Chateau Girardeau

Name: Chateau Girardeau
Address: 3120 INDEPENDENCE STREET, Cape Girardeau, MO, 63703, US
Telephone: 5733351281

3120 Independence Street, Cape Girardeau, MO 63703 · Cape Girardeau County · 75 certified beds · avg 54 residents/day · certified since Jul 23, 1982

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.05

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

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 (20)

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
Apr 10, 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.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Apr 10, 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.
Apr 10, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Apr 10, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 10, 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.
Jan 23, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 23, 2025	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 23, 2025	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 23, 2025	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jan 23, 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.
Jan 23, 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 23, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Nov 16, 2023	E · Potential for harm, repeated	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.
Nov 16, 2023	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.
Nov 16, 2023	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.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 16, 2023	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).

Year	Citations	Worst severity that year
2023	5	E
2025	7	D
2026	8	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)	4.05	3.66	3.95	top 31% in Missouri; top 37% in the U.S.
Registered Nurse hours	0.60	0.49	0.69	top 23% in Missouri; top 48% in the U.S.
Weekend total nurse staffing	3.36	3.22	3.50	top 40% in Missouri; top 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.29	0.33	0.48	top 44% in Missouri; bottom 30% in the U.S.
Total nursing staff turnover (%)	65.7	56.0	45.8	bottom 25% in Missouri; bottom 9% in the U.S.
RN turnover (%)	70.0	47.8	42.9	bottom 19% in Missouri; bottom 12% 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 4.26, RN 0.63, weekend 3.53. Staffing rating: 3/5.

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: 1/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Cape Retirement Community, INC.	Organization	5% or Greater Direct Ownership Interest	100%	11/20/2009
Boeller, Keith	Individual	Contracted Managing Employee	NOT APPLICABLE	01/01/2015
Boeller, Keith	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2015
Boeller, Keith	Individual	Corporate Director	NOT APPLICABLE	01/01/2015
Boeller, Keith	Individual	Corporate Officer	NOT APPLICABLE	01/01/2015
Boeller, Keith	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2015
Cape Retirement Community, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	11/20/2009
Carins, Paul	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
Edmonds, Chris	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Eudy, Debra	Individual	Corporate Director	NOT APPLICABLE	01/01/2015
Fadler, Jeannette	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Herbst, Charlie	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Kasten, Vernon	Individual	Corporate Officer	NOT APPLICABLE	01/27/2015
Kinder, Mark	Individual	Corporate Director	NOT APPLICABLE	02/22/2016
Klein, John	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Mattingly, Nancy	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Reeves, Dean	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Schade, Kevin	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Sides, Chris	Individual	Corporate Director	NOT APPLICABLE	01/01/2020
Tanner, Roger	Individual	Corporate Director	NOT APPLICABLE	01/01/2021

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?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Life Care Center of Cape Girardeau	0.9 mi	Cape Girardeau, MO	★☆☆☆☆	2/5
Lutheran Home, the	1.0 mi	Cape Girardeau, MO	★★★★★	5/5
Fountainbleau Lodge	2.1 mi	Cape Girardeau, MO	★★★★★	4/5
Ratliff Care Center	2.4 mi	Cape Girardeau, MO	★★★☆☆	4/5
Heartland Care and Rehabilitation Center	2.9 mi	Cape Girardeau, MO	★★★★☆	5/5
Hubble Creek	5.9 mi	Jackson, MO	★★★☆☆	4/5
Jackson Manor	8.9 mi	Jackson, MO	★★★★☆	5/5
Chaffee Nursing Center	9.9 mi	Chaffee, MO	★★★★★	5/5
Stonebridge Marble Hill	15.3 mi	Marble Hill, MO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Cape Girardeau →

Facility data as of CMS processing date 2026-08-01. CCN 265142.

The Care File

Visit checklist — Chateau Girardeau

3120 Independence Street, Cape Girardeau, MO 63703 · 5733351281

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 265142 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)