Chaffee Nursing Center

Name: Chaffee Nursing Center
Address: 12273 STATE HIGHWAY 77, Chaffee, MO, 63740, US
Telephone: 5738873615

12273 State Highway 77, Chaffee, MO 63740 · Scott County · 71 certified beds · avg 62 residents/day · certified since Mar 9, 1992

Part of chain: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 14, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 14, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 14, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 14, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Feb 27, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jan 25, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 4).

Year	Citations	Worst severity that year
2024	4	D
2025	3	D
2026	4	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.00	3.66	3.95	top 33% in Missouri; top 39% in the U.S.
Registered Nurse hours	0.82	0.49	0.69	top 8% in Missouri; top 26% in the U.S.
Weekend total nurse staffing	3.32	3.22	3.50	top 42% in Missouri; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.33	0.33	0.48	top 35% in Missouri; bottom 38% in the U.S.
Total nursing staff turnover (%)	31.7	56.0	45.8	top 5% in Missouri; top 17% in the U.S.
RN turnover (%)	20.0	47.8	42.9	top 12% in Missouri; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.54, RN 0.72, weekend 2.94. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Chaffee Nursing, LLC	Organization	5% or Greater Direct Ownership Interest	—	01/01/2003
Montgomery, Anna	Individual	5% or Greater Indirect Ownership Interest	50%	01/01/2013
Montgomery, Richard	Individual	5% or Greater Direct Ownership Interest	—	10/01/2009
R H Montgomery Properties, INC	Organization	5% or Greater Direct Ownership Interest	—	04/01/2000
Americare Systems, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2009
Crosson, Clay	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/2001
Hatlestad, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2012
Heisserer, Gail	Individual	W-2 Managing Employee	NOT APPLICABLE	08/27/2012
Montgomery, Richard	Individual	Corporate Director	NOT APPLICABLE	01/16/2003
Montgomery, Richard	Individual	Corporate Officer	NOT APPLICABLE	08/01/1981
Reiker, James	Individual	Corporate Officer	NOT APPLICABLE	04/01/2002
Reiker, James	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2002
Schade, Kyle	Individual	Contracted Managing Employee	NOT APPLICABLE	03/01/2021
Schade, Kyle	Individual	Corporate Officer	NOT APPLICABLE	03/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you explain health changes and treatment options to residents and their families?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Lutheran Home, the	9.3 mi	Cape Girardeau, MO	★★★★★	5/5
Life Care Center of Cape Girardeau	9.8 mi	Cape Girardeau, MO	★☆☆☆☆	2/5
Chateau Girardeau	9.9 mi	Cape Girardeau, MO	★★★☆☆	4/5
Fountainbleau Lodge	11.3 mi	Cape Girardeau, MO	★★★★★	4/5
Ratliff Care Center	11.7 mi	Cape Girardeau, MO	★★★☆☆	4/5
Heartland Care and Rehabilitation Center	12.4 mi	Cape Girardeau, MO	★★★★☆	5/5
Hubble Creek	12.6 mi	Jackson, MO	★★★☆☆	4/5
Jackson Manor	14.3 mi	Jackson, MO	★★★★☆	5/5
Daybreak Nursing Center	14.8 mi	Sikeston, MO	★★★★☆	5/5
Aspire Senior Living Advance	15.0 mi	Advance, MO	★★★★☆	4/5
Stonebridge Marble Hill	15.1 mi	Marble Hill, MO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Chaffee →

Facility data as of CMS processing date 2026-08-01. CCN 265492.

The Care File

Visit checklist — Chaffee Nursing Center

12273 State Highway 77, Chaffee, MO 63740 · 5738873615

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265492 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)