Chaffee Nursing Center

12273 State Highway 77, Chaffee, MO 63740 (opens Google Maps) · Scott County · (573) 887-3615· 71 certified beds · avg 62 residents/day · certified since Mar 9, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

5/5

Health inspection rating (on-site)

inspected May 14, 2026

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.

May 14, 2026D · Potential for more than minimal harm, isolated
The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552
May 14, 2026D · Potential for more than minimal harm, isolated
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. F-0582
May 14, 2026D · Potential for more than minimal harm, isolated
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. F-0880

View all 11 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
May 14, 2026	D · Potential for more than minimal harm, isolated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
May 14, 2026	D · Potential for more than minimal harm, isolated	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. · F-0582
May 14, 2026	D · Potential for more than minimal harm, isolated	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. · F-0880
May 14, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Feb 27, 2025	D · Potential for more than minimal harm, isolated	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. · F-0699
Feb 27, 2025	D · Potential for more than minimal harm, isolated	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. · F-0759
Feb 27, 2025	D · Potential for more than minimal harm, isolated	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. · F-0880
Jan 25, 2024	D · Potential for more than minimal harm, isolated	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. · F-0623
Jan 25, 2024	D · Potential for more than minimal harm, isolated	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. · F-0625
Jan 25, 2024	D · Potential for more than minimal harm, isolated	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. · F-0700
Jan 25, 2024	D · Potential for more than minimal harm, isolated	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. · F-0909

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityMissouri averageU.S. average

Total nurse staffing (hours per resident per day)

4.00

3.66

3.95

Registered Nurse hours

0.82

0.49

0.69

Weekend total nurse staffing

3.32

3.22

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.54 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Chaffee Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Americare Senior Living — 23 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Clark's Mountain Nursing Center — Piedmont, MO · overall 5/5
Cypress Point-Skilled Nursing by Americare — Dexter, MO · overall 4/5
Heritage Hall Nursing Center — Centralia, MO · overall 4/5
Heritage Nursing Center - Skilled Nursing by Ameri — Kennett, MO · overall 4/5
Neighborhoods at Quail Creek, the — Springfield, MO · overall 3/5
Neighborhoods Rehabilitation and Skilled Nursing B — Columbia, MO · overall 2/5
Pioneer Skilled Nursing Center — Marceline, MO · overall 3/5
Southbrook Nursing Center — Farmington, MO · overall 5/5

Listed by state, then facility name — not a ranking. Showing 8 of the 22 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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 →

Other facilities in the same county

CMS records place this facility in Scott, MO — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Clearview Nursing Center — Sikeston, MO · overall 4/5
Hunter Acres Caring Center — Sikeston, MO · overall 3/5
Sikeston Convalescent Center — Sikeston, MO · overall 3/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Chaffee →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Chaffee Nursing Center

12273 State Highway 77, Chaffee, MO 63740 · (573) 887-3615

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)