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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E19 | F12 |
| Minimal | A· | B3 | C3 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Nov 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 17, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 17, 2025 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Dec 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 26, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 1, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Nov 14, 2022 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Nov 14, 2022 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 17, 2025 | Civil money penalty (fine) | $22,081 | — | 265373|Fine|134396 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E19 | F12 |
| Minimal | A· | B3 | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 24, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 6, 2026 | Complaint |
| Nov 24, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 6, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
194 facilities in 26 states. CMS chain ID 311.
Chain average overall rating (CMS): 3.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Developers Investment Company II, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 14, 1999 |
| Forrest Preston | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 14, 1999 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Developers Investment Company II, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 14, 1999 |
| Forrest Preston | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 14, 1999 |
| Morgan Castillo | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 7, 2020 |
| Amber Eklund | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 16, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Life Care Center of Cape Girardeau 365 South Broadview Street, Cape Girardeau, MO 63703 CCN 265185 | 120 | Dec 16, 2025 | 542 IJ5 harm | $150k | |
| Life Care Center of Carrollton 300 Life Care Lane, Carrollton, MO 64633 CCN 265294 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Richland Care Center Inc 400 Tri-County Lane, Richland, MO 65556 CCN 265755 | 15.7 km | 86 | Mar 5, 2026 | 45 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265373 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265373 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 04592 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Mar 17, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 22, 2025 |
| Mar 17, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Mar 17, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Mar 17, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0700 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Mar 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Dec 5, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2025 | Complaint |
| Mar 26, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 29, 2024 | Complaint |
| Mar 26, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 29, 2024 | Complaint |
| Feb 1, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 1, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0570 | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Mar 15, 2024 |
| Feb 1, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 15, 2024 |
| Nov 14, 2022 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 28, 2022 |
| Nov 14, 2022 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2022 |
| Nov 14, 2022 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 28, 2022 |
| Nov 14, 2022 | F-0700 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 28, 2022 |
| Nov 14, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 28, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.03 (case-mix index 1.23).
| Charlene Hebeler | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 3, 2024 |
| Developers Investment Company II, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 14, 2006 |
| Life Care Centers of America, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 30, 1999 |
| Waynesville Medical Investors LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 22, 1999 |
| Morgan Castillo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 7, 2020 |
| Amber Eklund | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 16, 2024 |
| Todd Fletcher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2002 |
| Charlene Hebeler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 3, 2024 |
| Bohdan Lebedowicz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2023 |
| Aubrey Preston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Forrest Preston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 14, 1999 |
| James Ziegler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Cindy Cross | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 30, 1999 |
| Terry Henry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 16, 1999 |
| Lisa Lay | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 9, 2018 |
| Richard Swanker | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2011 |
| Joan Thurmond | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 22, 2000 |
| Life Care Centers of America, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 3, 2025 |
| Waynesville Medical Investors LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2005 |
| Morgan Castillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 3, 2025 |
| Bohdan Lebedowicz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 3, 2025 |
| Forrest Preston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2005 |
| 120 |
| Apr 2, 2026 |
51 |
| — |
| The Westchester House 550 White Road, Chesterfield, MO 63017 CCN 265338 | 157 | May 13, 2025 | 691 harm | $84k |
| Life Care Center of Sullivan 875 Dunsford Drive, Sullivan, MO 63080 CCN 265340 | 118 | Jun 25, 2026 | 491 harm | — |
| Life Care Center of Bridgeton 12145 Bridgeton Square Dr, Bridgeton, MO 63044 CCN 265345 | 91 | Jun 4, 2026 | 842 harm | $22k |
| Life Care Center of Grandview 6301 East 125th St, Grandview, MO 64030 CCN 265355Abuse icon | 172 | Jun 2, 2026 | 881 harm | — |
| Northwood Hills Care Center 800 N Arthur St, Humansville, MO 65674 CCN 265381 | 120 | Jun 11, 2026 | 60 | — |
| Life Care Center of Brookfield 315 Hunt Street, Brookfield, MO 64628 CCN 265405 | 120 | Feb 20, 2025 | 593 IJ5 harm | $45k |