back of the headboard and the bottom of the mattress; [...]
Inspectors wroteBased on interview and record review, the facility failed to complete a Family Care Safety Registry (FSCR - a state registry that provides mutliple checks on staff including a Crimianl Background Check) or a Criminal Background Check (CBC) prior to hire to ensure one staff (Licensed Practical Nurse (LPN) F), of six sampled staff members, did not have a disqualifying criminal background that would prevent the staff member from working in a certified long-term care facility per the facility's policy. The facility census was 69. Record review of the facility's policy and procedure, titled, Policy: Criminal Background Checks, dates 6/11/07 and revised 12/17/19, showed the following information: -Purpose toassure that all employees are appropriate for working with the elderly populations and staff and to aid in providing a safe environment for the elderly residents and facility staff; [...]
Inspectors wroteBased on observation and interview, the facility failed to maintain the residents' bathroom exhaust ventilation systems in proper working condition when eight residents' bathrooms did not have functioning exhaust vents. The facility had census was 69. 1. Observation on 2/07/2020, beginning at 8:30 A.M., showed the exhaust ventilation system in the following resident rooms did not have function correctly when tested: -room [ROOM NUMBER]; -room [ROOM NUMBER]; -room [ROOM NUMBER]; -room [ROOM NUMBER]; -room [ROOM NUMBER]; -room [ROOM NUMBER]; -room [ROOM NUMBER]; -room [ROOM NUMBER]. During an interview on 2/07/2020, at approximately 1:00 P.M., the Maintenance Supervisor (MS) said he did not know the residents' bathroom exhaust systems did not work
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment/services in a timely manner to one resident (Resident #18) experiencing unrelieved pain. A sample of 19 residents was selected for review in a facility with a census of 69. Record review of the facility policy titled, Pain Management, dated 3/11/13, showed the following: -Purpose to provide guidelines for assessment of residents in relation to pain and assure the residents have pain medication ordered; -Residents unable to verbalize pain will be assessed using the pain assessment in advanced dementia (PAINAD) scale (a five item observation tool with total scores ranging from 0 to 10 based on a scale, 0 = no pain, 10 = severe pain); -Occasional labored breathing, short periods of hyperventilation = 1 point; -Noisy labored breathing, long periods of hyperventilation = 2 points; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to document identification and use of possible alternatives prior to use of side rails and failed to complete side rail assessments to ensure the side rails are appropriate for use for two residents (Resident #49 and Resident #55). The facility failed to identify, develop, and implement interventions for the use of side rails for one resident (Resident #55). A sample of 19 residents was selected for review in a facility with a census of 69. Record review of the facility's policy, titled, Side rails/Bed rails and Entrapment Prevention, dated 10/31/17, showed the following information: -Purpose to provide residents with a safe and comfortable sleeping/bed environment through accurate ongoing assessment and a program that aids in preventing entrapment issues with the side rails; [...]
Inspectors wroteBased on interview, and record review, the facility failed to notify the physician and administrative staff and immediately intervene when one resident (Resident # 120) made a statement to nursing staff regarding feelings of being suicidal. This practice affected one resident out of a sample of 19. The facility census was 69. 1. Record review of Resident 120's face sheet showed the following information: -Original admission date on 9/16/19 and readmission from the hospital on [DATE]; -Diagnoses which included unspecified dementia with behavioral disturbance, disorientation, and other recurrent depressive disorders. [...]
12 fire safety citations on file: 4 on May 9, 2025, 5 on July 17, 2023, 3 on February 11, 2020.
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) | 3.50 | 3.43 | 3.86 |
| Registered nurses | 0.39 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.01 | 3.42 |
| Nurse aides | 2.30 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 29.0% | 56.0% | 45.8% |
| Registered nurse turnover | 25.0% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.63 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 3.63 on weekdays and 3.18 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 3.50 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 | 3.50 | 0.39 | 3.63 | 3.18 | 0.1% | 1 of 90 | 85 |
| Oct to Dec 2025 | 3.45 | 0.41 | 3.57 | 3.15 | 0.3% | 0 of 92 | 85 |
| Jul to Sep 2025 | 3.48 | 0.43 | 3.61 | 3.14 | 0.2% | 0 of 92 | 82 |
| Apr to Jun 2025 | 4.02 | 0.48 | 4.19 | 3.58 | 0.5% | 0 of 91 | 71 |
| 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 | 22.3 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.2 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 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 | 32.2 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 29.2 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for St. Luke's Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
49.7% this home
No different from the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 92 eligible stays.
10.9% 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. 110 eligible stays.
6.7% 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. 46 eligible stays.
55.6% 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. 45 residents counted.
4.8% this home
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 63 residents counted.
1.2% 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. 63 residents counted.
95.7% 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. 23 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: ST.LUKE'S MANAGEMENT ,INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shaffer, Deanna | Corporate director | Individual | 05/13/2022 | |
| Smart, Harold | Corporate director | Individual | 08/01/2007 | |
| Edds, Chuck | Corporate officer | Individual | 11/01/2022 | |
| Martindale, Rich | Corporate officer | Individual | 01/01/2024 | |
| McGuire, Larry | Corporate officer | Individual | 06/01/2018 | |
| McKee, Roger | Corporate officer | Individual | 07/01/2022 | |
| Pierjok, Joe | Corporate officer | Individual | 06/01/2022 | |
| Rouse, Norman | Corporate officer | Individual | 02/01/2022 | |
| Stuart, Emily | Corporate officer | Individual | 11/01/2021 | |
| Swingle, Sandy | Corporate officer | Individual | 08/01/2022 | |
| Thompson, Jay | Corporate officer | Individual | 02/01/2022 | |
| Wampler, Margaret | Corporate officer | Individual | 08/01/2021 | |
| Brownell, Cari | Operational/managerial control | Individual | 11/04/2022 | |
| Edds, Chuck | Operational/managerial control | Individual | 11/01/2022 | |
| Martindale, Rich | Operational/managerial control | Individual | 01/01/2024 | |
| McGuire, Larry | Operational/managerial control | Individual | 06/01/2018 | |
| McKee, Roger | Operational/managerial control | Individual | 07/01/2022 | |
| Pierjok, Joe | Operational/managerial control | Individual | 06/01/2022 | |
| Rouse, Norman | Operational/managerial control | Individual | 02/01/2022 | |
| Shaffer, Deanna | Operational/managerial control | Individual | 05/13/2022 | |
| Smart, Harold | Operational/managerial control | Individual | 08/01/2007 | |
| Stuart, Emily | Operational/managerial control | Individual | 11/01/2021 | |
| Swingle, Sandy | Operational/managerial control | Individual | 08/01/2022 | |
| Thompson, Jay | Operational/managerial control | Individual | 02/01/2022 | |
| Wampler, Margaret | Operational/managerial control | Individual | 08/01/2021 | |
| Edds, Chuck | Adp of the SNF | Individual | 11/01/2022 | |
| Martindale, Rich | Adp of the SNF | Individual | 01/01/2024 | |
| McGuire, Larry | Adp of the SNF | Individual | 06/01/2018 | |
| McKee, Roger | Adp of the SNF | Individual | 07/01/2022 | |
| Pierjok, Joe | Adp of the SNF | Individual | 06/01/2018 | |
| Renshaw, Melinda | Adp of the SNF | Individual | 10/01/2024 | |
| Rouse, Norman | Adp of the SNF | Individual | 02/01/2021 | |
| Shaffer, Deanna | Adp of the SNF | Individual | 05/13/2022 | |
| Smart, Harold | Adp of the SNF | Individual | 08/01/2007 | |
| Stuart, Emily | Adp of the SNF | Individual | 11/01/2021 | |
| Swingle, Sandy | Adp of the SNF | Individual | 08/01/2022 | |
| Thompson, Jay | Adp of the SNF | Individual | 02/01/2022 | |
| Wampler, Margaret | Adp of the SNF | Individual | 08/01/2021 |
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.